Dynamic List Information
Dynamic List Data
HCPCS Code
L1851
On Master List?
Yes
Prior Authorization Required?
Yes
F2F and Written Order Prior to Delivery?
Yes
Description: Knee orthosis (ko), 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, off-the-shelf