Hyperextension Knee Brace
Suggested HCPCS Code: L1831
- Provides prolonged low load passive stretch and treats hyper extension of the knee
- Adjustable dials allow gradual changes to move the joint toward normal alignment
- Brace provides 3-point leverage similar to manual stretching improving range of motion
- Padding provides comfort and redistributes skin pressure
- High-temperature plastic cuffs can be remolded to custom fit the patient’s upper and lower legs
| Product Number | Size | Thigh Circ. | Calf Circ. |
| 11-0800 | X-Small | 8″-13″ | 7.5″-11″ |
| 11-0801 | Small | 10″-15″ | 8″-12″ |
| 11-0802 | Medium | 13″-17″ | 10″-15″ |
| 11-0803 | Large | 16″-22″ | 14″-18″ |
Underlying Conditions:
- Knee Contracture
Coverage Criteria:
- Patient has flexion or extension contractures of the knee with movement on passive range of motion testing of at least 10 degrees
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.
