Spring Loaded Goniometer Knee Orthosis
Suggested HCPCS Code: E1810
- Goniometer dial can be set to a range of flexion or extension in 5° increments
- Provides excellent support for flaccid or weak extremities and helps immobilize painful extremities
- Patented malleable splint spine can bend to the desired ROM and the cuffs can adjusted for optimal fit
| Product Number | Size | Knee Crease to Ankle or Thigh |
| 11-1500 | Adult | 7″ |
| 11-1501 | Adult Small | 6″ |
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.
