Posterior Night Splint
Suggested HCPCS Code: L4396/L4397
For Product Instructions click HERE.
- Essential treatment for alleviation of night time plantar fasciitis pain
- Three padded straps with buckles to ensure immobilization
- Dual tension straps allow for increased flexion and foot angle for the optimum pain-relieving stretch
- Lightweight night splint, low profile shell is sturdy
- and breathable for proper plantar fasciitis treatment
| Product Number | Size | Shoe Size |
| 17-0300 | Small | W: <7 M:<6.5 |
| 17-0301 | Medium | W: 7.5-10 M: 6.5-9.5 |
| 17-0302 | Large | W: 10+ M: 9.5+ |
Underlying Conditions:
- Plantar Fascial Fibromatosis
- Contracture of Ankle
- Contracture of Foot
Coverage Criteria: (Patient must meet one of the following criteria)
- Plantar Fasciitis
- Plantar flexion contracture of the ankle with dorsiflexion on passive range of motion testing (using Goniometer) of at least 10 degrees.
- Reasonable expectation of the ability to correct the contracture
- Contracture is interfering/expected to interfere significantly with functional abilities
- Splint is used as part of therapy program including active stretching of the involved muscles/tendons
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.
