Hip Knee Air Orthosis

Suggested HCPCS Code: L1652

Product Number Side Size Thigh Circumference
15-0100 Small 6″-12″
15-0102 Medium 11″-17″
15-0103 Large 16″-22″
15-0104 X-Large 21″-26″
Underlying Conditions:
  • Osteoarthritis of the hip
  • Hip contracture
  • Hip adbuction
  • Stress fracture of the hip

Coverage Criteria: Item is for treatment of illness or injury or to improve function of hip. (Not preventative.)

For Product Instructions click HERE.

Request this brace

Our Process is as follows: