
ROM Padded Air Elbow Brace
Suggested HCPCS Code: L3760/L3761
- Air technology uses an air bladder at the inside of the elbow, positioned parallel to the arm to redistribute skin pressure
- Bilateral hinged uprights work with the air bladders to continue to move the joint toward normal alignment
- Hinges can be removed for the most severe flexion and added as the range improves
Product Number | Side | Bicep Circ. | Forarm Circ. |
13-0400 | Right | 8″-15″ | 7″-12″ |
13-0401 | Left | 8″-15″ | 7″-12″ |
Underlying Conditions:
- Elbow Contracture
- Rheumatoid Arthritis
- Hemarthrosis of Elbow
- Felty’s Syndrome of Elbow
Coverage Criteria:
Item is for treatment of illness or injury or to improve function of elbow. (Not preventative.)
For Product Instructions click HERE.