Dynamic List Information
Dynamic List Data
HCPCS Code
L1843
On Master List?
Yes
Prior Authorization Required?
Yes
F2F and Written Order Prior to Delivery?
Yes
Description: Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial- lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise