ROM HINGED PULL/SLEEVE KNEE BRACE

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 NumberSizeCirc 6″ Above Knee Center
11-0100X-Small12″-13″
11-0101Small13″-14″
11-0102Medium14″-15″
11-0103Large15″-17″
11-0104X-Large17″-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.

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