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HCPCS L1833
Hinged Knee Brace
Adjustable hinged knee joints with rigid side support to protect and steady the knee through everyday movement.
Used for: Knee instability, Ligament support, Arthritis
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HCPCS L0650
Lumbar-Sacral Back Brace
HCPCS L0650 is a prefabricated, off-the-shelf lumbar-sacral orthosis (LSO) with rigid front and back panels. It limits bending of the lower spine and adds gentle compression around the abdomen, taking load off the lower back while it heals. Star DME sizes it to your waist and adjusts it before you leave the store.
Used for: Lower back pain, Disc support, Post-injury
- Medicare
- Medicaid
- Commercial plans
- No-Fault
- Workers' Comp
- Other major insurances
Medicare coverage requirements
Medicare requirements
Medicare LCD L33790, Spinal Orthoses: TLSO and LSO, with Policy Article A52500
Covered when ordered for
- To reduce pain by restricting mobility of the trunk, or
- To help healing after an injury to the spine or related soft tissues, or
- To help healing after surgery on the spine or related soft tissue, or
- To support weak spinal muscles and/or a deformed spine
Doctor's note should include
- The diagnosis and which of the four LCD indications above the brace is ordered for
- Your symptoms and how they affect daily activities (pain level, bending, lifting, standing, walking)
- Exam findings from a recent visit with the treating practitioner
- Prior treatments tried, such as medication, physical therapy or injections, when relevant
- A clear statement that a lumbar-sacral orthosis is medically necessary
Prior authorization
L0650 is on the Medicare Required Prior Authorization List, so Star DME submits a prior authorization request with your doctor's records before the brace is billed.
What we need from your doctor
A prescription and a recent visit note or progress note. Your doctor can fax both to (844) 438-5893, or you can bring them to the store.
Other products
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HCPCS L3916
Wrist Hand Orthosis
A supportive wrist brace with a rigid stay and adjustable straps to hold the wrist in a healthy position.
Used for: Carpal tunnel, Wrist sprain, Tendonitis
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HCPCS L1933 / L1952
Ankle Foot Orthosis (AFO)
A lightweight brace that supports the ankle and lifts the front of the foot, for safer, steadier walking.
Used for: Foot drop, Ankle weakness, Walking stability
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HCPCS L4361
CAM Walking Boot
A pneumatic walking boot that protects the foot and ankle while a fracture, sprain or surgery heals.
Used for: Ankle or foot fracture, Severe sprain, After foot surgery
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FreeStyle Libre 3 Plus CGM
A continuous glucose monitor: a small sensor on the back of the arm and a reader that shows your glucose, with no routine fingersticks.
Used for: Diabetes on insulin, Low blood sugar episodes, Glucose tracking
Find out if you're covered
Answer five quick questions, or call us. We check your benefits for you.