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Hinged Wrap Knee Brace (NON-ROM)
Suggested HCPCS Code:
L1820
Wrap Design for customized fit
Bilateral, Lightweight, Breathable
Universal Sizing for a customized fit
Available with patella stabilizing donut buttress
Product Number
Size
11-0400
Universal
11-0401
Universal with patella buttress
Underlying Conditions:
Chronic Knee Instability
Rheumatoid Arthritis
Pathologic Fracture of Femur/Fibia/Fibula
Congenital Deformity of Knee Joint
Osteoarthritis
Patella Fracture
Derangement of Meniscus due to Tear or Injury
Coverage Criteria:
Ambulatory patient with weakness or deformity of the knee requiring stabilization
For Product Instructions click
HERE
.
Our Process is as follows:
1. Choose a brace, send a brace request form and a facesheet to our office.
2. PME will verify insurance coverage, prepare a script and send it to the requester for a DR signature.
3. Facility sends back signed script
4. PME ships brace to the facility.
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Auth to Bill / Brace Request Form