Knee Brace with a Double Upright Design HCPCS Code L1852

To bill for knee braces with a double upright design, 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:

L1852

Definition:

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

This code applies to prefabricated, off-the-shelf knee braces featuring a double upright frame with adjustable flexion and extension joints (unicentric or polycentric). These braces provide medial-lateral and rotational control, with optional varus/valgus adjustment for enhanced knee alignment. Ready to use and Medicare compliant, these braces offer effective stabilization for various knee conditions, ensuring reliable support for post-injury recovery, post-surgical rehabilitation, and joint instability.

Clinical Use Cases for L1852 Knee Braces

Post-Surgical Recovery

Provides enhanced stabilization and controlled movement for patients recovering from knee surgeries, such as ACL reconstruction, meniscus repair, or total knee replacement.

Severe Knee Instability

Offers medial-lateral, rotational, and varus/valgus control for patients with severe knee instability due to ligament damage, chronic conditions, or joint misalignment.

Knee Injury Rehabilitation

Supports controlled knee motion and alignment during rehabilitation, reducing the risk of re-injury and promoting optimal recovery.

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 L1852 PDAC Approved Knee Braces with a Double Upright Design

Provide your patients with advanced knee stabilization using our PDAC Approved knee braces. Prefabricated and ready to use, these braces ensure Medicare-compliant support for a variety of knee conditions.

View 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 Knee Brace with a Double Upright Design?