SHOULDER IMMOBILIZER WITH WAIST STRAP

Shoulder Immobilizer with Waist Strap

Suggested HCPCS Code: L3670

  • Soft cotton/poly blend for increased comfort
  • Removable foam waist strap
  • D-ring on strap for easy adjustmant
  • Fits right or left arm

Product NumberSizePouch Length
13-0600Small13″
13-0601Medium15″
13-0602Large17″
13-0603X-Large19.5″

Underlying Conditions:

  • Fracture of Shaft of Clavicle
  • Fracture of Sternal End of Clavicle
  • Sprain of the Shoulder or Elbow
  • Stiffness of Shoulder not Elsewhere Classified
  • Elbow Fracture
  • Ulna Fracture

Coverage Criteria:

Item is for treatment of illness or injury or to improve function of upper body. (Not preventative.)

For Product Instructions click HERE.

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