Breg OA Impulse Pull Lateral Knee Brace - PDAC Approved
PDAC Approval Information:
- Product Name: Breg OA Impulse Pull Lateral Knee Brace
- Document Control Number (DCN): 22284C23100007
- Effective Date: 2022-12-07
- Download Official PDAC Approval Letter (PDF)
This assignment of HCPCS codes does not imply Medicare endorsement nor guarantee reimbursement or coverage.
HCPCS Code: 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
HCPCS Code: L1851
KNEE ORTHOSIS (KO), 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, OFF-THE-SHELF