toll free 877 888-9868

office 909 337-3449

fax 909 498-0300

All orders must be paid by the patient, and then the patient must submit a claim to his/her insurance provider for reimbursement. 

Insurance Codes

Below are insurance codes that will be included with your paid invoice, so that you may file an insurance claim for reimbursement after you receive your order.  You may wish to contact your insurance provider before ordering to see if the items are covered under your policy.

Delivery and handling fees, and casting/fitting charges most likely will not be reimbursed by insurance.  There are also some optional items (i.e., padded dorsal plate, additional finger lift, etc.) that may not be covered.

For custom orders we will send you an estimate once we receive all of your paperwork.  The estimate will have the insurance codes on it, as well as itemized charges.

CUSTOM ORTHOTICS

Item

Medicare Codes

 Hand Paddle

 L3913

 Shoulder Support

 L3675

Dome Positioning Splint

L3906

Perfect Response Orthotic® (PRO)

L1970
L2280
L2755
L2820
L2275
L2220x2

 Wrist-Hand-Orthosis (WHO)

 L3906

 L2820

 L2430

 Elbow-Wrist-Hand- Orthosis  (EWHO)

 L3906

 L2820

 L3730

 L2430x2

 

PREFABRICATED ORTHOTICS AND THERAPY AIDS

Item

Medicare Codes

Prefabricated Hand Paddle

 L3923

Prefabricated Shoulder Support

 L3675

 Prefabricated Humeral External Rotator

 L3962

Prefabricated Knee Immobilizer

 L1836

Prefabricated Knee Anti-hyperextension Unit
 

 

 L1850

 Prefabricated Hip Alignment Assist Unit for Function in Upright Postures
 

 L1686

 Prefabricated Dome Positioning Splint

L3931


Prefabricated Articulating Dome Positioning Splint
L3931
L2430

Prefabricated Thoracic Extension Unit

L0472

 Prefabricated Wrist-Hand-Orthosis (WHO)

 L3931

L2430

 Prefabricated Elbow-Wrist-Hand-Orthosis  (EWHO)

 L3760

 L3931

L2430x2