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Wrist Support Child

Item #: 4067=K

Replaced by 50P50

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Suggested HCPCS Coding: L3908

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Overview

A basic wrist brace anatomically designed and sized specifically for children.

Features

  • Malleable palmer stay can be removed for laundering
  • Fully adjustable strapping for customized fitting
  • Color coded strapping allows children to easily donning and doffing
  • Breathable and soft materials
  • Ideal support for children ages 2-12

Indications
Indicated for wrist support due to injury or strain, tendonitis, selected injuries, soft tissue injuries, and post-cast healing.

Specifications

Measure wrist circumference.
Size Wrist Circumference Left Right
XXXS 3.3"-3.7" (8.5-9.5cm) 4067=L-XXXS 4067=R-XXXS
XXS 3.7"-4.1" (9.5-10.5cm) 4067=L-XXS 4067=R-XXS
XS 4.1"-4.5" (10.5-11.5cm) 4067=L-XS 4067=R-XS
S 4.5"-5.1" (11.5-13cm) 4067=L-S 4067=R-S
M 5.1"-5.5" (13-14cm) 4067=L-M 4067=R-M
L 5.5"-5.9" (14-15cm) 4067=L-L 4067=R-L
XL 5.9"-6.7" (15-17cm) 4067=L-XL 4067=R-XL

Documents

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PDAC Letter

Reimbursement: PDAC

Reimbursement

PDF Document

4067, 4068 Wrist Support Child - Instructions for Use

Instructions for Use

PDF Document | Published: Jun 6, 2017