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Brace Align Apex ACL Stabilizer Knee Brace - Double Upright Ligament Support with Adjustable ROM Hinge - PDAC L1845 L1852 - PDAC Approved
PDAC Approval Information:
- Product Name: Brace Align Apex ACL Stabilizer Knee Brace - Double Upright Ligament Support with Adjustable ROM Hinge - PDAC L1845 L1852
- Document Control Number (DCN): 25245047000032
- Effective Date: 2025-11-13
- Download Official PDAC Approval Letter (PDF)
This assignment of HCPCS codes does not imply Medicare endorsement nor guarantee reimbursement or coverage.
HCPCS Code: L1845 Model Number: KNB428
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
HCPCS Code: L1852 Model Number: KNB428
KNEE ORTHOSIS (KO), 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, OFF-THE-SHELF