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What is the CPT Code for a Knee Orthosis Without Joints?

Knee Orthosis Without Joints HCPCS Code L1836

To bill for knee orthoses without 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:

L1836

Definition:

Knee orthosis, rigid, without joint(s), includes soft interface material, prefabricated, off-the-shelf

This code applies to prefabricated knee orthoses without joints, featuring a rigid structure and soft interface materials. These orthoses are designed for off-the-shelf use and provide effective stabilization for patients recovering from knee injuries, surgeries, or managing conditions that require rigid support. Medicare-compliant and ready to use, these orthoses ensure reliable care and convenience for healthcare providers and patients.

Clinical Use Cases for L1836 Knee Orthoses Without Joints

Post-Injury Stabilization

Provides rigid support for managing ligament injuries or soft tissue damage, ensuring proper alignment and reducing strain.

Post-Surgical Recovery

Offers stable and secure knee support to protect the joint during recovery from surgeries such as ACL reconstruction or meniscal repair.

Chronic Knee Conditions

Supports knee stabilization for patients with degenerative conditions or chronic instability, reducing discomfort and enhancing mobility.

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 L1836 PDAC Approved Knee Orthoses Without Joints

Equip your patients with Medicare-compliant, off-the-shelf knee orthoses without joints. Designed for rigid stabilization and comfort, these orthoses provide effective support for diverse knee conditions.

View Knee Orthosis 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

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