Hinged Wrist and Hand Contracture Splint
Suggested HCPCS Code: L3915/L3916
- Bilateral
- Adjustable locking hinge to increase wrist extension
- Lightweight, breathable, and comfortable
- Optional/Removable finger separator provided
- Removable headliner cover is machine washable (Laundering bag included)
| Product Number | Size |
| 14-1500 | Universal |
Underlying Conditions:
- Rheumatoid Arthritis
- Wrist/Hand Contracture
- Carpal Tunnel Syndrome
- Osteoarthritis
Coverage Criteria:
Item is for treatment of illness or injury or to improve function of hand . (Not preventative.)
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.
