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| After submission to SADMERC and the four
Durable Medical Equipment Regional Carriers (DMERCs), Medicare billing codes
have been issued for the following products: |
ProLite® Elbow Support (19-400)
ProLite® Compressive Elbow Support w/Viscoelastic Insert (19-450)
A9270 – Elbow orthosis, elastic, prefabricated, includes fitting and
adjustment (e.g., neoprene, lycra). |
Soft Fit Suede Wrist Brace (22-150)
ProLite® 8” Wrist Splint (22-450)
L3908 – Wrist hand orthosis, wrist extension control cock-up, non-molded,
prefabricated, includes fitting and adjustment. |
C3™ Post-Op Shoe with Microban® (43-820/821)
L3260 – Surgical boot/shoe, each. |
Soft Form® Thermal Lumbar Support (31-600)
Thermal Lumbar Supports (31-750/753)
Cool, Lightweight 7” Lumbar Support (31-701)
Elastic Abdominal Binder (34-710)
K0634 – Lumbar orthosis, flexible, provides lumbar support, posterior extends from
L-1 to below L-5 vertebra, produces intracavitary pressure to reduce load on the
intervertebral discs, includes straps, closures, may include pendulous abdomen
design, shoulder straps, stays, prefabricated, includes fitting and adjustment. |
Two-Panel Surgical Rib Belts (34-4100/4200)
A9270 – Thoracic, rib belt. |
FlexLite® Hinged Knee Support (37-108)
Safe-T-Sport® Wrap-Around Hinged Knee Brace (37-350)
L1810 – Knee orthosis, elastic with joints, prefabricated, includes fitting and adjustment. |
EZ-ON® Neoprene Knee Wrap (37-307)
Safe-T-Sport® Neoprene Knee Sleeve with Open Patella (37-373)
Safe-T-Sport® Neoprene Knee Sleeve with Closed Patella (37-373)
ProLite® Knitted Pullover Knee Support (37-400)
A9270 – Knee orthosis, elastic knee cap, prefabricated, includes fitting and adjustment. |
Canvas Lace-Up Ankle Brace (40-311)
ProLite® Bi-Lateral Lace-Up Ankle Brace (40-351)
Ankle Guard with Optional Plastic Inserts (40-411)
L1902 – AFO, ankle gauntlet, prefabricated, includes fitting and adjustment. |
ProLite® Wrap-Around Knit Ankle Support
A9270 – Ankle orthosis, elastic, prefabricated, includes fitting and adjustment (e.g. Neoprene, Lycra). |
Heel and Elbow Protector (61-126)
E0191 – Heel or elbow protector, each. |
PressureLite® Moldable Diabetic Insoles (F45)
K0628 – For diabetics only, multiple density insert, direct formed, molded to foot
after external heat source of 230 degrees Fahrenheit or higher, total contact with
patient’s foot, including arch, base layer minimum of 1/4 inch material of Shore A
35 Durometer or 3/16 inch material of Shore A 40 Durometer (or higher),
prefabricated, each. |
HCPCS Codes listed are only suggested codes.
Other codes may be more applicable depending on intended product use.
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