LEEDer Group Inc.
8508 North West 66th St.
Miami, Florida 33166 USA

Phone Toll-free: 866.814.0192
Fax Toll-free: 866.818.0373
E-mail Address: orders at LEEDerGroup.com

Knee L-1832

PRO-KNEE

L-1832

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PRO-KNEE

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  • Insurance Approved L-1831-32 Knee Management Brace
  • Base Code Addition Codes > Eligible for Separate Payment L1832 > L2397 (suspension sleeve), L2795 (off set knee joint Hvy Duty), L2810 (condylar control pad) SEE CMS Billing Code Reminder-CLICK-HERE
  • Medicare Directive Excerpt: 6. A knee orthosis with a locking knee joint (L1831) or a rigid knee orthosis (L1836) is covered for beneficiaries with flexion or extension contractures of the knee (ICD-9 diagnosis code 718.46) with movement on passive range of motion testing of at least 10 degrees (i.e., a nonfixed contracture). True
  • Testimonials: What Users Say about LG products Click/See
  • ICD-9 CODES THAT SUPPORT MEDICAL NECESSITY:
    Added: ICD-9 diagnosis codes 844.0 – 844.2 and 996.40 – 996.49 to range of codes for L1830, L1832, L1834, L1843, L1844, L1845 and L1846
  • Revision Effective Date: 07/01/2011
    ICD-9 CODES THAT SUPPORT MEDICAL NECESSITY: Added: ICD-9 codes 340.912and 342.92 for L1832, L1843 – L1846; Hemiplegia, dominant side and Hemiplegia, non-dominant side.

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  • Knee Orthosis L1832
  • Addition Codes: L2397, L2795 and L2810
  • Double Upright Splint Hinge Click/See: KNEE Fitting Instructions
  • Easy to Use and Easy to Read Indexed Hinge Indicates ROM Improvement and Hinge allows Dynamic or Static Setting
  • Easy to Apply / Comfortable to wear with Soothing “Lambs Wool” Fleece Lining; ALSO available Cool No Fleece Liner
  • Carefully Controls Increase of ROM and Stabilizes Knee Splint Extension
  • “Third Point Patella Pad” improves adjustment options; includes “Full Wrap” Patella Pads; Addition Code L2795
  • Sized by Calf and Thigh Circumference
  • Large = Calf 13” to 16” ; Thigh 20” to 25”
  • Medium = Calf 10” to 13” ; Thigh 16” to 20”
  • Small = Calf 6” to 9” ; Thigh 11” to 16”
  • If you have a NON-proportionate dimension, please call for assistance; usually an “extender pack” will work
  • Comfortable for High Patient Compliance; With Fleece and NO-Fleece Soft Good Cover available for
  • Medicare Coverage: A knee immobilizer without joints (L1830) or a knee orthosis with adjustable knee joints (L1832) is covered if all of the following criteria are met:
    1. The patient has had a recent injury to or surgical procedure on the knee; and
    2. The patient requires a brace with range of motion limitations; and
    3. The patient has one of the following diagnoses: Rheumatoid arthritis (ICD-9 code 714.0 – 714.4) Osteoarthritis (715.16, 715.26, 715.36, 715.96) Meniscal cartilage derangement (717.0 – 717.5) Chondromalacia of patella (717.7) Knee ligamentous disruption (717.81 – 717.9) Rupture of tendon, nontraumatic – quadriceps tendon (727.65) Pathologic fracture of femur (733.15) Pathologic fracture of tibia or fibula (733.16) Aseptic necrosis of tibia or fibula (733.49) Stress fracture of tibia or fibula (733.93) Congenital deformity of knee (755.64) Fracture of femur – lower end (821.20 – 821.39) Fracture of patella (822.0, 822.1) Fracture of tibia and/or fibula – upper end (823.00 – 823.42) Dislocation of knee (836.0 – 836.69) Sprains and strains of knee (844.0 – 844.2) Failed total knee arthroplasty (996.40-996.49, 996.66, 996.77, V43.65)
  • From March 2008 Response to Comments, DME MAC stated:
    In the treatment of knee contractures limiting the types of orthotics to “locking type” braces, L1831 and L1836, is a maintenance type approach and not one that prevents contractures from becoming worse.

Response: The DME MAC Medical Directors disagree. Treatment of knee contractures is not limited to “locking type” orthoses (L1831 and L1836). Coverage is allowed for L1830, L1832, L1843, L1845, and L1850 for patients with knee contractures who meet the specific requirements for coverage of the brace.

From 2011-07 Local Coverage Determination (LCD) for Knee Orthoses L27263
  • A knee immobilizer without joints (L1830) or a knee orthosis with adjustable knee joints (L1832) is covered if the patient has had recent injury to or a surgical procedure on the knee(s) and has one of the following diagnoses:
    Diagnosis ICD-9
    Rheumatoidarthritis 714.0 –714.4
    Osteoarthritis 715.16,715.26,715.36,715.96
    Meniscal cartilage derangement 717.0 –717.5
    Chondromalacia of patella 717.7
    Knee ligamentous disruption 717.81 – 717.9
    Rupture of tendon, nontraumatic – quadriceps tendon 727.65
    Pathologic fracture of femur 733.15
    Pathologic fracture of tibia or fibula 733.16
    Aseptic necrosis of tibia or fibula 733.49
    Stress fracture of tibia or fibula 733.93
    Congenital deformity of knee 755.64
    Fracture of femur – lower end 821.20 – 821.39
    Fracture of patella 822.0, 822.1
    Fracture of tibia and/or fibula – upper end 823.00 – 823.42
    Dislocation of knee 836.0 – 836.69
    Sprains and strains of knee 844.0 – 844.2, 844.8
    Failed total knee arthroplasty 996.40 – 996.49, 996.66, 996.77, V43.65
  • An L1832 knee orthosis is also covered for a patient who is ambulatory and has knee instability due to a condition specified in one of the following diagnoses:
    Any diagnosis listed above; or Diagnosis ICD-9
    Multiple sclerosis 340
    Hemiplegia, unspecified; dominant side; nondominant side 342.90, 342.91, 342.92
    Infantile cerebral palsy, unspecified 343.9
    Paraplegia of both lower limbs 344.1 [LG Note: even though the Paraplegia contradicts the “ambulatory” requirement, these patients surely need the 1832 Knee Orthosis.]
    Mononeuritis of lower limb, unspecified 355.0, 355.2

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