Spring Loaded Goniometer Knee Orthosis
Suggested HCPCS Code: L1831
- 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 | Side | 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
For Product Instructions click HERE.
