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What is the CPT Code for a Knee Brace with Adjustable Joints?

Knee Brace HCPCS Code L1833

To bill for certain knee braces, 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:

L1833

Definition:

Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf.

This code applies to prefabricated knee orthoses with adjustable unicentric or polycentric joints, designed for positional control and rigid support. These braces are off-the-shelf and provide effective solutions for managing various knee conditions, making them an essential tool for healthcare professionals. Proper understanding of this code ensures accurate billing and Medicare compliance.

Clinical Use Cases for L1833 Knee Braces

Post-Injury Support

Adjustable joints and rigid support allow controlled movement and stabilization of the knee after ligament injuries (e.g., ACL, MCL), fractures, or soft tissue damage. The brace helps prevent further injury while supporting recovery.

Post-Surgical Recovery

These braces are often prescribed after surgeries such as ligament reconstruction or meniscus repair. Adjustable joints enable healthcare providers to control the range of motion (e.g., locking the knee at specific angles) to protect the surgical repair during the healing phase.

Knee Arthritis and Degenerative Joint Disease

The rigid support and adjustability can help unload stress from affected areas of the knee, reduce pain, and improve joint stability for patients with osteoarthritis or degenerative joint conditions.

Why Healthcare Providers Choose Brace Direct

  • Customer Service at Brace Direct is efficient, knowledgeable, and helpful.

    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.

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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 PDAC L1833 Approved Knee Orthoses

Discover our comprehensive collection of professional-grade knee braces with adjustable joints, designed to meet diverse clinical needs while maintaining HCPCS coding and Medicare compliance.

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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

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