Padded Elbow Brace
Suggested HCPCS Code: L3760/L3761
- Adjustable dials allow gradual changes to move joint toward normal alignment
- High-temperature plastic cuffs can be remolded to custom fit patient’s upper and lower arms
- Flex Technology splint moves with the patient’s abnormal muscle tone/spasticity
- Padding provides comfort and redistributes skin pressure
- Brace provides 3-point leverage similar to manual stretching, improving range of motion
- Lower cuff swivels to allow for varying degrees of flexion
| Product Number | Size | Bicep Circ. | Forarm Circ. |
| 13-0300 | Small | 8″-12″ | 7″-10″ |
| 13-0301 | Medium | 8″-13″ | 7.5″-11″ |
| 13-0302 | 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.
