Derma Seal Gel Sock

Item #: 453D7=K

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Suggested HCPCS Coding: L8417

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Overview

This 2 ply sock is made of stretchable nylon stretch fabric coated with polymer gel.

Distal Circumference	Proximal Circumference	Sock Length	Gel Length	Article Number
16 - 22 cm	16 - 25 cm	30 cm	20 cm	453D7=1
18 - 26 cm	18 - 30 cm	40 cm	25 cm	453D7=2
20 - 31 cm	20 - 35 cm	40 cm	25 cm	453D7=3
20 - 31 cm	20 - 35 cm	45 cm	33 cm	453D7=4
23 - 35 cm	23 - 40 cm	45 cm	25 cm	453D7=5
23 - 35 cm	23 - 40 cm	50 cm	33 cm	453D7=6
27 - 40 cm	27 - 45 cm	50 cm	33 cm	435D7=7
30 - 48 cm	30 - 53 cm	50 cm	33 cm	453D7=8

*Possible Deviation: +/- 10%

Instructions for Use

PDF Document | Published: Jan 2, 2022