top of page
IMS Experts Partnership with HCA
Click to view product

Indications for Medical Necessity

Pt requires brace:
⃝     To provide stabilization to weak or injured wrists
⃝     To prevent wrist flexion, extension, rotation, and deviation
⃝     To provide treatment of carpal tunnel syndrome, tendinitis or Rheumatoid arthritis
⃝     Post-surgical treatment of wrist and thumb
⃝     Post cast healing or soft tissue injury

 

Clinical Note Requirements: Dictation must be exactly as shown above for the indication chosen.

Wrist Brace Indications for Prescribed PT:

(Must select one of the following):

Wrist Brace

L3916

Trend-Braces-wrist-e1512575645524.jpg

Home

Most common ICD-10 codes:

G56.00 - Carpal tunnel syndrome
M06.9 - Rheumatoid arthritis 
M84.339K - Radius with ulna
S62.109A - Closed, carpal bone, unspecified Wrist NOS
S62.90XK - Malunion and nonunion of fracture 
S62.90XP - Malunion of fracture

RX/DWO

Wrist Document Requirements: Signed/Dated RX, Clinicals with Indications. Up to date patient demographics with insurance information.

bottom of page