SPRING LOADED GONIOMETER KNEE ORTHOSIS

Spring Loaded Goniometer Knee Orthosis

Suggested HCPCS Code: E1810

  • 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 NumberSizeKnee Crease to Ankle or Thigh
11-1500Adult7″
11-1501Adult Small6″

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.

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