Hyperextension ROM Elbow Brace
Suggested HCPCS Code: L3760/L3761
- Provides prolonged low load passive stretch and treats hyper extension of the elbow
- 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
| Product Number | Size | Bicep Circ. | Forarm Circ. |
| 13-0500 | X-Small | 7.5″-9.5″ | 6.5″-8.5″ |
| 13-0501 | Small | 8″-12″ | 7″-10″ |
| 13-0502 | Medium | 8″-13″ | 7.5″-13″ |
| 13-0503 | Large | 10″-15″ | 8″-12″ |
Underlying Conditions:
- Elbow Contracture
- Rheumatoid Arthritis
- Hemarthrosis of Elbow
- Felty’s Syndrome of Elbow
Coverage Criteria:
Item is for treatment of illness or injury or to improve function of elbow. (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.
