Suggested HCPCS Code: L1686

• Designed to allow controlled hip flexion in 15 degree increments from -30 to 105 degrees
• Can be locking in any position from -30 degrees to 60 degrees
• Malleable arms bend for abduction purposes.
• Low profile design.
• Malleable waist and leg cuffs.

Underlying Conditions:

• Osteoarthritis of the hip
• Osteoarthritis Resulting from Hip Dysplasia
• Post Traumatic Osteoarthritis of Hip

Coverage Criteria: Item is for treatment of illness or injury or to improve function of hip. (Not preventative.)  

Suggested HCPCS Code: L1690

• Comfortable Lycra, discreet under clothes
• Unique pulley system delivers compression where
• Control external hip rotation with rotation control strap

Underlying Conditions:

• Osteoarthritis of the hip
• Osteoarthritis Resulting from Hip Dysplasia
• Post Traumatic Osteoarthritis of Hip

Coverage Criteria: Item is for treatment of illness or injury or to improve function of hip. (Not preventative.)

Suggested HCPCS Code: L1652

• 4 air bladders (2 on each side) to redistribute skin pressure and gradually increase the hip’s range of motion
• Wide cuff straps provide comfort, increasing likelihood of patient compliance
• Spreader Bar Assembly with 3 choices of abductor-bar length provides greater hip abduction when needed
• Hand bulb air pump (included)
• Can be used in bed or in a wheelchair

Underlying Conditions:

• Osteoarthritis of the hip
• Hip contracture
• Hip adbuction
• Stress fracture of the hip

Coverage Criteria: Item is for treatment of illness or injury or to improve function of hip. (Not preventative.)