Body Part: Wrist Product Name: Wrist splint with Thumb Spica, 8

Body Part: Wrist
Product Name: Wrist splint with Thumb Spica, 8” & 10” Wrist lacer,
Exos Short Arm Fracture Brace, Exos Thumb Spica
8” Wrist Lacer with
Thumb Spica
8” & 10” Wrist Lacer
Exos- Short Arm
Fracture Brace
Exos- Thumb Spica
Fracture Brace
HCPCS Code: L3809, L3908, L3984
Documentation Needs:
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Left or Right
What weakness does the patient have
What deformity is present
Is their instability or laxity
Which product are they receiving
How are they to use the product
o Wear at all times
o During ambulation
o Only at night
o Remove for hygiene only
How are they going to benefit from using it
o Stabilization
o Improve function
o Reduce pain
o Facilitate healing
Possible Diagnosis:
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Sprains & Strains
Scaphoid Injuries
Carpal Tunnel Syndrome
Gamekeeper’s Thumb
De Quervain’s Syndrome
Distal Radius, Distal Ulna Fractures (10” brace only or Exos)
Colles Fracture
Post-op support
HCPCS Code: L3809, L3908, L3984