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Breg Axiom Elite Aluminum Ligament Knee Brace - PDAC Approved
PDAC Approval Information:
- Product Name: Breg Axiom Elite Aluminum Ligament Knee Brace
- Cross-Reference Number (XREF): 42119218
- Effective Date: 2015-09-18
- Download Official PDAC Approval Letter (PDF)
This assignment of HCPCS codes does not imply Medicare endorsement nor guarantee reimbursement or coverage.
HCPCS Code: K0902 Model Number: PK424
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
HCPCS Code: L1845
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