OA Unloader Hip Brace
Suggested HCPCS Code: L1690
- Comfortable Lycra, discreet under clothes
- Unique pulley system delivers compression where
- Control external hip rotation with rotation control strap
| Product Number | Size | Gender | Hip Circumference |
| 15-0200 | Small | Male | 31″-35″ |
| 15-0201 | Small | Female | 31″-35″ |
| 15-0202 | Medium | Male | 35″-38″ |
| 15-0203 | Medium | Female | 35″-38″ |
| 15-0204 | Large | Male | 38″-41″ |
| 15-0205 | Large | Female | 38″-41″ |
| 15-0206 | X-Large | Male | 41″45″ |
| 15-0207 | X-Large | Female | 41″-45″ |
| 15-0208 | XX-Large | Male | 45″-49″ |
| 15-0209 | XX-Large | Female | 45″-49″ |
Underlying Conditions:
- Osteoarthritis of the hip
- Osteoarthritis Resulting from Hip Dysplasia
- Post Traumatic Osteoarthritis of Hip
Coverage Criteria:
Item is for treatment of illness or injury or to improve function of hip. (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.
