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What is the CPT Code for an Elastic Knee Brace with Joints?

Elastic Knee Brace with Joints HCPCS Code L1812

To bill for elastic knee braces with 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:

L1812

Definition:

Knee orthosis, elastic with joints, prefabricated, off-the-shelf

This code applies to prefabricated elastic knee orthoses with supportive joints, designed for stabilization and controlled motion. These braces provide essential support for knee injuries, post-surgical rehabilitation, and mild to moderate instability. Medicare-compliant and ready to use, these braces offer convenience for healthcare professionals and reliable support for patients.

Clinical Use Cases for L1812 Knee Braces

Post-Injury Support

Provides stability and controlled motion for knee injuries, aiding in recovery by protecting ligaments and soft tissues.

Post-Surgical Recovery

Supports the knee joint following surgery by ensuring proper alignment and limiting movement to prevent damage to repairs.

Mild to Moderate Knee Instability

Enhances joint stability for patients with mild to moderate knee instability, reducing pain and fall risks during daily activities or rehabilitation.

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 L1812 PDAC Approved Elastic Knee Braces with Joints

Provide your patients with reliable knee stabilization using our PDAC Approved off-the-shelf elastic knee braces with joints. Designed for flexibility, comfort, and Medicare compliance, these braces deliver effective support for various knee conditions.

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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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