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Knee Brace

Pauline Posted Wed 30th of July, 2014 10:22:22 AM

I can't find a DME code that is specifically for: Medial compartment unloading knee brace. Is this new and would you know what the HCPSC code is?

SuperCoder Answered Wed 30th of July, 2014 16:54:13 PM

Thank you for your question.
Based on manufacturer recommendations and code descriptors,the following codes could be used for the knee brace. Please see below. The only difference between the 2 codes, it L1843 is single upright, L1845 is double upright.

L1843-Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

L1845-Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

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