ROM Hinged Pull/Sleeve Knee Brace
Suggested HCPCS Code: L1832/L1833
- Snap-in flexion and extension stops included
- Soft popliteal knit prevents “bunching”
- Perforated, breathable skin-friendly neoprene with polycentric hinges
- Pressure relieving, stabilizing patella shaped silicone buttress
| Product Number | Size | Circ 6″ Above Knee Center |
| 11-0100 | X-Small | 12″-13″ |
| 11-0101 | Small | 13″-14″ |
| 11-0102 | Medium | 14″-15″ |
| 11-0103 | Large | 15″-17″ |
| 11-0104 | X-Large | 17″-19″ |
Underlying Conditions:
- Congenital Deformity of Knee Joint
- Pathologic Fracture of Femur/Tibia/Fibula
- Patella Fracture
- Rheumatoid Arthritis
- Derangement of Meniscus Due to Tear or Injury
- Chondromalacia of Patella
- Osteoarthritis
Coverage Criteria:
Patient must meet one of the following criteria
- Recent knee injury or recent surgical procedure on knee
- Patient is ambulatory and has knee instability due to diagnosis
For Product Instructions click HERE.