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Comfortmax Accord III Ankle Brace (L1971)

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Comfortmax AFO (L1951) Posterior Carbon Fiber

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KKMP Care Boot II

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extriCARE NPWT Foam Dressing (Sacral and Foot)

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RMI VertebrEase TLSO Back Brace (can be used with Safe Cerv)

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KKMP Care Boot II Short Back

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KKMP Care Boot II with Dorsi-Flexion Strap

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RMI Fluidized Ankle Foot Orthosis

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RMI Carbon Fiber Anterior AFO

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Med-Aire 8″ Alternating Pressure and Low Air Loss Mattress System (frame not included)

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Care Rest Knee- IB

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Ranger Air Knee IB

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Care Lite Hand Resting WHFO IB

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Care Lite Resting ST WHFO IB

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Easy Care Roll Petite WHFO IB

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Easy Care Roll WHFO IB

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Care Resting Hand “Split Finger” IB

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Titanium Cushion with Visco Elastic Foam and Gel

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Anti Thrust Foam Wedge Cushion with Gel

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Medline Contour Plus Cushion

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Blue Chip Gel Pro™ Elite Gel Wheelchair Cushion

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Drive Gel “E” 3" Wheelchair Cushion

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Drive Gel/Foam Gel "E" 2" Seat Cushion

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Medline Aeroflow Static Air Overlay Mattress Group I

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Medline Standard Gel Foam Overlay Mattress Group I

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Medline A20 Alternating Pressure Low Air Powered Mattress Group II-Mattress Replacement System

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Fusion+ Non-Powered Dynamic Dispersion Mattress Group II

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extriCARE 2400 NPWT (Medicare Billable)

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extriCARE 3600 Negative Pressure Wound Therapy (NPWT) System

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Darco GentleStep Diabetic Shoe

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Thermoskin ROM Elbow Brace

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Ossur Innovator X Post Op Elbow

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T Scope Premier Post-OP Knee Brace Breg

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Bledsoe Arc 2.0 Shoulder Brace L3960

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Ossur Shoulder Abduction Sling L3670

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Philadelphia Adjustable Neck Collar

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WICHITA (WOMEN’S STRETCHABLE – HOOK & LOOP STRAP – WASHABLE) OrthoFeet

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Thermofit Customized Diabetic Inserts (OrthoFeet)

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OrthoFeet Thermosole Inserts (by Diasole)

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BISMARCK (MEN’S STRETCHABLE – VELCRO(TM) STRAP – WASHABLE)

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OrthoPro HyperEx Knee

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Ossur Form Fit ROM Knee Brace

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OrthoPro OA-LP Rehabilitator Knee

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Ranger Knee IB

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Hip-Abductor with Air-Assist IB

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Ranger Elbow IB

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NYOrtho Gel-Foam Cushion

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Ossur Trainer OA

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Ossur AFO Dynamic Accessory Kit

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Ossur AFO Dynamic

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OCSI Elite AFO Rehabilitator Replacement Pad

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Elite AFO Rehabilitator

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Vista TX Replacement Pad

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RCAI Ankle Foot Orthosis (AFO)-Semi Rigid or Rigid

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RCAI Hip Abduction Orthosis-Unilateral

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SoftPro Gel HKO

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DeRoyal PROlign Spinal Orthosis with Boa Closure

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Comfy Goniometer Knee

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Warrior Knee Brace

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DynaPro AFO

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SoftPro Gait Trainer AFO

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Thermal Open Wrap ROM Hinged Knee Brace by Swede-O

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Thermoskin Wrist Hand Brace

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Thermoskin Carpal Tunnel Brace with Thumb Spica

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RCAI Wrist Drop Splint-445-WDO

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Aspen Vista TX Collar

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Ranger Elbow with Air Start IB

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RMI Safe Cerv Left or Right

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Universal XTW Extended Wear Cervical Collar

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Aspen EvergreenLoPro LSO 631

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Aspen Evergreen 637 LSO

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Aspen Summit 456 TLSO

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Evotec Max LSO 637

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OCSI SoftPro In-Bed AFO

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OCSI SoftPro Palmar Resting Hand

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OSCI SoftPro Grip

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OSCI SoftPro Functional Resting Hand

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OSCI SoftPro Champ Resting Hand

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DynaPro Resting Hand (Thumb Ease)

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DynaPro Finger Flex

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DynaPro Flex Hand

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OCSI AirPro Air Graduate WHFO

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SoftPro Static Gel Knee Brace

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OCSI DynaPro Flex Elbow Brace

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AirPro COKO ROM Knee Brace

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SoftPro Static Gel Elbow Brace

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Exoform Wrist Brace

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Ossur Equalizer Air Walker Low Top (a-w0-xxx-blk)

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KKMP Dynamic Elbow Brace (OrthoPro Exerciser Elbow)

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KKMP Dynamic Knee Brace (Orthopro Stabilizer Knee with Swing Assist)

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Sizes Medium and Large (see chart below). The orthotic consists of a one piece antimicrobial liner with bilateral dynamic/static stays that lock in 15 degree increments of flexion and/or extension. Attached to the stays are dynamic torsion bands (5 lbs. of pull per band) for low grade stretch or swing through assist.

Use: This product is designed for contracture management, increased tone, hemiplegic gait, foot drop, sprain of knee ligaments, RA, OA, traumatic brain injury, etc… (See formulary for complete set of ICD 9 treatment codes)

Protocol: Dynamic component of the brace is to be used during therapy treatments. After treatment, the therapist can set the brace, to a static stretch, to be worn by the patient, monitored by nursing. This will ensure the end range from previous treatment is maintained.

PDAC suggested billing code E1810

OrthoPro_Stabilizer_Knee_with_Swing_Assist_Application_Instructions