Custom-Fit Elastic Knee Brace with Condylar Pads and Joints HCPCS Code L1820

To bill for custom-fit elastic knee braces with condylar pads and joints, you'll need to use HCPCS Level II codes, which are designed for healthcare products and services that fall outside the CPT system. All bracing and orthotic devices are categorized under the "L" series of HCPCS codes.

HCPCS Code:

L1820

Definition:

Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

This code applies to prefabricated elastic knee braces that feature condylar pads and joints, with or without patellar control. These braces are professionally trimmed, bent, molded, or assembled by healthcare providers to ensure a precise fit. They offer enhanced knee support by stabilizing the joint, reducing pressure on the condyles, and providing targeted patellar tracking when necessary. Medicare-compliant and professionally adjusted, these braces ensure superior support and rehabilitation outcomes.

Clinical Use Cases for L1820 Custom-Fit Elastic Knee Braces with Condylar Pads and Joints

Post-Injury Knee Stabilization

Provides targeted knee support and condylar padding to protect ligaments and soft tissues following an injury.

Patellar Tracking Support

Helps realign and control patellar movement for conditions like patellar subluxation or maltracking.

Mild to Moderate Knee Instability

Offers joint reinforcement and controlled motion to reduce pain and improve stability for conditions such as osteoarthritis or ligament laxity.

Why Healthcare Providers Choose Brace Direct

Comprehensive Product Selection

Our extensive range of PDAC-approved braces ensures you'll find the perfect solution for every patient's unique needs. From off-the-shelf options to specialized supports, we provide high-quality products that meet stringent medical standards.
Streamlined Ordering Process

Our user-friendly online platform allows for quick and efficient product selection. Search by specific codes, patient conditions, or product features to find exactly what you need with minimal effort.
Expert Clinical Support

Access a wealth of educational resources including detailed fitting guides, instructional videos, and direct support from our team of bracing specialists. We're committed to supporting healthcare providers in delivering optimal patient care.

Cost-Effective Solutions

Benefit from competitive pricing, volume discounts, and our Provider Discount Program. We help you manage costs without compromising on the quality of patient care and support.

Provider Discount Program

Save on wholesale orders and access exclusive volume discounts for your practice. Our program makes it easy to stock high-quality, PDAC-approved braces at competitive prices, ensuring your patients receive the best care while keeping your costs low.

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Become an Affiliate

Earn commissions by referring patients to trusted, high-quality braces. Our Affiliate Program offers a seamless way to recommend PDAC-approved products to your patients while creating an additional revenue stream for your practice.

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Explore Our L1820 PDAC Approved Custom-Fit Elastic Knee Braces with Condylar Pads and Joints

Provide your patients with professional-grade knee stabilization using our PDAC Approved custom-fit elastic knee braces with condylar pads and joints. Designed for healthcare professionals to adjust for an optimal fit, these braces ensure superior support and Medicare compliance.

View Custom-Fit Knee Brace Collection

Frequently Asked Questions

How can I ensure correct billing for DME (Durable Medical Equipment)? + –

To bill for DME, you’ll need proper documentation, including patient diagnosis, medical necessity, and a detailed prescription. Be sure to use the appropriate modifiers (e.g., KX, RT, LT) and maintain compliance with Medicare guidelines.

Why doesn't Brace Direct work with insurance or Medicare? + –

Brace Direct follows a direct-to-consumer model to offer affordable prices, upfront pricing transparency, and faster access to braces without the delays and complexities of insurance or Medicare billing. Many products are FSA and HSA eligible for added convenience.
Direct-to-Consumer Medical Braces & Supports: No Insurance Hassles

How does Brace Direct support healthcare providers? + –

We offer an extensive range of PDAC-approved products, educational resources, and a user-friendly ordering platform. Additionally, our Provider Discount Program helps practices manage costs while delivering high-quality care.

What does PDAC approval mean, and why is it important? + –

PDAC (Pricing, Data Analysis, and Coding) approval ensures that a brace meets Medicare’s strict requirements for quality, design, and function. Using PDAC-approved products simplifies reimbursement processes and helps avoid claim denials.

Where can I learn more about Medicare's requirements for braces and billing? + –

For more details on Medicare’s coding and reimbursement guidelines for orthotics, visit the official Medicare website below.
Medicare's DME Coverage

What is the CPT Code for a Custom-Fit Elastic Knee Brace with Condylar Pads and Joints?