L-Code Instruction

advertisement
The codes Bird & Cronin are supplying are Suggested Code for Medicare billing purposes. Bird & Cronin
does not take part in the billing process. It is the caregiver’s responsibility to determine if the billing code
actually applies to the treatment provided. The billing code is primarily a function of the patient’s diagnosis,
not the products used to treat the patient. Bird & Cronin is providing this information as a courtesy for
possible billing code applicability.
No.
05950105
05950115
05950120
05950300
05950301
05950302
05950303
05950304
08140012
08140014
08140015
08140017
08140018
08140019
08140020
08140021
08140022
08140023
08140024
08140025
08140038
08140039
08140040
08140050
08140060
08140060
08140061
08140061
08140062
08140062
08140063
08140063
08140064
08140065
08140065
08140066
08140066
08140075
08140096
08140097
08140121
08140122
08140123
08140124
08140125
08140126
08140145
08140146
Description
RSC105 LONG VERTICAL BAR
42" LONG POSTERIOR STRAP ONLY
36" STND POSTERIOR STRAP ONLY
300 CASH ORTHOSIS 36" BELT STN
CASH ORTHOSIS, PECTORAL PADS
300 CASH ORTHOSIS 42"BELT STND
300 CASH ORTHOSIS 42"BELT LG
CASH ORTHOSIS 36" BELT LG VERT
HANGING ARM SLING SM
HANGING ARM SLING LG
UNIVERSAL ARM SLING
6" PLASTIC POCKET GONIOMETER
PEDIATRIC UNIV ARM SLING
UNIV ARM SLING W/VELFOAM STRAP
BUNNY-TYPE BOOT COMPLETE
BUNNY-TYPE LINER ONLY
BUNNY-TYPE FRAME ONLY
FOOT POSTIONING BOOTS COMPLETE
FOOT PILLOWS ONLY
FOOT POSITIONERS ONLY
CONTOURED CERV COLLAR 2.5"UNIV
CONTOURED CERV COLLAR 2" UNIV.
CONTOURED CERV COLLAR 3" UNIV.
5 1/2" FINGER GONIOMETER
ENVELOPE STYLE ARM SLING XXS
ENVELOPE STYLE ARM SLING XXS
ENVELOPE STYLE ARM SLING XS
ENVELOPE STYLE ARM SLING XS
ENVELOPE STYLE ARM SLING SM
ENVELOPE STYLE ARM SLING SM
ENVELOPE STYLE ARM SLING MD
ENVELOPE STYLE ARM SLING MD
ENVELOPE STYLE ARM SLING LG
ENVELOPE STYLE ARM SLING XL
ENVELOPE STYLE ARM SLING XL
ENVELOPE STYLE ARM SLING XXL
ENVELOPE STYLE ARM SLING XXL
B&C TAPE MEASURE IN/CM
CAST TOE PROTECTORS REG 12/BX
CAST TOE PROT.X-HVY BLUE 12/BX
SPORT-TRAC KNEE STRAP XSM
SPORT-TRAC KNEE STRAP SM
SPORT-TRAC KNEE STRAP MD
SPORT-TRAC KNEE STRAP LG
SPORT-TRAC KNEE STRAP XL
SPORT-TRAC KNEE STRAP 2XL
10" ABDOMINAL BINDER /26"-50"
12" ABDOMINAL BINDER 26-50IN.
Page 1 of 49
HCPC/L-Code
L0472
L0472
L0472
L0472
L0472
L0472
E0941
E0941
A4565
A4565
A4565
L4398
L4398
L4398
L4398
L4398
L4398
L0120
L0120
L0120
A4565
A4565
A4565
A4565
A4565
A4565
A4565
A4565
A4565
A4565
A4565
A4565
A4565
L2999
L2999
L2999
L2999
L2999
L2999
L0625
L0625
Does this Product
contain Latex
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No.
08140147
08140148
08140149
08140150
08140152
08140153
08140154
08140159
08140160
08140161
08140162
08140163
08140164
08140165
08140166
08140168
08140170
08140179
08140180
08140181
08140182
08140183
08140184
08140185
08140191
08140192
08140193
08140194
08140195
08140202
08140203
08140204
08140210
08140215
08140222
08140232
08140233
08140234
08140260
08140274
08140275
08140279
08140282
08140284
08140285
08140286
08140290
08140295
08140296
08140297
08140300
08140345
08140362
08140372
Description
10" ABDOMINAL BINDER 52-72IN
10" ABD BINDER 26-50" W/O STAY
10" ABD BINDER 52-72" W/O STAY
MCGUIRE PELVIC POSITIONER
HEEL WEDGE WHITE SM
HEEL WEDGE WHITE MD
HEEL WEDGE WHITE LG
UNIV SLING & SWATHE X-LONG 96"
UNIVERSAL SLING & SWATHE
SLING & SWATHE IMMOBILIZER XS
SLING & SWATHE IMMOBILIZER SM
SLING & SWATHE IMMOBILIZER MD
SLING & SWATHE IMMOBILIZER LG
SLING & SWATHE IMMOBILIZER XL
SLING & SWATHE IMMOBILIZER XXL
FRITZ SLING & SWATHE UNIV.
UNIV.COLLAR & CUFF SLING-FELT
COMFOR TOT ARM SLING XXS
COMFOR TOT ARM SLING XS
COMFOR TOT ARM SLING SM
SULLY SHOULDER STABILIZER SM
SULLY SHOULDER STABILIZER MD
SULLY SHOULDER STABILIZER LG
SULLY SHOULDER STABILIZER XL
VELPEAU IMMOBILIZER XS
VELPEAU IMMOBILIZER SM
VELPEAU IMMOBILIZER MD
VELPEAU IMMOBILIZER LG
VELPEAU IMMOBILIZER XL
PEDIATRIC ANKLIZER® ANKLE WALKER SM
PEDIATRIC ANKLIZER® ANKLE WALKER MD
PEDIATRIC ANKLIZER® ANKLE WALKER LG
100 FT. 3/16" TRACTION CORD
1500 FT. 3/16" TRACTION CORD
WHIRLPOOL PLASTIC GLOVES 100BX
ANKLIZER® II PEDIATRIC WALKER S-M
ANKLIZER® II PEDIATRIC WALKER LG
ANKLIZER® II PEDIATRIC WALKER XL
6" COMFOR ABD BINDER UP TO 60"
COMFOR MAX SHORT WALKER SOCK
COMFOR MAX TALL WALKER SOCK
ANKLIZER® II - FIXED XSM
ANKLIZER® II - FIXED SM
ANKLIZER® II - FIXED MD
ANKLIZER® II - FIXED LG
ANKLIZER® II - FIXED XL
ANKLIZER® LONGER STRAP ONLY
CAST SAW BLADE 2.5" TITANIUM
1.5"ANK II EXTENDER STRAP 4/BG
2" ANK II EXTENDER STRAP 4/BG
COMFOR COLLAR LINER UNIV.
9" COMFOR ABD BINDER UP TO 45"
9" COMFOR ABD BINDER 46-62"
9" COMFOR ABD BINDER 55-72"
Page 2 of 49
HCPC/L-Code
L0625
L0625
L0625
L3670
L3670
L3670
L3670
L3670
L3670
L3670
L3670
L3670
A4565
A4565
A4565
A4565
L3675
L3675
L3675
L3675
L3670
L3670
L3670
L3670
L3670
E0944
L4386
L4386
L4386
L0625
L4386
L4386
L4386
L4386
L4386
L0120
L0625
L0625
L0625
Does this Product
contain Latex
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
Yes
No
No
No
No.
08140379
08140380
08140381
08140382
08140391
08140392
08140394
08140395
08140396
08140405
08140410
08140424
08140426
08140427
08140428
08140429
08140430
08140445
08140447
08140449
08140452
08140461
08140462
08140463
08140464
08140465
08140470
08140471
08140472
08140475
08140480
08140482
08140483
08140484
08140485
08140486
08140496
08140500
08140505
08140506
08140534
08140542
08140545
08140552
08140553
08140554
08140562
08140572
08140580
08140582
08140583
08140584
08140586
08140587
Description
CERV COLLAR LOW PROF. 2.5"UNIV
CERV COLLAR LOW PROFILE 3"UNIV
CERV COLLAR LOW PROFILE 3.5"
CERV COLLAR LOW PROFILE 4"UNIV
ANKLIZER® - LOW PROFILE XSM
ANKLIZER® - LOW PROFILE SM
ANKLIZER® - LOW PROFILE MD
ANKLIZER® - LOW PROFILE LG
ANKLIZER® - LOW PROFILE XL
CONVOLUTED FOAM HEEL PROTECTOR
COMFOR HEEL&ELBOW-KODEL
CRADLES HEEL & ELBOW PROTECT
TULI PRO HEEL CUP SM
TULI HEEL CUP - REG
TULI HEEL CUP - LG
TULI PRO HEEL CUP REG
TULI PRO HEEL CUP LG
12" COMFOR ABD BINDER-UP TO 45
PLASTIC HEEL CUP JR BLUE 6/BX
PLASTIC HEEL CUP LG RED 6/BX
45" WALKING BELT
ANKLE BRACE CANVAS XS
ANKLE BRACE CANVAS SM
ANKLE BRACE CANVAS MD
ANKLE BRACE CANVAS LG
ANKLE BRACE CANVAS XL
SHOULDER IMMOB STRAIGHT UNIV.
SHOULDER IMMOB CONTOUR UNIV.
SHOULDER IMMOB. X-LONG ADULT
SHOULDER IMMOBILIZER UNIV
45" PASTEL STRIPE WALKING BELT
ELASTIC ANKLE WRAP SM
ELASTIC ANKLE WRAP MD
ELASTIC ANKLE WRAP LG
ELASTIC ANKLE WRAP XL
WRIST/TENNIS ELBOW CRYO PAD
12" COMFOR ABD BINDER 72-96IN.
CERVICAL COLLAR EXTENDER
8" WRIST-MATE BRACE 2PC UNIV
11" WRIST-MATE BRACE 2PC UNIV
X-CEL PLUS ANKLE STIRRUP REG
WALKING BELT 54" BLUE
15" COMFOR ABD BINDER-UP TO 45
LEVEL-RITE HEEL LIFT SM
LEVEL-RITE HEEL LIFT MD
LEVEL-RITE HEEL LIFT LG
15" COMFOR ABD BINDER 46-62IN.
15" COMFOR ABD BINDER 55-72IN.
54" PASTEL STRIPE WALKING BELT
BICRO-LITE ANKLE STIRRUP SM
BICRO-LITE ANKLE STIRRUP REG.
BICRO-LITE ANKLE STIRRUP TRNR
BICRO-LITE LINER ONLY -SMALL
BICRO-LITE LINER ONLY -REGULAR
Page 3 of 49
HCPC/L-Code
L0120
L0120
L0120
L0120
L4386
L4386
L4386
L4386
L4386
E0191
E0191
E0191
L3485
L3485
L3485
L3485
L3485
L0625
L3485
L3485
L1902
L1902
L1902
L1902
L1902
L3670
L3670
L3670
L3670
L1902
L1902
L1902
L1902
L0625
L0120
L3908
L3908
L4350
L0625
L3332
L3332
L3332
L0626
L0625
L4350
L4350
L4350
Does this Product
contain Latex
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No.
08140588
08140591
08140592
08140593
08140594
08140595
08140596
08140601
08140602
08140604
08140605
08140610
08140610
08140615
08140618
08140618
08140620
08140620
08140622
08140623
08140624
08140625
08140626
08140627
08140628
08140629
08140630
08140631
08140632
08140633
08140634
08140635
08140642
08140643
08140644
08140652
08140653
08140654
08140662
08140663
08140664
08140680
08140691
08140692
08140693
08140694
08140695
08140702
08140703
08140704
08140705
08140706
08140714
08140722
Description
BICRO-LITE LINER ONLY -TRAINER
ANKLIZER® II -ADJUSTABLE XS
ANKLIZER® II -ADJUSTABLE SM
ANKLIZER® II -ADJUSTABLE MD
ANKLIZER® II -ADJUSTABLE LG
ANKLIZER® II -ADJUSTABLE XL
SPRINT® /BICROLITE HEELPIECE
OCCIPITAL HEAD HALTER
WALKING BELT 60" BLUE
B-COOL® FLEX-ICE 5.5"X11" 24/CS
B-COOL® FLEX-ICE 8"X15" 12/CS
MED. HOT/COLD PACK 6" X 10"
MED. HOT/COLD PACK 6" X 10"
HOT/COLD PACK COVER SM
B-COOL® 2.0 GEL CLEAR BAG 5"x11"
B-COOL® 2.0 GEL CLEAR BAG 5"x11"
B-COOL® 2.0 PLUS GEL BAG 5"X11"
B-COOL® 2.0 PLUS GEL BAG 5"X11"
SPRINT® ANKLE BRACE SMALL
SPRINT® ANKLE BRACE TRNR/SPORT
SPRINT® ANKLE BRACE REG
ANKLE STIRRUP 12" EXT STRAP WHITE
SPRINT® LINER ONLY -BLUE SMALL
SPRINT® LINER ONLY -BLUE TRNR
SPRINT® LINER ONLY -BLUE REG
THERABAND 20010 XTHIN TAN 6YD
THERABAND 20020 THIN YLLW 6YD
THERABAND 20030 MED RED 6YD
THERABAND 20040 HVY GREEN 6YD
THERABAND 20050 XHVY BLUE 6YD
THERABAND 20060 SP HVY BLK 6YD
THERABAND 20070 HVY SILVER 6YD
SPRINT® ANKLE REHAB KIT SMALL
SPRINT® ANKLE REHAB KIT TRAINER
SPRINT® ANKLE REHAB KIT REGULAR
SPRINT® ANKLE BRACE GREEN SMALL
SPRINT® ANKLE GREEN TRNR/SPORT
SPRINT® ANKLE BRACE GREEN REG
SPRINT® LINER ONLY -GREEN SMALL
SPRINT® LINER ONLY -GREEN TRNR
SPRINT® LINER ONLY -GREEN REG
60" PASTEL STRIPE WALKING BELT
ANKLIZER® II LOW-TOP FIXED XS
ANKLIZER® II LOW-TOP FIXED SM
ANKLIZER® II LOW-TOP FIXED MD
ANKLIZER® II LOW-TOP FIXED LG
ANKLIZER® II LOW-TOP FIXED XL
X-CEL ANKLE STIRRUP SM
X-CEL ANKLE STIRRUP TRNR
X-CEL ANKLE STIRRUP REG
X-CEL ANKLE STIRRUP REG-30" STRAPS
ANKLE STIRRUP 12" EXT STRAP BLK
X-CEL LINER ONLY REG
WALKING BELT 72" BLUE
Page 4 of 49
HCPC/L-Code
L4386
L4386
L4386
L4386
L4386
E0942
E0230
E0230
A9900
E0230
E0230
E0230
E0230
L4350
L4350
L4350
A9300
A9300
A9300
A9300
A9300
A9300
A9300
L4350
L4350
L4350
L4350
L4350
L4350
L4386
L4386
L4386
L4386
L4386
L4350
L4350
L4350
L4350
L4350
Does this Product
contain Latex
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
Yes
Yes
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No.
08140732
08140733
08140734
08140742
08140743
08140744
08140754
08140761
08140764
08140765
08140780
08140781
08140782
08140783
08140784
08140790
08140791
08140792
08140793
08140794
08140795
08140802
08140803
08140804
08140805
08140806
08140823
08140825
08140831
08140832
08140833
08140834
08140835
08140842
08140843
08140844
08140845
08140846
08140851
08140852
08140853
08140854
08140855
08140856
08140872
08140873
08140874
08140875
08140891
08140892
08140893
08140894
08140895
08140910
Description
AS2 AIR ANKLE STIRRUP GREEN SM
AS2 AIR ANKLE STIRRUP GREEN TR
AS2 AIR ANKLE STIRRUP GREEN RG
AS1 AIR VALVE STIRRUP SM
AS1 AIR VALVE STIRRUP TRNR/SPR
AS1 AIR VALVE STIRRUP REG
AS1 ANKLE REHAB KIT REGULAR
BICRO LOW-TOP ANKLE WALKER XS
BICRO LOW-TOP ANKLE WALKER LG
BICRO LOW-TOP ANKLE WALKER XL
72" PASTEL STRIPE WALKING BELT
LOW-TOP WALKER LINER ONLY XS
LOW-TOP WALKER LINER ONLY SM
LOW-TOP WALKER LINER ONLY MD
LOW-TOP WALKER LINER ONLY LG
BLACK ARM SLING-FOAM STRAP XXS
BLACK ARM SLING-FOAM STRAP XS
BLACK ARM SLING-FOAM STRAP SM
BLACK ARM SLING-FOAM STRAP MD
BLACK ARM SLING-FOAM STRAP LG
BLACK ARM SLING-FOAM STRAP XL
SOFT LINE 3/4 INSOLE MALE SM
SOFT LINE 3/4 INSOLE MALE MD
SOFT LINE 3/4 INSOLE MALE LG
SOFT LINE 3/4 INSOLE MALE XL
SOFT LINE 3/4 INSOLE MALE XXL
SOFT LINE 3/4 INSOLE FEMALE MD
SOFT LINE 3/4 INSOLE FEMALE XL
PNEUMATIC FIXED WALKER XS
PNEUMATIC FIXED WALKER SM
PNEUMATIC FIXED WALKER MD
PNEUMATIC FIXED WALKER LG
PNEUMATIC FIXED WALKER XL
SOFT LINE 3/4 INSOLE SM
SOFT LINE 3/4 INSOLE MD
SOFT LINE 3/4 INSOLE LG
SOFT LINE 3/4 INSOLE XL
SOFT LINE 3/4 INSOLE 2XL
SOFT LINE FULL INSOLE SZ I
SOFT LINE FULL INSOLE SZ II
SOFT LINE FULL INSOLE SZ III
SOFT LINE FULL INSOLE SZ IV
SOFT LINE FULL INSOLE SZ V
SOFT LINE FULL INSOLE SZ VI
PIN STOP WALKER SM
PIN STOP WALKER MD
PIN STOP WALKER LG
PIN STOP WALKER XL
PNEUMATIC ADJUSTABLE WALKER XS
PNEUMATIC ADJUSTABLE WALKER SM
PNEUMATIC ADJUSTABLE WALKER MD
PNEUMATIC ADJUSTABLE WALKER LG
PNEUMATIC ADJUSTABLE WALKER XL
36" BLACK WOODEN CANE
Page 5 of 49
HCPC/L-Code
L4350
L4350
L4350
L4350
L4350
L4350
L4350
L4386
L4386
L4386
L4360
L4360
L4360
L4360
A4565
A4565
A4565
A4565
A4565
A4565
L3510
L3510
L3510
L3510
L3510
L3510
L3510
L4360
L4360
L4360
L4360
L4360
L3510
L3510
L3510
L3510
L3510
L3003
L3003
L3003
L3003
L3003
L3003
L4386
L4386
L4386
L4386
L4360
L4360
L4360
L4360
L4360
Does this Product
contain Latex
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No.
08140915
08140925
08140932
08140933
08140934
08140935
08140950
08140951
08140952
08140962
08140963
08140964
08140972
08140973
08140974
08140982
08140983
08140984
08140992
08140993
08140994
08141001
08141002
08141003
08141004
08141018
08141022
08141023
08141024
08141025
08141032
08141033
08141034
08141051
08141052
08141053
08141054
08141055
08141060
08141060
08141061
08141061
08141062
08141062
08141063
08141063
08141064
08141064
08141065
08141065
08141066
08141066
08141070
08141082
Description
36" MAHOGANY WOODEN CANE
ADJUSTABLE CANE BLACK
BODY ARMOR ANKLE WALKER SM
BODY ARMOR ANKLE WALKER MD
BODY ARMOR ANKLE WALKER LG
BODY ARMOR ANKLE WALKER XL
ARM ELEVATION WEDGE ADULT
ARM ELEVATOR UNIV. ARM STRAP
PEDIATRIC ARM ELEVATION WEDGE
SOFT LINE CENTRAL SILICONE I
SOFT LINE CENTRAL SILICONE II
SOFT LINE CENTRAL SILICONE III
SOFT LINE LATERAL SILICONE I
SOFT LINE LATERAL SILICONE II
SOFT LINE LATERAL SILICONE III
AIR TRIO® SHELL WALKER SM
AIR TRIO® SHELL WALKER MD
AIR TRIO® SHELL WALKER LG/XL
AIR TRIO® LOW-TOP SHELL WLKR SM
AIR TRIO® LOW-TOP SHELL WLKR MD
AIR TRIO® LOW-TOP SHELL LG/XL
INFLATION BULBS FOR AIR TRIO®
AIR CELL ONLY-AIR TRIO® WLKR SM
AIR CELL ONLY- AIR TRIO® M/L/XL
LOW TOP AIR CELL ONLY S/M/L/XL
DANNY SLING 10-18 LBS
AIR TRIO® LINER ONLY SM
AIR TRIO® LINER ONLY MD
AIR TRIO® LINER ONLY LG/XL
DANNY SLING 2-5 LBS
AIR TRIO® LOW TOP LINER ONLY SM
AIR TRIO® LOW TOP LINER ONLY MD
AIR TRIO® LOW TOP LINER LG/XL
COMFOR LITE CAST BOOT XS
COMFOR LITE CAST BOOT SM
COMFOR LITE CAST BOOT MD
COMFOR LITE CAST BOOT LG
COMFOR LITE CAST BOOT XL
ENVELOPE ARM SLING W/PAD XXS
ENVELOPE ARM SLING W/PAD XXS
ENVELOPE ARM SLING W/FM PAD XS
ENVELOPE ARM SLING W/FM PAD XS
ENVELOPE ARM SLING W/FM PAD SM
ENVELOPE ARM SLING W/FM PAD SM
ENVELOPE ARM SLING W/FM PAD MD
ENVELOPE ARM SLING W/FM PAD MD
ENVELOPE ARM SLING W/FM PAD LG
ENVELOPE ARM SLING W/FM PAD LG
ENVELOPE ARM SLING W/FM PAD XL
ENVELOPE ARM SLING W/FM PAD XL
ENVELOPE ARM SLING W/PAD XXL
ENVELOPE ARM SLING W/PAD XXL
ARM SLING FOAM PAD ONLY
108" WALKING BELT
Page 6 of 49
HCPC/L-Code
L4386
L4386
L4386
L4386
L3999
L3999
L3480
L3480
L3480
L3480
L3480
L3480
L4360
L4360
L4360
L4360
L4360
L4360
L3260
L3260
L3260
L3260
L3260
A4565
A4565
A4565
A4565
A4565
A4565
A4565
A4565
A4565
A4565
A4565
A4565
A4565
A4565
Does this Product
contain Latex
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No.
08141101
08141102
08141103
08141104
08141120
08141132
08141133
08141134
08141135
08141192
08141193
08141194
08141195
08141200
08141201
08141202
08141203
08141204
08141205
08141220
08141221
08141222
08141223
08141224
08141225
08141230
08141231
08141232
08141233
08141234
08141235
08141241
08141242
08141243
08141244
08141245
08141281
08141282
08141283
08141284
08141285
08141292
08141294
08141311
08141312
08141313
08141314
08141315
08141320
08141322
08141323
08141324
08141330
08141332
Description
POST-OP SHOE FEMALE VELCRO XS
POST-OP SHOE FEMALE VELCRO SM
POST-OP SHOE FEMALE VELCRO MD
POST-OP SHOE FEMALE VELCRO LG
HAND HELPER
SHIELD P.O.SHOE NO FOREFOOT SM
SHIELD P.O.SHOE NO FOREFOOT MD
SHIELD P.O.SHOE NO FOREFOOT LG
SHIELD P.O.SHOE NO FOREFOOT XL
POST-OP SHOE MALE VELCRO SM
POST-OP SHOE MALE VELCRO MD
POST-OP SHOE MALE VELCRO LG
POST-OP SHOE MALE VELCRO XL
BICRO CLAVICLE W/VELCRO XXS
BICRO CLAVICLE W/VELCRO XS
BICRO CLAVICLE W/VELCRO SM
BICRO CLAVICLE W/VELCRO MD
BICRO CLAVICLE W/VELCRO LG
BICRO CLAVICLE W/VELCRO XL
COMFOR CLAVICLE W/BUCKLE XXS
COMFOR CLAVICLE W/BUCKLE XS
COMFOR CLAVICLE W/BUCKLE SM
COMFOR CLAVICLE W/BUCKLE MD
COMFOR CLAVICLE W/BUCKLE LG
COMFOR CLAVICLE W/BUCKLE XL
COMFOR CLAVICLE W/HOOK & LOOP XXS
COMFOR CLAVICLE W/HOOK & LOOP XS
COMFOR CLAVICLE W/HOOK & LOOP SM
COMFOR CLAVICLE W/HOOK & LOOP MD
COMFOR CLAVICLE W/HOOK & LOOP LG
COMFOR CLAVICLE W/HOOK & LOOP XL
ORTHO WEDGE HEALING SHOE XS
ORTHO WEDGE HEALING SHOE SM
ORTHO WEDGE HEALING SHOE MD
ORTHO WEDGE HEALING SHOE LG
ORTHO WEDGE HEALING SHOE XL
BODY ARMOR CAST SHOE XS
BODY ARMOR CAST SHOE SM
BODY ARMOR CAST SHOE MD
BODY ARMOR CAST SHOE LG
BODY ARMOR CAST SHOE XL
DARCO TOE PROTECTOR WM 6/BX
DARCO TOE PROTECTOR MN 6/BX
STRAP SLING W/FOAM NECK PAD XS
STRAP SLING W/FOAM NECK PAD SM
STRAP SLING W/FOAM NECK PAD MD
STRAP SLING W/FOAM NECK PAD LG
STRAP SLING W/FOAM NECK PAD XL
ELASTIC TENNIS ELBOW SUPPORT
PEG ASSIST SYSTEM FEM SM
PEG ASSIST SYSTEM FEM MD
PEG ASSIST SYSTEM FEM LG
MADRID ELASTIC WRIST WRAP UNIV
PEG ASSIST SYSTEM MALE SM
Page 7 of 49
HCPC/L-Code
L3260
L3260
L3260
L3260
A9300
L3260
L3260
L3260
L3260
L3260
L3260
L3260
L3260
L3650
L3650
L3650
L3650
L3650
L3650
L3650
L3650
L3650
L3650
L3650
L3650
L3650
L3650
L3650
L3650
L3650
L3650
L3260
L3260
L3260
L3260
L3260
A4565
A4565
A4565
A4565
A4565
L3908
Does this Product
contain Latex
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No.
08141333
08141334
08141335
08141339
08141340
08141342
08141343
08141344
08141345
08141346
08141347
08141349
08141351
08141352
08141353
08141354
08141355
08141362
08141363
08141364
08141365
08141370
08141372
08141373
08141374
08141375
08141380
08141386
08141387
08141388
08141389
08141396
08141397
08141398
08141422
08141423
08141424
08141425
08141452
08141453
08141454
08141455
08141462
08141463
08141464
08141465
08141470
08141471
08141472
08141473
08141474
08141475
08141480
08141481
Description
PEG ASSIST SYSTEM MALE MD
PEG ASSIST SYSTEM MALE LG
PEG ASSIST SYSTEM MALE XL
24" WOOD TRANSFER BOARD
30" WOOD TRANSFER BOARD
SLIMLINE CAST BOOT PED. SM
SLIMLINE CAST BOOT PED. MD
SLIMLINE CAST BOOT PED. LG
"S" HOOK
7 1/2"PLASTIC PALMER STAY 10PK
8" PLASTIC THUMB STAY 10/PK
30" TRANSFER BOARD W/HANDLES
SLIMLINE CAST BOOT ADLT BLK XS
SLIMLINE CAST BOOT ADLT BLK SM
SLIMLINE CAST BOOT ADLT BLK MD
SLIMLINE CAST BOOT ADLT BLK LG
SLIMLINE CAST BOOT ADLT BLK XL
WOUND CARE SHOE SYSTEM SM
WOUND CARE SHOE SYSTEM MD
WOUND CARE SHOE SYSTEM LG
WOUND CARE SHOE SYSTEM XL
THERA-CANE
HEEL RELIEF WEDGE SHOE SM
HEEL RELIEF WEDGE SHOE BLK MD
HEEL RELIEF WEDGE SHOE BLK LG
HEEL RELIEF WEDGE SHOE BLK XL
RIB BELT 2-PANEL 60-72" STRGHT
RIB BELT 2-PANEL 24-60" STRGHT
RIB BELT 2-PANEL 24-60"CONTOUR
COMFOR RIB BELT 24-60"STRAIGHT
COMFOR RIB BELT 24-60" CONTOUR
RIB BELT FOAM 20-54" STRAIGHT
RIB BELT FOAM 20-54" CONTOUR
22-60" RIB BELT FOAM X-LONG
CRADLE-LITE HEEL & ELBOW SM
CRADLE-LITE HEEL & ELBOW MD
CRADLE-LITE HEEL & ELBOW LG
CRADLE-LITE HEEL & ELBOW XL
DH PRESSURE RELIEF WALKER SM
DH PRESSURE RELIEF WALKER MD
DH PRESSURE RELIEF WALKER LG
DH PRESSURE RELIEF WALKER XL
DH PRESSURE RELIEF SHOE SM
DH PRESSURE RELIEF SHOE MD
DH PRESSURE RELIEF SHOE LG
DH PRESSURE RELIEF SHOE XL
BUCKS BOOT XXS
BUCKS BOOT XS
BUCKS BOOT SM
BUCKS BOOT MD
BUCKS BOOT LG
BUCKS BOOT XL
BUCKS BOOT UNIV CLSD-COMPLETE
DISPOSABLE PAD-UNIVERSAL BOOT
HCPC/L-Code
L3260
L3260
L3260
E0191
E0191
E0191
E0191
L4386
L4386
L4386
L4386
E0944
E0944
E0944
E0944
E0944
E0944
E0944
E0944
Page 8 of 49
Does this Product
contain Latex
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No.
08141482
08141493
08141494
08141497
08141498
08141509
08141510
08141510
08141515
08141533
08141552
08141553
08141554
08141561
08141562
08141563
08141564
08141572
08141573
08141574
08141575
08141582
08141583
08141584
08141585
08141594
08141600
08141601
08141603
08141604
08141606
08141607
08141611
08141612
08141613
08141614
08141615
08141682
08141683
08141684
08141685
08141692
08141693
08141694
08141695
08141741
08141742
08141743
08141744
08141745
08141771
08141800
08141812
08141813
Description
SADDLE FOR UNIV BUCKS TRACTION
ANKLIZER® W/AIR FIXED ANKLE SM
ANKLIZER® W/AIR FIXED ANKLE MD
ANKLIZER® W/AIR FIXED ANKLE LG
ANKLIZER® W/AIR FIXED ANKLE XL
DANNY SLING 5-9 LBS
LG HOT/COLD PACK 8X15"
LG HOT/COLD PACK 8X15"
HOT/COLD PACK COVER LG
FOAM LIMB ELEVATOR
SAFETY VEST W/ TIES SM YELLOW
SAFETY VEST W/ TIES MD ORANGE
SAFETY VEST W/ TIES LG BLUE
POST-OP SHOE SOFT ADJ HEEL WXS
POST-OP SHOE SOFT ADJ HEEL WS
POST-OP SHOE SOFT ADJ HEEL WM
POST-OP SHOE SOFT ADJ HEEL WL
POST-OP SHOE SOFT ADJ HEEL MS
POST-OP SHOE SOFT ADJ HEEL MM
POST-OP SHOE SOFT ADJ HEEL ML
POST-OP SHOE SOFT ADJ HEEL MXL
ARTHRO PAD JOINT SUPPORT SM
ARTHRO PAD JOINT SUPPORT MD
ARTHRO PAD JOINT SUPPORT LG
ARTHRO PAD JOINT SUPPORT XL
CANVAS A.C. SPLINT UNIVERSAL
GENU-RANGER® HINGED REGULAR
GENU-RANGER® HINGED LONG
GENU-RANGER® HINGED KNEE SHORT
GENU-RANGER® HINGED KNEE RG/WIDE
GENU-RANGER® LINER ONLY RG/LONG
GENU-RANGER® LINER ONLY SHORT
GENU-RANGER® II 24" REG
GENU-RANGER® II 24" XL
GENU-RANGER® II ADJUSTABLE REG
GENU-RANGER® II ADJUSTABLE XL
GENU-RANGER® II PREM.POST-OP RG
ANTI-VIBRATION GLOVE SM RT
ANTI-VIBRATION GLOVE MD RT
ANTI-VIBRATION GLOVE LG RT
ANTI-VIBRATION GLOVE XL RT
ANTI-VIBRATION GLOVE SM LT
ANTI-VIBRATION GLOVE MD LT
ANTI-VIBRATION GLOVE LG LT
ANTI-VIBRATION GLOVE XL LT
PRE-INFLATED LINER ONLY XSM
PRE-INFLATED LINER ONLY SM
PRE-INFLATED LINER ONLY MD
PRE-INFLATED LINER ONLY LG
PRE-INFLATED LINER ONLY XL
26" COMFOR REACHER
CASTING STAND
AMERI-SLING ARM SLING SM
AMERI-SLING ARM SLING MD
Page 9 of 49
HCPC/L-Code
E0944
L4360
L4360
L4360
L4360
E0230
E0230
A9900
E0710
E0710
E0710
E0710
L3260
L3260
L3260
L3260
L3260
L3260
L3260
L3260
L2999
L2999
L2999
L2999
L3670
L1832
L1832
L1832
L1832
L1832
L1832
L1832
L1832
L1832
A4565
A4565
Does this Product
contain Latex
No
Yes
Yes
Yes
Yes
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
Yes
Yes
Yes
Yes
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No.
08141814
08141815
08141822
08141830
08141840
08142000
08142001
08142002
08142003
08142004
08142005
08142006
08142007
08142020
08142055
08142100
08142101
08142102
08142103
08142104
08142105
08142106
08142107
08142111
08142112
08142113
08142114
08142115
08142121
08142122
08142123
08142124
08142125
08142141
08142142
08142143
08142144
08142145
08142155
08142181
08142182
08142183
08142184
08142185
08142191
08142192
08142193
08142194
08142195
08142201
08142202
08142203
08142204
08142205
Description
AMERI-SLING ARM SLING LG
AMERI-SLING ARM SLING XL
FOAM LEG INSERT
1"X12"X72" BLUE FOAM TUBE
KERRY KUDDLER 18-40 LBS
STAX FINGER SPLINT #0 5/PKG
STAX FINGER SPLINT #1 3/PKG
STAX FINGER SPLINT #2 3/PKG
STAX FINGER SPLINT #3 3/PKG
STAX FINGER SPLINT #4 3/PKG
STAX FINGER SPLINT #5 3/PKG
STAX FINGER SPLINT #6 3/PKG
STAX FINGER SPLINT #7 3/PKG
FOAM POPLITEAL PAD
STAX FINGER SPLINT #5.5 3/PKG
CLEAR STACK FINGER KIT
CLEAR STACK FINGER SPLT#1 3/PK
CLEAR STACK FINGER SPLT#2 3/PK
CLEAR STACK FINGER SPLT#3 3/PK
CLEAR STACK FINGER SPLT#4 3/PK
CLEAR STACK FINGER SPLT#5 3/PK
CLEAR STACK FINGER SPLT#6 3/PK
CLEAR STACK FINGER SPLT#7 3/PK
MESH ARM SLING XS
MESH ARM SLING SM
MESH ARM SLING MD
MESH ARM SLING LG
MESH ARM SLING XL
SWEDE-O KNIT W/STAB BLACK XS
SWEDE-O KNIT W/STAB BLACK SM
SWEDE-O KNIT W/STAB BLACK MD
SWEDE-O KNIT W/STAB BLACK LG
SWEDE-O KNIT W/STAB BLACK XL
SWEDE-O TARSAL LOK BLK XS
SWEDE-O TARSAL LOK BLK SM
SWEDE-O TARSAL LOK BLK MD
SWEDE-O TARSAL LOK BLK LG
SWEDE-O TARSAL LOK BLK XL
CLEAR STACK FINGER SPLT#5.5 3P
ARCH LOK ANKLE BLACK XS LT
ARCH LOK ANKLE BLACK SM LT
ARCH LOK ANKLE BLACK MD LT
ARCH LOK ANKLE BLACK LG LT
ARCH LOK ANKLE BLACK XL LT
ARCH LOK ANKLE BLACK XS RT
ARCH LOK ANKLE BLACK SM RT
ARCH LOK ANKLE BLACK MD RT
ARCH LOK ANKLE BLACK LG RT
ARCH LOK ANKLE BLACK XL RT
SWEDE-O ANKLE-LOK W/STAB XS
SWEDE-O ANKLE-LOK W/STAB SM
SWEDE-O ANKLE-LOK W/STAB MD
SWEDE-O ANKLE-LOK W/STAB LG
SWEDE-O ANKLE-LOK W/STAB XL
HCPC/L-Code
A4565
A4565
A4570
A4570
A4570
A4570
A4570
A4570
A4570
A4570
L1830
A4570
A4570
A4570
A4570
A4570
A4570
A4570
A4570
A4570
A4565
A4565
A4565
A4565
A4565
L1902
L1902
L1902
L1902
L1902
L1902
L1902
L1902
L1902
L1902
A4570
L1906
L1906
L1906
L1906
L1906
L1906
L1906
L1906
L1906
L1906
L1902
L1902
L1902
L1902
L1902
Page 10 of 49
Does this Product
contain Latex
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
Yes
Yes
Yes
Yes
Yes
No.
08142206
08142211
08142212
08142213
08142214
08142215
08142216
08142220
08142221
08142222
08142223
08142224
08142225
08142226
08142227
08142228
08142231
08142232
08142233
08142234
08142235
08142236
08142241
08142242
08142243
08142244
08142245
08142246
08142250
08142251
08142252
08142253
08142254
08142255
08142256
08142257
08142262
08142263
08142264
08142265
08142266
08142267
08142276
08142277
08142278
08142281
08142282
08142283
08142284
08142285
08142290
08142291
08142292
08142293
Description
SWEDE-O ANKLE-LOK W/STAB XXL
SWEDE-O ANKLE-LOK W/PAD TNG XS
SWEDE-O ANKLE-LOK W/PAD TNG SM
SWEDE-O ANKLE-LOK W/PAD TNG MD
SWEDE-O ANKLE-LOK W/PAD TNG LG
SWEDE-O ANKLE-LOK W/PAD TNG XL
SWEDE-O ANKLE-LOK W/PAD TNG 2X
SWEDE-O ANKLE INSERT XXS
SWEDE-O ANKLE INSERT XS
SWEDE-O ANKLE INSERT SM
SWEDE-O ANKLE INSERT MD
SWEDE-O ANKLE INSERT LG
SWEDE-O ANKLE INSERT XL
FLESH STACK FINGER KIT
STACK FINGER SPLINT-HOOK&LOOP
SWEDE-O ANKLE INSERT XXL
F8® ANKLE SUPPORT XS
F8® ANKLE SUPPORT SM
F8® ANKLE SUPPORT MD
F8® ANKLE SUPPORT LG
F8® ANKLE SUPPORT XL
F8® ANKLE SUPPORT 2XL
THERMOSKIN PLANTAR FXT XS
THERMOSKIN PLANTAR FXT SM
THERMOSKIN PLANTAR FXT MD
THERMOSKIN PLANTAR FXT LG
THERMOSKIN PLANTAR FXT XL
THERMOSKIN PLANTAR FXT XXL
F8® X ANKLE SUPPORT XXS
F8® X ANKLE SUPPORT XS
F8® X ANKLE SUPPORT SM
F8® X ANKLE SUPPORT MD
F8® X ANKLE SUPPORT LG
F8® X ANKLE SUPPORT XL
F8® X ANKLE SUPPORT 2XL
F8® X ANKLE SUPPORT 3XL
POMPON HAT 2266 W/BOOTIE 9508
POMPON HAT 2267 W/BOOTIE 9509
BABY HAT W/POM PREMIE BLUE
BABY HAT W/POM PREMIE PINK
BABY HAT W/POM NEWBORN BLUE
BABY HAT W/POM NEWBORN PINK
BABY HAT SOLID BLUE NEWBORN
BABY HAT SOLID PINK NEWBORN
BABY HAT STRIPED NEWBORN
MKO ANKLE SUPPORT W/STAYS XS
MKO ANKLE SUPPORT W/STAYS SM
MKO ANKLE SUPPORT W/STAYS MD
MKO ANKLE SUPPORT W/STAYS LG
MKO ANKLE SUPPORT W/STAYS XL
TOE ALIGNMENT SPLINT
ALL PURPOSE SHOE BLACK XS
ALL PURPOSE SHOE BLACK SM
ALL PURPOSE SHOE BLACK MD
Page 11 of 49
HCPC/L-Code
L1902
L1902
L1902
L1902
L1902
L1902
L1902
L1902
L1902
A4570
L1906
L1906
L1906
L1906
L1906
L1906
L1906
L1906
L1906
L1906
L1906
L1906
L1902
L1902
L1902
L1902
L1902
L1902
L1902
L1902
L1902
L1902
L1902
L1902
L1902
L3100
L3260
L3260
L3260
Does this Product
contain Latex
Yes
Yes
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
Yes
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No.
08142294
08142295
08142298
08142299
08142310
08142311
08142312
08142313
08142314
08142315
08142316
08142326
08142342
08142343
08142344
08142345
08142350
08142351
08142352
08142353
08142354
08142355
08142356
08142361
08142362
08142363
08142364
08142365
08142371
08142372
08142373
08142374
08142375
08142381
08142382
08142383
08142384
08142385
08142391
08142392
08142393
08142394
08142395
08142411
08142412
08142413
08142414
08142415
08142416
08142431
08142432
08142433
08142434
08142435
Description
ALL PURPOSE SHOE BLACK LG
ALL PURPOSE SHOE BLACK XL
HAT & BOOTIE ACCESS. SET BLUE
HAT & BOOTIE ACCESS. SET PINK
SWEDE-O ANKLE W/KNIT TONG. XXS
SWEDE-O ANKLE W/KNIT TONGUE XS
SWEDE-O ANKLE W/KNIT TONGUE SM
SWEDE-O ANKLE W/KNIT TONGUE MD
SWEDE-O ANKLE W/KNIT TONGUE LG
SWEDE-O ANKLE W/KNIT TONGUE XL
SWEDE-O ANKLE W/KNIT TNGE XXL
KNEE IMMOB ATHLETIC 26" STRT
SWEDE-O EASY-LOK W/STAB K/T SM
SWEDE-O EASY-LOK W/STAB K/T MD
SWEDE-O EASY-LOK W/STAB K/T LG
SWEDE-O EASY-LOK W/STAB K/T XL
SWEDE-O ANKLE KNIT W/STAB. XXS
SWEDE-O ANKLE KNIT W/STAB. XS
SWEDE-O ANKLE KNIT W/STAB. SM
SWEDE-O ANKLE KNIT W/STAB. MD
SWEDE-O ANKLE KNIT W/STAB. LG
SWEDE-O ANKLE KNIT W/STAB. XL
SWEDE-O ANKLE KNIT W/STAB XXL
SWEDE-O STRAP-LOK WHITE XS
SWEDE-O STRAP-LOK WHITE SM
SWEDE-O STRAP-LOK WHITE MD
SWEDE-O STRAP-LOK WHITE LG
SWEDE-O STRAP-LOK WHITE XL
SWEDE-O STRAP-LOK BLACK XS
SWEDE-O STRAP-LOK BLACK SM
SWEDE-O STRAP-LOK BLACK MD
SWEDE-O STRAP-LOK BLACK LG
SWEDE-O STRAP-LOK BLACK XL
ARCH LOK ANKLE WHITE XS LT
ARCH LOK ANKLE WHITE SM LT
ARCH LOK ANKLE WHITE MD LT
ARCH LOK ANKLE WHITE LG LT
ARCH LOK ANKLE WHITE XL LT
ARCH LOK ANKLE WHITE XS RT
ARCH LOK ANKLE WHITE SM RT
ARCH LOK ANKLE WHITE MD RT
ARCH LOK ANKLE WHITE LG RT
ARCH LOK ANKLE WHITE XL RT
12"COMFOR K.I.-OPTIONAL STP XS
12"COMFOR K.I.-OPTIONAL STRP S
12"COMFOR K.I.-OPTIONAL STRP M
12"COMFOR K.I.-OPTIONAL STRP L
12"COMFOR K.I.-OPTIONAL STP XL
12"COMFOR K.I.-OPTIONAL STP 2X
16"COMFOR K.I.-OPTIONAL STP XS
16"COMFOR K.I.-OPTIONAL STRP S
16"COMFOR K.I.-OPTIONAL STRP M
16"COMFOR K.I.-OPTIONAL STRP L
16"COMFOR K.I.-OPTIONAL STP XL
Page 12 of 49
HCPC/L-Code
L3260
L3260
L1902
L1902
L1902
L1902
L1902
L1902
L1902
L1830
L1902
L1902
L1902
L1902
L1902
L1902
L1902
L1902
L1902
L1902
L1902
L1902
L1902
L1902
L1902
L1902
L1902
L1902
L1902
L1902
L1902
L1906
L1906
L1906
L1906
L1906
L1906
L1906
L1906
L1906
L1906
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
Does this Product
contain Latex
No
No
No
No
Yes
Yes
Yes
Yes
Yes
Yes
Yes
No
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No.
08142436
08142441
08142442
08142443
08142444
08142445
08142446
08142452
08142453
08142454
08142461
08142462
08142463
08142464
08142465
08142466
08142471
08142472
08142473
08142474
08142475
08142476
08142491
08142492
08142493
08142494
08142495
08142496
08142500
08142501
08142516
08142517
08142518
08142542
08142544
08142546
08142550
08142560
08142561
08142562
08142578
08142579
08142580
08142581
08142582
08142583
08142588
08142589
08142590
08142591
08142598
08142599
08142611
08142612
Description
16"COMFOR K.I.-OPTIONAL STP 2X
18"COMFOR K.I.-OPTIONAL STP XS
18"COMFOR K.I.-OPTIONAL STRP S
18"COMFOR K.I.-OPTIONAL STRP M
18"COMFOR K.I.-OPTIONAL STRP L
18"COMFOR K.I.-OPTIONAL STP XL
18"COMFOR K.I.-OPTIONAL STP 2X
SWEDE-O ATOM ANKLE BLACK SM
SWEDE-O ATOM ANKLE BLACK MD
SWEDE-O ATOM ANKLE BLACK LG
20"COMFOR K.I.-OPTIONAL STP XS
20"COMFOR K.I.-OPTIONAL STRP S
20"COMFOR K.I.-OPTIONAL STRP M
20"COMFOR K.I.-OPTIONAL STRP L
20"COMFOR K.I.-OPTIONAL STP XL
20"COMFOR K.I.-OPTIONAL STP 2X
22"COMFOR K.I.-OPTIONAL STP XS
22"COMFOR K.I.-OPTIONAL STRP S
22"COMFOR K.I.-OPTIONAL STRP M
22"COMFOR K.I.-OPTIONAL STRP L
22"COMFOR K.I.-OPTIONAL STP XL
22"COMFOR K.I.-OPTIONAL STP 2X
24"COMFOR K.I.-OPTIONAL STP XS
24"COMFOR K.I.-OPTIONAL STRP S
24"COMFOR K.I.-OPTIONAL STRP M
24"COMFOR K.I.-OPTIONAL STRP L
24"COMFOR K.I.-OPTIONAL STP XL
24"COMFOR K.I.-OPTIONAL STP 2X
HEADBAND LARGE
HEADBAND SMALL
MATERNITY SACROILIAC BELT
S.I. PAD BEIGE - REGULAR
S.I. PAD BEIGE - LARGE
16" UNIV COMPRESSION KNEE IMMB
20" UNIV COMPRESSION KNEE IMMB
24" UNIV COMPRESSION KNEE IMMB
2" STRETCH LOOP WHITE 25 YD
1X14" AFO VELSTRAP 10 STRP/PK
1.5X18"AFO VELSTRAP 10 STP/PK
2X18" AFO VELSTRAP 10 STP/PK
1" WHITE HOOK 50 YD ROLL
1" WHITE LOOP 50 YD ROLL
1" BLACK P.S. HOOK 50 YD RL
1" BLACK LOOP 50 YD RL
2" BLACK HOOK P.S. 50 YD RL
2" BLACK LOOP 50 YD
1" WHITE HOOK P.S. 50 YD(2-25)
1" WHITE LOOP P.S. 50 YD
2" WHITE HOOK P.S. 50 YD
2" WHITE LOOP P.S. 50 YD
2" WHITE HOOK 50 YD
2" WHITE LOOP 50 YD
SWEDE-O INNER LOK 8 WHITE XS
SWEDE-O INNER LOK 8 WHITE SM
HCPC/L-Code
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1902
L1902
L1902
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
A9270
L1830
L1830
L1830
L1902
L1902
Page 13 of 49
Does this Product
contain Latex
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No.
08142613
08142614
08142615
08142621
08142622
08142623
08142624
08142625
08142632
08142634
08142635
08142636
08142637
08142638
08142639
08142640
08142640C
08142641
08142642
08142643
08142644
08142646
08142647
08142648
08142649
08142650
08142651
08142652
08142653
08142654
08142655
08142656
08142657
08142658
08142659
08142660
08142661
08142662
08142663
08142664
08142665
08142666
08142667
08142668
08142669
08142670
08142671
08142672
08142673
08142674
08142675
08142676
08142677
08142678
Description
SWEDE-O INNER LOK 8 WHITE MD
SWEDE-O INNER LOK 8 WHITE LG
SWEDE-O INNER LOK 8 WHITE XL
SWEDE-O INNER LOK 8 BLACK XS
SWEDE-O INNER LOK 8 BLACK SM
SWEDE-O INNER LOK 8 BLACK MD
SWEDE-O INNER LOK 8 BLACK LG
SWEDE-O INNER LOK 8 BLACK XL
LUMBOSACRAL SP 26-32" 3 PANEL
QUICK-WRAP IMMOB 12" UNIV CONT
QUICK-WRAP KNEE 18"X-WIDE UNIV
ARTHRO WRAP 14" W/2 2.0 PLUS PACKS
ARTHRO WRAP 14" W/4 2.0 PLUS PACKS
ARTHRO WRAP 14" W/2 COLD PACKS
ARTHRO WRAP 14" W/4 COLD PACKS
ARTHROSCOPIC KNEE WRAP 14 INCH
ARTHROSCOPIC KNEE WRAP 14" 6/C
B-COOL® KNEE WRAP 16" W/POCKETS
B-COOL® KNEE WRAP 20" W/POCKETS
B-COOL® KNEE WRAP 22" W/POCKETS
B-COOL® KNEE WRAP 24" W/POCKETS
B-COOL® KNEE WRAP 18" W/POCKETS
B-COOL® KNEE IMMOB 20" XWIDE
B-COOL® KNEE WRAP 26" W/POCKETS
QUICK-WRAP IMMOB 16" UNIV STRT
QUICK-WRAP IMMOB 20" UNIV CONT
QUICK-WRAP IMMOB 18" UNIV STRT
QUICK-WRAP IMMOB 20" UNIV STRT
QUICK-WRAP IMMOB 22" UNIV STRT
QUICK-WRAP IMMOB 24" UNIV STRT
QUICK-WRAP IMMOB 26" UNIV STRT
QUICK-WRAP IMMOB 16" UNIV CONT
QUICK-WRAP IMMOB 18" UNIV CONT
QUICK-WRAP IMMOB 24" UNIV CONT
QUICK-WRAP IMMOB 22" UNIV CONT
20" UNIV COMFOR KNEE IMMOB
10" UNIV COMFOR KNEE IMMOB
12.5" UNIV COMFOR KNEE IMMOB
14" UNIV COMFOR KNEE IMMOB
24" UNIV COMFOR KNEE IMMOB
18" UNIV COMFOR KNEE IMMOB
16" UNIV COMFOR KNEE IMMOB
22" UNIV COMFOR KNEE IMMOB
26" UNIV COMFOR KNEE IMMOB
28" UNIV COMFOR KNEE IMMOB
20" BICRO KNEE IMMOB W/STRAP
20" WIDE BICRO K.I. W/STRAP
12.5" BICRO KNEE IMMOB W/STRAP
14" BICRO KNEE IMMOB. W/STRAP
24" BICRO KNEE IMMOB W/STRAP
18" BICRO KNEE IMMOB W/STRAP
16" BICRO KNEE IMMOB W/STRAP
28" BICRO KNEE IMMOB W/STRAP
22" BICRO KNEE IMMOB W/STRAP
Page 14 of 49
HCPC/L-Code
L1902
L1902
L1902
L1902
L1902
L1902
L1902
L1902
L0625
L1830
L1830
L1830
L1830
L1830
L1830
A9900
A9900
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
Does this Product
contain Latex
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No.
08142679
08142700
08142701
08142702
08142703
08142704
08142705
08142706
08142707
08142714
08142715
08142716
08142740
08142741
08142742
08142743
08142744
08142745
08142746
08142747
08142748
08142791
08142792
08142793
08142794
08142795
08142796
08142950
08142951
08142952
08142953
08142954
08142955
08142956
08142962
08142963
08142964
08142965
08142972
08142973
08142974
08142975
08142976
08142977
08142982
08142983
08142984
08142985
08142986
08142987
08143009
08143009
08143015
08143030
Description
26" BICRO KNEE IMMOB W/STRAP
12" QUICK WRAP K.I. W/TERRY
14" QUICK WRAP K.I. W/TERRY
16" QUICK WRAP K.I. W/TERRY
18" QUICK WRAP K.I. W/TERRY
20" QUICK WRAP K.I. W/TERRY
22" QUICK WRAP K.I. W/TERRY
24" QUICK WRAP K.I. W/TERRY
26" QUICK WRAP K.I. W/TERRY
20" X-WIDE QUICK WRAP W/TERRY
22" X-WIDE QUICK WRAP W/TERRY
24" X-WIDE QUICK WRAP W/TERRY
TRI-PANEL KNEE IMMOB. 14" BLK
TRI-PANEL KNEE IMMOB. 12.5"BLK
TRI-PANEL KNEE IMMOB. 16" BLK
TRI-PANEL KNEE IMMOB. 18" BLK
TRI-PANEL KNEE IMMOB. 20" BLK
TRI-PANEL KNEE IMMOB. 22" BLK
TRI-PANEL KNEE IMMOB.20"X-W BL
TRI-PANEL KNEE IMMOB. 24" BLK
TRI-PANEL KNEE IMMOB. 26" BLK
FELT KNEE IMMOB 19 1/2" XS
FELT KNEE IMMOB 19 1/2" SM
FELT KNEE IMMOB 19 1/2" MD
FELT KNEE IMMOB 19 1/2" LG
FELT KNEE IMMOB 19 1/2" XL
FELT KNEE IMMOB 19 1/2" XXL
K.I.W/CIRCUMFERENTIAL 20"STRP
K.I.W/CIRCUMFERENTIAL 12"STRP
K.I.W/CIRCUMFERENTIAL 16"STRP
K.I.W/CIRCUMFERENTIAL 22"STRP
K.I.W/CIRCUMFERENTIAL 24"STRP
K.I.W/CIRCUMFERENTIAL 26"STRP
K.I.W/CIRCUMFRENTIAL 18" STRAP
PENDULOUS ABD LUMBO SUPPORT SM
PENDULOUS ABD LUMBO SUPPORT MD
PENDULOUS ABD LUMBO SUPPORT LG
PENDULOUS ABD LUMBO SUPPORT XL
REVERE LUMBOSACRAL STAYS 10"SM
REVERE LUMBOSACRAL STAYS 10"MD
REVERE LUMBOSACRAL STAYS 10"LG
REVERE LUMBOSACRAL STAYS 10"XL
REVERE LUMBOSACRAL STAYS 10"2X
REVERE LUMBOSACRAL STAYS 10"3X
REVERE LUMBOSACRAL STAYS 13"SM
REVERE LUMBOSACRAL STAYS 13"MD
REVERE LUMBOSACRAL STAYS 13"LG
REVERE LUMBOSACRAL STAYS 13"XL
REVERE LUMBOSACRAL STAYS 13"2X
REVERE LUMBOSACRAL STAYS 13"3X
9" FOAM HEADREST W/PLUG
9" FOAM HEADREST W/PLUG
TWO TIER HEAD SUPPORT
CPM REPLACE PADS FOR DANNINGER
Page 15 of 49
HCPC/L-Code
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L1830
L0628
L0628
L0628
L0628
L0625
L0625
L0625
L0625
L0625
L0625
L0625
L0625
L0625
L0625
L0625
L0625
Does this Product
contain Latex
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No.
08143032
08143033
08143034
08143035
08143036
08143037
08143042
08143043
08143044
08143045
08143046
08143047
08143100
08143101
08143106
08143107
08143112
08143114
08143214
08143224
08143237
08143238
08143239
08143240
08143242
08143243
08143244
08143252
08143253
08143254
08143255
08143260
08143262
08143263
08143264
08143272
08143273
08143274
08143275
08143304
08143312
08143313
08143321
08143322
08143323
08143325
08143331
08143332
08143333
08143350
08143351
08143352
08143353
08143361
Description
LIFTING BELT W/DETACH STRAP SM
LIFTING BELT W/DETACH STRAP MD
LIFTING BELT W/DETACH STRAP LG
LIFTING BELT W/DETACH STRAP XL
LIFTING BELT W/DETACH STRP 2X
LIFTING BELT W/DETACH STRP 3X
UPPER BACK SUPPORT 24-26" SM
UPPER BACK SUPPORT 27-29" MD
UPPER BACK SUPPORT 30-32" LG
UPPER BACK SUPPORT 33-35" XL
UPPER BACK SUPPORT 36-38" 2X
UPPER BACK SUPPORT 39-41" 3X
FOAM ANKLE ELEVATOR W/HOLES
DISKARD HEAD HALTER
REPRO STYLE HEAD HALTER
DELUXE HEAD HALTER UNIV BLACK
LOOP/HOOK TOURNIQUET STRAP 12P
1X14" D-RING HOOK & LOOP STRAP
2X14 D-RING HOOK & LOOP STRAP
2X22" D-RING HOOK & LOOP STRAP
LUMBOSACRAL DP 32-38" 3 PANEL
LUMBOSACRAL SP 32-38" 3 PANEL
SUPPORTEC L.S. DP 32-38" BLACK
POST-OP SHOE DLX.2 PEDIATRIC
POST-OP SHOE DLX.2 FEMALE SM
POST-OP SHOE DLX.2 FEMALE MD
POST-OP SHOE DLX.2 FEMALE LG
POST-OP SHOE DLX.2 MALE SM
POST-OP SHOE DLX.2 MALE MD
POST-OP SHOE DLX.2 MALE LG
POST-OP SHOE DLX.2 MALE XL
POST-OP SHOE DLX.1 PEDIATRIC
POST-OP SHOE DLX.1 FEMALE SM
POST-OP SHOE DLX.1 FEMALE MD
POST-OP SHOE DLX.1 FEMALE LG
POST-OP SHOE DLX.1 MALE SM
POST-OP SHOE DLX.1 MALE MD
POST-OP SHOE DLX.1 MALE LG
POST-OP SHOE DLX.1 MALE XL
EVERCOLD ANKLE W/4-2.0 GEL PKS
TERI COLD SHOULDER W/2 2.0 PLUS PACKS
TERI COLD SHOULDER W/2 GEL PKS
B-COOL® SHOULDER WRAP W/2 PACKS
B-COOL® SHOULDER WRAP W/2 2.0 PLUS PK
B-COOL® SHOULDER WRAP ONLY
B-COOL® SHOULDER THERAPY KIT
B-COOL® HIP WRAP W/2 GEL PACKS
B-COOL® HIP WRAP W/2 2.0 PLUS PACKS
B-COOL® HIP WRAP ONLY
B-COOL® TERI HIP WRAP W/2 PACKS
B-COOL® TERI KNEE WRAP W/2 PACKS
B-COOL® TERI KNEE WRAP W/2.0 PLUS PACKS
B-COOL® TERI KNEE WRAP ONLY
B-COOL® KNEE WRAP W/2 GEL PACKS
Page 16 of 49
HCPC/L-Code
L0625
L0625
L0625
L0625
L0625
L0625
L3650
L3650
L3650
L3650
L3650
L3650
E0942
E0942
E0942
L0625
L0625
L0625
L3260
L3260
L3260
L3260
L3260
L3260
L3260
L3260
L3260
L3260
L3260
L3260
L3260
L3260
L3260
L3260
L3670
L3670
L3670
L3670
L3670
L3670
Does this Product
contain Latex
Yes
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No.
08143362
08143363
08143365
08143366
08143372
08143373
08143380
08143381
08143382
08143383
08143384
08143390
08143391
08143393
08143394
08143395
08143396
08143397
08143398
08143402
08143403
08143405
08143406
08143407
08143410
08143500
08143502
08143603
08143606
08143607
08143609
08143610
08143613
08143615
08143616
08143620
08143640
08143641
08143648
08143649
08143650
08143655
08143711
08143712
08143713
08143714
08143715
08143721
08143722
08143723
08143724
08143725
08143731
08143732
Description
B-COOL® KNEE WRAP W/2 2.0 PLUS PKS
B-COOL® KNEE WRAP ONLY
B-COOL® KNEE COLD THERAPY KIT PLUS
B-COOL® KNEE COLD THERAPY KIT
B-COOL® TERI HIP WRAP W/2 2.0 PLUS PACKS
B-COOL® TERI HIP WRAP ONLY
B-COOL® TERI LUMBAR WRAP
B-COOL® TERI LUMBAR WRAP W/4PKS
B-COOL® TERI LUMBAR WRAP-2 2.0 PLUS PKS
B-COOL® TERI LUMBAR WRAP W/2 PK
B-COOL® TERI LUMBAR WRAP-4 2.0 PLUS PKS
COLD SHOULDER THERAPY WRAP
COLD SHOULDER THERAPY -4 PACKS
B-COOL® CRYO WRAP 24" 6/BX
B-COOL® CRYO WRAP 24" W/2 PACKS
B-COOL® CRYO WRAP 48" 6/BX
B-COOL® CRYO WRAP 48" W/2 PACKS
B-COOL® CRYO WRAP 24" W/2 2.0 PLUS PACK
B-COOL® CRYO WRAP 48" W/2 2.0 PLUS PACK
X-ACTION ELASTIC KNEE SUPP. SM
X-ACTION ELASTIC KNEE SUPP. MD
X-ACTION ELASTIC KNEE SUPP. LG
X-ACTION ELASTIC KNEE SUPP. XL
X-ACTION ELASTIC KNEE SUPP. 2X
SPREADER BAR 12" NOTCHED
EXERCISE LOOP 10/PK
20# WATER WEIGHT BAG
CERVICAL TX KIT W/REPRO H.H.
STRAP ASSEMBLY FOR TRACTION
RANIER ROMER W/OVERDOOR STRAP
CERV TX W/DOOR STRAP& REPRO HH
RANIER ROMER W/OVERDOOR FRAME
CERVICAL TX-SUPINE W/STRAP
SUPINE TX KT W/ REPROTYPE H.H.
CERVICAL TX KIT W/DELUXE H.H.
CERV.TX-STRAP ASSMB W/DLX HH
SIERRA ROMER W/OVERDOOR STRAP
SIERRA ROMER W/OVERDOOR PULLEY
LUMBOSACRAL DP 36-48" 4 PANEL
SUPPORTEC L.S. DP 36-48" BLACK
ANDREWS SPINAL TABLE KIT
ANDREWS SPINAL FRAME KIT
INDEP. WRIST W/STRAP 9" XS LT
INDEP. WRIST W/STRAP 9" SM LT
INDEP. WRIST W/STRAP 9" MD LT
INDEP. WRIST W/STRAP 9" LG LT
INDEP. WRIST W/STRAP 9" XL LT
INDEP. WRIST W/STRAP 9" XS RT
INDEP. WRIST W/STRAP 9" SM RT
INDEP. WRIST W/STRAP 9" MD RT
INDEP. WRIST W/STRAP 9" LG RT
INDEP. WRIST W/STRAP 9" XL RT
INDEP. WRIST W/STRAP 7" XS LT
INDEP. WRIST W/STRAP 7" SM LT
Page 17 of 49
HCPC/L-Code
E0230
E0230
E0230
E0230
E0230
L3670
L3670
L2999
L2999
L2999
L2999
L2999
E0942
E0942
E0860
E0942
A9300
E0860
A9300
E0860
E0860
L0626
A9300
A9300
L0625
L0625
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
Does this Product
contain Latex
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No.
08143733
08143734
08143735
08143741
08143742
08143743
08143744
08143745
08143985
08143990
08143995
08144002
08144020
08144021
08144030
08144031
08144051
08144052
08144053
08144054
08144055
08144061
08144062
08144063
08144064
08144065
08144071
08144072
08144073
08144074
08144075
08144081
08144082
08144083
08144084
08144085
08144171
08144172
08144173
08144174
08144175
08144181
08144182
08144183
08144184
08144185
08144192
08144193
08144194
08144195
08144210
08144212
08144214
08144222
Description
INDEP. WRIST W/STRAP 7" MD LT
INDEP. WRIST W/STRAP 7" LG LT
INDEP. WRIST W/STRAP 7" XL LT
INDEP. WRIST W/STRAP 7" XS RT
INDEP. WRIST W/STRAP 7" SM RT
INDEP. WRIST W/STRAP 7" MD RT
INDEP. WRIST W/STRAP 7" LG RT
INDEP. WRIST W/STRAP 7" XL RT
COMFOR THERMAL KNIT STRIPE
COMFOR THERMAL KNIT BLUE
COMFOR THERMAL KNIT PINK
GUTTER SPLINT UNIV. BLACK
U2 WRIST UNIV. RIGHT
U2 WRIST UNIV. LEFT
U2 WRIST W/THUMB UNIV. RT
U2 WRIST W/THUMB UNIV. LT
SUPREME WRIST BRACE BLK XS LT
SUPREME WRIST BRACE BLK SM LT
SUPREME WRIST BRACE BLK MD LT
SUPREME WRIST BRACE BLK LG LT
SUPREME WRIST BRACE BLK XL LT
SUPREME WRIST BRACE BLK XS RT
SUPREME WRIST BRACE BLK SM RT
SUPREME WRIST BRACE BLK MD RT
SUPREME WRIST BRACE BLK LG RT
SUPREME WRIST BRACE BLK XL RT
EXTENSOR I WRIST BLK XS LEFT
EXTENSOR I WRIST BLK SM LEFT
EXTENSOR I WRIST BLK MD LEFT
EXTENSOR I WRIST BLK LG LEFT
EXTENSOR I WRIST BLK XL LEFT
EXTENSOR I WRIST BLK XS RIGHT
EXTENSOR I WRIST BLK SM RIGHT
EXTENSOR I WRIST BLK MD RIGHT
EXTENSOR I WRIST BLK LG RIGHT
EXTENSOR I WRIST BLK XL RIGHT
EXTENSOR II WRIST BLK XS LEFT
EXTENSOR II WRIST BLK SM LEFT
EXTENSOR II WRIST BLK MD LEFT
EXTENSOR II WRIST BLK LG LEFT
EXTENSOR II WRIST BLK XL LEFT
EXTENSOR II WRIST BLK XS RIGHT
EXTENSOR II WRIST BLK SM RIGHT
EXTENSOR II WRIST BLK MD RIGHT
EXTENSOR II WRIST BLK LG RIGHT
EXTENSOR II WRIST BLK XL RIGHT
BICRO ELASTIC ANKLE SUPPORT SM
BICRO ELASTIC ANKLE SUPPORT MD
BICRO ELASTIC ANKLE SUPPORT LG
BICRO ELASTIC ANKLE SUPPORT XL
VELFOAM #2 STRAP 2"X10YD ROLL
1X14" ADHESIVE VELFOAM II STRP
2X14" VELFOAM II STRAP
BICRO ELASTIC ELBOW SUPPORT SM
Page 18 of 49
HCPC/L-Code
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
A4570
L3908
L3908
L3807
L3807
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L1902
L1902
L1902
L1902
L3999
Does this Product
contain Latex
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No.
08144223
08144224
08144225
08144231
08144232
08144233
08144234
08144242
08144250
08144251
08144253
08144254
08144260
08144262
08144263
08144264
08144272
08144273
08144274
08144275
08144281
08144282
08144301
08144302
08144303
08144304
08144305
08144306
08144307
08144308
08144312
08144313
08144314
08144322
08144323
08144324
08144325
08144331
08144332
08144333
08144334
08144335
08144336
08144337
08144342
08144343
08144344
08144345
08144360
08144370
08144371
08144372
08144373
08144374
Description
BICRO ELASTIC ELBOW SUPPORT MD
BICRO ELASTIC ELBOW SUPPORT LG
BICRO ELASTIC ELBOW SUPPORT XL
CRANDALL ELBOW SPLINT XS 48/CS
CRANDALL ELBOW SPLINT SM
CRANDALL ELBOW SPLINT MD
CRANDALL ELBOW SPLINT LG
STIRRUP HOLDERS
RX10 UNIV WRIST BRACE RIGHT
RX10 UNIV WRIST BRACE LEFT
BICRO ELASTIC WRIST SUPP. REG
BICRO ELASTIC WRIST SUPPORT LG
POST-OP SHOE DELUXE PEDI. BOX
POST-OP SHOE DELUXE FEML SM BX
POST-OP SHOE DELUXE FEML MD BX
POST-OP SHOE DELUXE FEML LG BX
POST-OP SHOE DELUXE MALE SM BX
POST-OP SHOE DELUXE MALE MD BX
POST-OP SHOE DELUXE MALE LG BX
POST-OP SHOE DELUXE MALE XL BX
SUPER SHOE POST-OP FEMALE XS
SUPER SHOE POST-OP FEMALE SM
LUMBO SUPP. W/POCKET 16-22" XS
LUMBO SUPP. W/POCKET 22-30" SM
LUMBO SUPP. W/POCKET 30-38" MD
LUMBO SUPP. W/POCKET 38-46" LG
LUMBO SUPP. W/POCKET 46-54" XL
LUMBO SUPP W/POCKET 54-62" 2X
8" FOAM INSERT FOR POCKET
8" MOLDABLE INSERT FOR POCKET
S.I. BELT SM
S.I. BELT MD
S.I. BELT LG
BICRO ELASTIC KNEE-OPEN PAT SM
BICRO ELASTIC KNEE-OPEN PAT MD
BICRO ELASTIC KNEE-OPEN PAT LG
BICRO ELASTIC KNEE-OPEN PAT XL
LUMBOSACRAL 11" TAPER 24-28 XS
LUMBOSACRAL 11" TAPER 28-32 SM
LUMBOSACRAL 11" TAPER 32-36 MD
LUMBOSACRAL 11" TAPER 36-40 LG
LUMBOSACRAL 11" TAPER 40-44 XL
LUMBOSACRAL 11" TAPER 44-48 2X
LUMBOSACRAL 11" TAPER 48-52 3X
BICRO ELASTIC KNEE SUPPORT SM
BICRO ELASTIC KNEE SUPPORT MD
BICRO ELASTIC KNEE SUPPORT LG
BICRO ELASTIC KNEE SUPPORT XL
PREMIER WRIST BRACE UNIV RT
PREMIER WRIST BRACE UNIV LT
COMFOR FORM CONTOUR LUMBO XS
COMFOR FORM CONTOUR LUMBO SM
COMFOR FORM CONTOUR LUMBO MD
COMFOR FORM CONTOUR LUMBO LG
Page 19 of 49
HCPC/L-Code
L3999
L3999
L3999
E0710
E0710
E0710
E0710
L3908
L3980
L3908
L3908
L3260
L3260
L3260
L3260
L3260
L3260
L3260
L3260
L3260
L3260
L0625
L0625
L0625
L0625
L0625
L0625
L0626
L0621
L0621
L0621
L2999
L2999
L2999
L2999
L0625
L0625
L0625
L0625
L0625
L0625
L0625
L2999
L2999
L2999
L2999
L3908
L3908
L0625
L0625
L0625
L0625
Does this Product
contain Latex
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No.
08144375
08144376
08144380
08144381
08144382
08144383
08144384
08144385
08144390
08144391
08144392
08144393
08144394
08144395
08144422
08144423
08144424
08144425
08144426
08144427
08144442
08144443
08144444
08144452
08144453
08144454
08144481
08144500
08144501
08144502
08144503
08144504
08144505
08144506
08144512
08144513
08144514
08144515
08144516
08144521
08144522
08144523
08144524
08144525
08144526
08144532
08144533
08144534
08144535
08144536
08144542
08144543
08144545
08144546
Description
COMFOR FORM CONTOUR LUMBO XL
COMFOR FORM CONTOUR LUMBO 2X
PREMIER WRIST BRACE XXS RT
PREMIER WRIST BRACE XS RT
PREMIER WRIST BRACE SM RT
PREMIER WRIST BRACE MD RT
PREMIER WRIST BRACE LG RT
PREMIER WRIST BRACE XL RT
PREMIER WRIST BRACE XXS LT
PREMIER WRIST BRACE XS LT
PREMIER WRIST BRACE SM LT
PREMIER WRIST BRACE MD LT
PREMIER WRIST BRACE LG LT
PREMIER WRIST BRACE XL LT
4-WAY STRETCH ELASTIC KNEE SM
4-WAY STRETCH ELASTIC KNEE MD
4-WAY STRETCH ELASTIC KNEE LG
4-WAY STRETCH ELASTIC KNEE XL
4-WAY STRETCH ELASTIC KNEE XXL
4-WAY STRETCH ELASTIC KNEE 3XL
FOOT/ANKLE CONTRACTURE SPLT SM
FOOT/ANKLE CONTRACTURE SPLT MD
FOOT/ANKLE CONTRACTURE SPLT LG
WALKABOUT BOOT SM
WALKABOUT BOOT MD
WALKABOUT BOOT LG
FOAM WEDGE
SHLDR IMMOB ELASTIC 19-23"XXS
SHLDR IMMOB ELASTIC 23-27" XS
SHLDR IMMOB ELASTIC 27-31" SM
SHLDR IMMOB ELASTIC 31-35" MD
SHLDR IMMOB ELASTIC 35-39" LG
SHLDR IMMOB ELASTIC 39-43" XL
SHLDR IMMOB ELASTIC 43-47"XXL
8" ABDOMINAL BINDER 24-30 IN.
8" ABDOMINAL BINDER 30-36 IN.
8" ABDOMINAL BINDER 36-42 IN.
8" ABDOMINAL BINDER 42-48 IN.
8" ABDOMINAL BINDER 48-54 IN.
10" ABDOMINAL BINDER 18-24IN.
10" ABDOMINAL BINDER 24-30IN.
10" ABDOMINAL BINDER 30-36IN.
10" ABDOMINAL BINDER 36-42IN.
10" ABDOMINAL BINDER 42-48IN.
10" ABDOMINAL BINDER 48-54IN.
12" ABDOMINAL BINDER 24-30IN.
12" ABDOMINAL BINDER 30-36IN.
12" ABDOMINAL BINDER 36-42IN.
12" ABDOMINAL BINDER 42-48IN.
12" ABDOMINAL BINDER 48-54IN.
ELASTIC ANKLE SUPPORT SM
ELASTIC ANKLE SUPPORT MD
ELASTIC ANKLE SUPPORT LG
ELASTIC ANKLE SUPPORT XL
Page 20 of 49
HCPC/L-Code
L0625
L0625
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L2999
L2999
L2999
L2999
L2999
L2999
L4398
L4398
L4398
L4398
L4398
L4398
L3999
L3999
L3999
L3999
L3999
L3999
L3999
L0625
L0625
L0625
L0625
L0625
L0625
L0625
L0625
L0625
L0625
L0625
L0625
L6025
L6025
L0625
L0625
L1902
L1902
L1902
L1902
Does this Product
contain Latex
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
Yes
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No.
08144547
08144551
08144552
08144553
08144554
08144555
08144561
08144562
08144563
08144564
08144565
08144592
08144593
08144594
08144595
08144596
08144602
08144603
08144604
08144606
08144607
08144620
08144650
08144650
08144654
08144661
08144662
08144663
08144664
08144665
08144671
08144672
08144673
08144674
08144675
08144681
08144682
08144683
08144684
08144685
08144691
08144692
08144693
08144694
08144695
08144702
08144711
08144712
08144713
08144714
08144715
08144716
08144720
08144721
Description
ELASTIC ANKLE SUPPORT XXL
PREMIER WRIST W/THUMB XS LT
PREMIER WRIST W/THUMB SM LT
PREMIER WRIST W/THUMB MD LT
PREMIER WRIST W/THUMB LG LT
PREMIER WRIST W/THUMB XL LT
PREMIER WRIST W/THUMB XS RT
PREMIER WRIST W/THUMB SM RT
PREMIER WRIST W/THUMB MD RT
PREMIER WRIST W/THUMB LG RT
PREMIER WRIST W/THUMB XL RT
4-WAY STRETCH ELASTIC ANKLE SM
4-WAY STRETCH ELASTIC ANKLE MD
4-WAY STRETCH ELASTIC ANKLE LG
4-WAY STRETCH ELASTIC ANKLE XL
4-WAY STRETCH ELASTIC ANKLE 2X
SHOULDER IMMOB CONTOUR S 23-27"
SHOULDER IMMOB CONTOUR M 27-31"
SHOULDER IMMOB CONTOUR L 31-35"
SHOULDER IMMOB CONTOUR 2X 39-43"
SHOULDER IMMOB CONTOUR 3X 43-47"
12" COMFOR ABD BINDER 46-62IN.
ULNAR NERVE PAD
ULNAR NERVE PAD
SUPPORTEC L.S. DP 46-54" BLACK
PERFORMANCE WRIST XS RIGHT
PERFORMANCE WRIST SM RIGHT
PERFORMANCE WRIST MD RIGHT
PERFORMANCE WRIST LG RIGHT
PERFORMANCE WRIST XL RIGHT
PERFORMANCE WRIST XS LEFT
PERFORMANCE WRIST SM LEFT
PERFORMANCE WRIST MD LEFT
PERFORMANCE WRIST LG LEFT
PERFORMANCE WRIST XL LEFT
PERFORMANCE WRIST 10" XS RT
PERFORMANCE WRIST 10" SM RT
PERFORMANCE WRIST 10" MD RT
PERFORMANCE WRIST 10" LG RT
PERFORMANCE WRIST 10" XL RT
PERFORMANCE WRIST 10" XS LT
PERFORMANCE WRIST 10" SM LT
PERFORMANCE WRIST 10" MD LT
PERFORMANCE WRIST 10" LG LT
PERFORMANCE WRIST 10" XL LT
COMFOR SHLD IMMOB CHILD UNIV
FRAZER WRIST BRACE XS LT
FRAZER WRIST BRACE SM LT
FRAZER WRIST BRACE MD LT
FRAZER WRIST BRACE LG LT
FRAZER WRIST BRACE XL LT
FRAZER WRIST BRACE XXL LT
12" COMFOR ABD BINDER 55-72IN.
FRAZER WRIST BRACE XS RT
Page 21 of 49
HCPC/L-Code
L1902
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3999
L3999
L3999
L3999
L3999
L0625
L0625
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3670
L3908
L3908
L3908
L3908
L3908
L3908
L0625
L3908
Does this Product
contain Latex
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No.
08144722
08144723
08144724
08144725
08144726
08144730
08144731
08144740
08144741
08144762
08144762
08144763
08144763
08144764
08144764
08144772
08144773
08144774
08144782
08144783
08144784
08144785
08144792
08144793
08144794
08144795
08144802
08144803
08144804
08144805
08144806
08144812
08144814
08144823
08144824
08144833
08144834
08144843
08144844
08144853
08144854
08144860
08144863
08144864
08144941
08144942
08144943
08144944
08144945
08144952
08144953
08144954
08144962
08144963
Description
FRAZER WRIST BRACE SM RT
FRAZER WRIST BRACE MD RT
FRAZER WRIST BRACE LG RT
FRAZER WRIST BRACE XL RT
FRAZER WRIST BRACE XXL RT
SOLO WRIST 7 1/4" RIGHT
SOLO WRIST 7 1/4" LEFT
SOLO WRIST 10" RIGHT
SOLO WRIST 10" LEFT
PLANTAR FASCIITIS WRAP SM
PLANTAR FASCIITIS WRAP SM
PLANTAR FASCIITIS WRAP MD
PLANTAR FASCIITIS WRAP MD
PLANTAR FASCIITIS WRAP LG/XL
PLANTAR FASCIITIS WRAP LG/XL
P.F.S. STRETCH NIGHT SPLINT SM
P.F.S. STRETCH NIGHT SPLINT MD
P.F.S. STRETCH NIGHT SPLINT LG
LEAF SPRING ORTHOSIS SM RT
LEAF SPRING ORTHOSIS MD RT
LEAF SPRING ORTHOSIS LG RT
LEAF SPRING ORTHOSIS XL RT
LEAF SPRING ORTHOSIS SM LT
LEAF SPRING ORTHOSIS MD LT
LEAF SPRING ORTHOSIS LG LT
LEAF SPRING ORTHOSIS XL LT
BAKER NIGHT SPLINT SM
BAKER NIGHT SPLINT MD
BAKER NIGHT SPLINT LG
BAKER NIGHT SPLINT XL
BAKER NIGHT SPLINT XXL
NAP SPLINT SM/MD
NAP SPLINT LG/XL
UNIVERSAL THUMB SPICA LT
UNIVERSAL THUMB SPICA RT
SUPERIOR THUMB SPICA S/M LT
SUPERIOR THUMB SPICA M/L LT
SUPERIOR THUMB SPICA S/M RT
SUPERIOR THUMB SPICA M/L RT
SUPERIOR WRST/THMB SPICA S/M L
SUPERIOR WRST/THMB SPICA M/L L
LUMBOSACRAL DP 48-60" 4 PANEL
SUPERIOR WRST/THMB SPICA S/M R
SUPERIOR WRST/THMB SPICA M/L R
POSTURE CORRECTOR 24-27" XS
POSTURE CORRECTOR 28-33" SM
POSTURE CORRECTOR 34-37" MD
POSTURE CORRECTOR 38-43" LG
POSTURE CORRECTOR 44-46" XL
SUPERIOR THMBKPR W/D-RING SM L
SUPERIOR THMBKPR W/D-RING MD L
SUPERIOR THMBKPR W/D-RING LG L
SUPERIOR THMBKPR W/D-RING SM R
SUPERIOR THMBKPR W/D-RING MD R
Page 22 of 49
HCPC/L-Code
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L1902
L1902
L1902
L1902
L1902
L1902
L4396
L4396
L4396
L1930
L1930
L1930
L1930
L1930
L1930
L1930
L1930
L4398
L4398
L4398
L4398
L4398
L4398
L4398
L3807
L3807
L3807
L3807
L3807
L3807
L3907
L3907
L0625
L3907
L3907
L3650
L3650
L3650
L3650
L3650
L3807
L3807
L3807
L3807
L3807
Does this Product
contain Latex
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No.
08144964
08144972
08144973
08144974
08144982
08144983
08144984
08145029
08145030
08145031
08145032
08145033
08145034
08145035
08145036
08145040
08145050
08145060
08145070
08145104
08145105
08145106
08145107
08145108
08145129
08145130
08145131
08145132
08145133
08145134
08145135
08145153
08145154
08145200
08145205
08145211
08145212
08145213
08145214
08145215
08145221
08145222
08145223
08145224
08145225
08145281
08145282
08145284
08145285
08145286
08145310
08145311
08145312
08145313
Description
SUPERIOR THMBKPR W/D-RING LG R
SUPERIOR L.PROFILE THMBKPR S L
SUPERIOR L.PROFILE THMBKPR M L
SUPERIOR L.PROFILE THMBKPR L L
SUPERIOR L.PROFILE THMBKPR S R
SUPERIOR L.PROFILE THMBKPR M R
SUPERIOR L.PROFILE THMBKPR L R
THERABAND 20110 XTHIN TAN 50YD
THERABAND 20120 THIN YLLW 50YD
THERABAND 20130 MED RED 50YD
THERABAND 20140 HVY GRN 50YD
THERABAND 20150 XHVY BLUE 50YD
THERABAND SPEC.HVY BLACK 50YD
THERABAND SUPER HVY SILVR 50YD
THERABAND 20180 MAX GOLD 50 YD
FELT BUTTRESS ONLY
TUBULAR BUTTRESS ONLY
ADJUSTABLE HINGES
CIRCUMFERENTIAL STRAPS
THERABAND LATEX FREE YLLW 25YD
THERABAND LATEX FREE RED 25YD
THERABAND LATEX FREE GREEN 25Y
THERABAND LATEX FREE BLUE 25YD
THERABAND LATEX FREE BLACK 25Y
100' X-THIN TAN TUBING
100' THIN YELLOW TUBING
100' MEDIUM RED TUBING
100' HEAVY GREEN TUBING
100' EXTRA HEAVY BLUE TUBING
100' XXHEAVY BLACK TUBING
100' SUPER SILVER TUBING
6302 BASIC KNEE W/OPEN PAT MD
6302 BASIC KNEE W/OPEN PAT M/L
AMBIDEXTROUS WRISTLET UNIV
UNIV NEOPRENE WRIST BRACE
DALLAS WRIST BRACE 6" XS LT
DALLAS WRIST BRACE 6" SM LT
DALLAS WRIST BRACE 6" MD LT
DALLAS WRIST BRACE 6" LG LT
DALLAS WRIST BRACE 6" XL LT
DALLAS WRIST BRACE 6" XS RT
DALLAS WRIST BRACE 6" SM RT
DALLAS WRIST BRACE 6" MD RT
DALLAS WRIST BRACE 6" LG RT
DALLAS WRIST BRACE 6" XL RT
ANKLIZER® II LINER ONLY XS
ANKLIZER® II LINER ONLY SM
ANKLIZER® II LINER ONLY MD
ANKLIZER® II LINER ONLY LG
ANKLIZER® II LINER ONLY XLG
CINCH LOCK BRACE 8" XXS LT
CINCH LOCK BRACE 8" XS LT
CINCH LOCK BRACE 8" SM LT
CINCH LOCK BRACE 8" MD LT
Page 23 of 49
HCPC/L-Code
L3807
L3807
L3807
L3807
L3807
L3807
L3807
A9300
A9300
A9300
A9300
A9300
A9300
A9300
A9300
A9300
A9300
A9300
A9300
A9300
A9300
A9300
A9300
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
Does this Product
contain Latex
No
No
No
No
No
No
No
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
No
No
No
No
Yes
Yes
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No.
08145314
08145315
08145320
08145321
08145322
08145323
08145324
08145325
08145341
08145342
08145352
08145353
08145354
08145355
08145356
08145357
08145362
08145363
08145364
08145365
08145366
08145367
08145370
08145372
08145373
08145374
08145375
08145382
08145383
08145384
08145385
08145386
08145410
08145411
08145412
08145413
08145414
08145415
08145420
08145421
08145422
08145423
08145424
08145425
08145432
08145433
08145434
08145435
08145436
08145442
08145443
08145444
08145445
08145446
Description
CINCH LOCK BRACE 8" LG LT
CINCH LOCK BRACE 8" XL LT
CINCH LOCK BRACE 8" XXS RT
CINCH LOCK BRACE 8" XS RT
CINCH LOCK BRACE 8" SM RT
CINCH LOCK BRACE 8" MD RT
CINCH LOCK BRACE 8" LG RT
CINCH LOCK BRACE 8" XL RT
CONCORD WRIST&FOREARM FOAM LT
CONCORD WRIST&FOREARM FOAM RT
6329 LATERAL J STAB. SM RT
6329 LATERAL J STAB. MD RT
6329 LATERAL J STAB. M/L RT
6329 LATERAL J STAB. LG RT
6329 LATERAL J STAB. XL RT
6329 LATERAL J STAB. XXL RT
6329 LATERAL J STAB. SM LT
6329 LATERAL J STAB. MD LT
6329 LATERAL J STAB. M/L LT
6329 LATERAL J STAB. LG LT
6329 LATERAL J STAB. XL LT
6329 LATERAL J STAB. XXL LT
6340 UNIVERSAL WRIST BAND
6378 ELBOW W/STRAP & PAD SM
6378 ELBOW W/STRAP & PAD MD
6378 ELBOW W/STRAP & PAD LG
6378 ELBOW W/STRAP & PAD XL
6331 DELUXE HINGED KNEE SM
6331 DELUXE HINGED KNEE MD
6331 DELUXE HINGED KNEE LG
6331 DELUXE HINGED KNEE XL
6331 DELUXE HINGED KNEE MD/LG
CINCH LOCK BRACE 11" XXS LT
CINCH LOCK BRACE 11" XS LT
CINCH LOCK BRACE 11" SM LT
CINCH LOCK BRACE 11" MD LT
CINCH LOCK BRACE 11" LG LT
CINCH LOCK BRACE 11" XL LT
CINCH LOCK BRACE 11" XXS RT
CINCH LOCK BRACE 11" XS RT
CINCH LOCK BRACE 11" SM RT
CINCH LOCK BRACE 11" MD RT
CINCH LOCK BRACE 11" LG RT
CINCH LOCK BRACE 11" XL RT
L'TIMATE® PATELLA STAB. 1/8" SM
L'TIMATE® PATELLA STAB. 1/8" MD
L'TIMATE® PATELLA STAB. 1/8" LG
L'TIMATE® PATELLA STAB. 1/8" XL
L'TIMATE® PATELLA STAB. 1/8" 2X
L'TIMATE® TENDONITIS BRACE SM
L'TIMATE® TENDONITIS BRACE MD
L'TIMATE® TENDONITIS BRACE LG
L'TIMATE® TENDONITIS BRACE XL
L'TIMATE® TENDONITIS BRACE XXL
Page 24 of 49
HCPC/L-Code
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3917
L3917
L4350
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L2999
L2999
L2999
L2999
L2999
L2999
L2999
L2999
L2999
L2999
Does this Product
contain Latex
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No.
08145451
08145452
08145453
08145454
08145455
08145461
08145462
08145463
08145464
08145465
08145500
08145502
08145503
08145504
08145505
08145510
08145511
08145512
08145513
08145514
08145515
08145516
08145517
08145518
08145519
08145520
08145521
08145522
08145523
08145524
08145525
08145526
08145527
08145528
08145529
08145530
08145531
08145532
08145533
08145534
08145535
08145536
08145537
08145538
08145539
08145540
08145541
08145542
08145543
08145544
08145545
08145546
08145547
08145548
Description
CLASSIC WRIST W/THUMB XS LT
CLASSIC WRIST W/THUMB SM LT
CLASSIC WRIST W/THUMB MD LT
CLASSIC WRIST W/THUMB LG LT
CLASSIC WRIST W/THUMB XL LT
CLASSIC WRIST W/THUMB XS RT
CLASSIC WRIST W/THUMB SM RT
CLASSIC WRIST W/THUMB MD RT
CLASSIC WRIST W/THUMB LG RT
CLASSIC WRIST W/THUMB XL RT
ALL PURPOSE UTILITY SCISSORS
L'TIMATE® ANKLE SUPP SM
L'TIMATE® ANKLE SUPP MED
L'TIMATE® ANKLE SUPP LG
L'TIMATE® ANKLE SUPP XL
7 1/4" ALL PURPOSE SNIPS
3 1/2" IRIS STR SUPER DELICATE
4 1/2" SUPER-CUT IRIS STRAIGHT
3 1/2" IRIS CVD SUPER DELICATE
4 1/2" SUPER-CUT IRIS CURVED
3 1/2" IRIS SCISSOR STRAIGHT
4 1/2" IRIS SCISSOR STRAIGHT
4 1/8" IRIS STRAIGHT DELICATE
3 1/2" IRIS SCISSOR CURVED
4 1/2" IRIS SCISSOR CURVED
7 1/4" LISTER BND -LEFT HANDED
6 3/4" COBB RULER
4 1/8" IRIS SCISSOR CRVD-DEL
5 1/2" LISTER BND -LEFT HANDED
4 1/2" IRIS SCISSOR ANGLED
5 1/2"SUPER-CUT LISTER BANDAGE
7 1/4"SUPER-CUT LISTER BANDAGE
3 1/2" LISTER BANDAGE SCISSOR
4 1/2" LISTER BANDAGE SCISSOR
5 1/2" LISTER BANDAGE SCISSOR
9 1/2" WOLFF CAST BREAKER
9" CAST SPREADER - SERRATED
7 1/4" LISTER BANDAGE SCISSOR
8" LISTER BAND SCISS. LRG RING
5 1/2" LISTER BNDG-FLOOR GRADE
7 1/4" LISTER BNDG FLOOR GRADE
3 1/2" SPENCER STITCH STRT-DEL
4 3/4" SPENCER STITCH STRT-DEL
HALSTED MOSQUITO FORCEPS
5" MOSQUITO FORCEP STRT-DEL
5" MOSQUITO FORCEP STRT-1X2
CINDY® WRIST SUPPORT XS LT
CINDY® WRIST SUPPORT SM LT
CINDY® WRIST SUPPORT MD LT
CINDY® WRIST SUPPORT LG LT
CINDY® WRIST SUPPORT XL LT
5 1/2" HI-LEVEL BAND SCISS ANG
7 1/2" HERCULES SCRS SERRATED
5 1/2" KELLY FORCEP STRAIGHT
HCPC/L-Code
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L1902
L1902
L1902
L1902
L3908
L3908
L3908
L3908
L3908
Page 25 of 49
Does this Product
contain Latex
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No.
08145549
08145551
08145552
08145553
08145554
08145555
08145556
08145557
08145558
08145560
08145561
08145562
08145563
08145564
08145565
08145566
08145567
08145568
08145569
08145570
08145571
08145573
08145578
08145579
08145580
08145581
08145582
08145583
08145584
08145585
08145586
08145587
08145588
08145589
08145590
08145591
08145592
08145593
08145594
08145595
08145596
08145598
08145600
08145601
08145602
08145603
08145604
08145605
08145606
08145607
08145608
08145611
08145612
08145613
Description
5 1/2" KELLY FORCEP CURVED
CINDY® WRIST SUPPORT XS RT
CINDY® WRIST SUPPORT SM RT
CINDY® WRIST SUPPORT MD RT
CINDY® WRIST SUPPORT LG RT
CINDY® WRIST SUPPORT XL RT
4 3/4" ADSON MICRO FRCP SERR
4 3/4" ADSON FORCEP SERR-DEL
4 3/4" ADSON FORCEPS SERR-STD
7" WOLFF CAST BREAKER
5 1/2" HI-LEVEL BNDG SCISSOR
5" HALSEY N.H. SMOOTH
5" HALSEY N.H. SMOOTH-CARBIDE
5 1/4" HALSEY NEEDLE HOLD SERR
5" HALSEY N.H. SERR-CARBIDE
3 1/2" SHORTBENT STITCH SCISS.
4 3/4" NORTHBENT STITCH SCISS.
8" ESMARCH BANDAGE SCISSORS
5 1/2" MAYO HEGAR N.H.SERRATED
6" MAYO HEGAR N.H. SERRATED
7" MAYO HEGAR N.H. SERRATED
10.5"MAYO HEGAR NEEDLE HOLDER
PLASTER CAST SCISSORS - BRUNS
5 1/2" NAIL NIPPER -CONCAVE
4 3/4" WIRE CUTT.SCISS ANG
4 3/4" WIRE CUTT.SCISS.ANG-CAR
5 1/2" NAIL NIPPER ANG-CONCAVE
7" FRONT & SIDE WIRE CUTTER
5 1/2" NEEDLE NOSE PLIERS DEL.
7 3/4" SLIP JOINT PLIERS
7" PARALLEL PLIERS
5 1/2" FLAT NOSE PLIERS
5" HALSTED MOSQUITO FORCEP CRV
5" MOSQUITO FORCEP CURVED-DEL.
5" MOSQUITO FORCEP CURVED-1X2
6 1/2" WIRE PULLING FORCEPS
GENU-PLAY LTD MOTION KNEE SM
GENU-PLAY LTD MOTION KNEE MD
GENU-PLAY LTD MOTION KNEE LG
GENU-PLAY LTD MOTION KNEE XL
GENU-PLAY LTD MOTION KNEE XXL
GENU-PLAY LTD MOTION KNEE 3X
8" PLASTER & UTILITY SHEARS
L'TIMATE® KNEE SLEEVE XS
L'TIMATE® KNEE SLEEVE SM
L'TIMATE® KNEE SLEEVE MD
L'TIMATE® KNEE SLEEVE LG
L'TIMATE® KNEE SLEEVE XL
L'TIMATE® KNEE SLEEVE XXL
L'TIMATE® KNEE SLEEVE XXXL
L'TIMATE® KNEE SLEEVE 4XL
L'TIMATE® KNEE SLEEVE W/CO XS
L'TIMATE® KNEE SLEEVE W/CO SM
L'TIMATE® KNEE SLEEVE W/CO MD
Page 26 of 49
HCPC/L-Code
L3908
L3908
L3908
L3908
L3908
L1810
L1810
L1810
L1810
L1810
L1810
L2999
L2999
L2999
L2999
L2999
L2999
L2999
L2999
L2999
L2999
L2999
Does this Product
contain Latex
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No.
08145614
08145615
08145616
08145617
08145618
08145642
08145643
08145644
08145645
08145646
08145671
08145672
08145673
08145674
08145675
08145676
08145677
08145678
08145679
08145691
08145692
08145693
08145694
08145695
08145696
08145697
08145702
08145703
08145704
08145705
08145711
08145712
08145713
08145714
08145715
08145721
08145722
08145723
08145724
08145725
08145730
08145731
08145732
08145733
08145734
08145735
08145740
08145741
08145742
08145743
08145744
08145745
08145762
08145763
Description
L'TIMATE® KNEE SLEEVE W/CO LG
L'TIMATE® KNEE SLEEVE W/CO XL
L'TIMATE® KNEE SLEEVE W/CO XXL
L'TIMATE® KNEE SLEEVE W/CO 3X
L'TIMATE® KNEE SLEEVE W/CO 4X
VARIABLE KNEE W/BUTTRESS SM
VARIABLE KNEE W/BUTTRESS MD
VARIABLE KNEE W/BUTTRESS LG
VARIABLE KNEE W/BUTTRESS XL
VARIABLE KNEE W/BUTTRESS XXL
PATELLAR KNEE W/UNIV BTRS XS
PATELLAR KNEE W/UNIV BTRS SM
PATELLAR KNEE W/UNIV BTRS MD
PATELLAR KNEE W/UNIV BTRS LG
PATELLAR KNEE W/UNIV BTRS XL
PATELLAR KNEE W/UNIV BTRS 2X
PATELLAR KNEE W/UNIV BTRS 3X
PATELLAR KNEE W/UNIV BTRS 4X
PATELLAR KNEE W/UNIV BTRS 5X
HINGED KNEE W/TBLR BUTTRESS XS
HINGED KNEE W/TBLR BUTTRESS SM
HINGED KNEE W/TBLR BUTTRESS MD
HINGED KNEE W/TBLR BUTTRESS LG
HINGED KNEE W/TBLR BUTTRESS XL
HINGED KNEE W/TBLR BUTTRESS 2X
HINGED KNEE W/TBLR BUTTRESS 3X
EXTENSOR CALF SUPP SM
EXTENSOR CALF SUPP MD
EXTENSOR CALF SUPP LG
EXTENSOR CALF SUPP XL
INDEPENDENCE WRIST 9" XS LT
INDEPENDENCE WRIST 9" SM LT
INDEPENDENCE WRIST 9" MD LT
INDEPENDENCE WRIST 9" LG LT
INDEPENDENCE WRIST 9" XL LT
INDEPENDENCE WRIST 9" XS RT
INDEPENDENCE WRIST 9" SM RT
INDEPENDENCE WRIST 9" MD RT
INDEPENDENCE WRIST 9" LG RT
INDEPENDENCE WRIST 9" XL RT
INDEPENDENCE WRIST 7" XXS LT
INDEPENDENCE WRIST 7" XS LT
INDEPENDENCE WRIST 7" SM LT
INDEPENDENCE WRIST 7" MD LT
INDEPENDENCE WRIST 7" LG LT
INDEPENDENCE WRIST 7" XL LT
INDEPENDENCE WRIST 7" XXS RT
INDEPENDENCE WRIST 7" XS RT
INDEPENDENCE WRIST 7" SM RT
INDEPENDENCE WRIST 7" MD RT
INDEPENDENCE WRIST 7" LG RT
INDEPENDENCE WRIST XL RT
L'TIMATE® ELBOW SLEEVE SM
L'TIMATE® ELBOW SLEEVE MD
Page 27 of 49
HCPC/L-Code
L2999
L2999
L2999
L2999
L2999
L2999
L2999
L2999
L2999
L2999
L2999
L2999
L2999
L2999
L2999
L2999
L2999
L2999
L2999
L1810
L1810
L1810
L1810
L1810
L1810
L1810
L2999
L2999
L2999
L2999
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3999
L3999
Does this Product
contain Latex
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No.
08145764
08145765
08145766
08145772
08145773
08145774
08145775
08145776
08145781
08145782
08145783
08145784
08145785
08145791
08145792
08145793
08145794
08145795
08145812
08145813
08145814
08145815
08145816
08145817
08145818
08145822
08145823
08145824
08145825
08145826
08145827
08145828
08145852
08145853
08145854
08145855
08145856
08145857
08145861
08145862
08145863
08145864
08145865
08145866
08145867
08145868
08145871
08145872
08145873
08145874
08145875
08145876
08145881
08145882
Description
L'TIMATE® ELBOW SLEEVE LG
L'TIMATE® ELBOW SLEEVE XL
L'TIMATE® ELBOW SLEEVE 2XL
L'TIMATE® TENNIS ELBOW SM
L'TIMATE® TENNIS ELBOW MD
L'TIMATE® TENNIS ELBOW LG
L'TIMATE® TENNIS ELBOW XL
L'TIMATE® TENNIS ELBOW 2XL
CLASSIC WRIST LONG XS RT
CLASSIC WRIST LONG SM RT
CLASSIC WRIST LONG MD RT
CLASSIC WRIST LONG LG RT
CLASSIC WRIST LONG XL RT
CLASSIC WRIST LONG XS LT
CLASSIC WRIST LONG SM LT
CLASSIC WRIST LONG MD LT
CLASSIC WRIST LONG LG LT
CLASSIC WRIST LONG XL LT
PATELLAR W/LATERAL STRAP SM LT
PATELLAR W/LATERAL STRAP MD LT
PATELLAR W/LATERAL STRAP LG LT
PATELLAR W/LATERAL STRAP XL LT
PATELLAR W/LATERAL STRAP 2X LT
PATELLAR W/LATERAL STRAP 3X LT
PATELLAR W/LATERAL STRAP 4X LT
PATELLAR W/LATERAL STRAP SM RT
PATELLAR W/LATERAL STRAP MD RT
PATELLAR W/LATERAL STRAP LG RT
PATELLAR W/LATERAL STRAP XL RT
PATELLAR W/LATERAL STRAP 2X RT
PATELLAR W/LATERAL STRAP 3X RT
PATELLAR W/LATERAL STRAP 4X RT
L'TIMATE® PATELLAR KNEE SM
L'TIMATE® PATELLAR KNEE MD
L'TIMATE® PATELLAR KNEE LG
L'TIMATE® PATELLAR KNEE XL
L'TIMATE® PATELLAR KNEE XXL
L'TIMATE® PATELLAR KNEE 3XL
HINGED KNEE W/POPLITEAL CO XS
HINGED KNEE W/POPLITEAL CO SM
HINGED KNEE W/POPLITEAL CO MD
HINGED KNEE W/POPLITEAL CO LG
HINGED KNEE W/POPLITEAL CO XL
HINGED KNEE W/POPLITEAL CO XXL
HINGED KNEE W/POPLITEAL CO 3X
HINGED KNEE W/POPLITEAL CO 4XL
OSGOOD SCHLATTER SLEEVE XS
OSGOOD SCHLATTER SLEEVE SM
OSGOOD SCHLATTER SLEEVE MD
OSGOOD SCHLATTER SLEEVE LG
OSGOOD SCHLATTER SLEEVE XL
OSGOOD SCHLATTER SLEEVE XXL
L'TIMATE® THIGH SUPP XS
L'TIMATE® THIGH SUPP SM
Page 28 of 49
HCPC/L-Code
L3999
L3999
L3999
L3999
L3999
L3999
L3999
L3999
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L2999
L2999
L2999
L2999
L2999
L2999
L2999
L2999
L2999
L2999
L2999
L2999
L2999
L2999
L2999
L2999
L2999
L2999
L2999
L2999
L1810
L1810
L1810
L1810
L1810
L1810
L1810
L1810
L2999
L2999
L2999
L2999
L2999
L2999
A6534
A6534
Does this Product
contain Latex
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No.
08145883
08145884
08145885
08145886
08145911
08145912
08145913
08145914
08145915
08145921
08145922
08145923
08145924
08145925
08145931
08145932
08145933
08145934
08145935
08145941
08145942
08145943
08145944
08145945
08145951
08145952
08145953
08145954
08145955
08145961
08145962
08145963
08145964
08145965
08146001
08146002
08146003
08146005
08146010
08146011
08146020
08146021
08146030
08146031
08146040
08146041
08146050
08146051
08146060
08146061
08146070
08146071
08146080
08146081
Description
L'TIMATE® THIGH SUPP MD
L'TIMATE® THIGH SUPP LG
L'TIMATE® THIGH SUPP XL
L'TIMATE® THIGH SUPP XXL
SOUTHPORT CANVAS WRIST 6"XS LT
SOUTHPORT CANVAS WRIST 6"SM LT
SOUTHPORT CANVAS WRIST 6"MD LT
SOUTHPORT CANVAS WRIST 6"LG LT
SOUTHPORT CANVAS WRIST 6"XL LT
SOUTHPORT CANVAS WRIST 6"XS RT
SOUTHPORT CANVAS WRIST 6"SM RT
SOUTHPORT CANVAS WRIST 6"MD RT
SOUTHPORT CANVAS WRIST 6"LG RT
SOUTHPORT CANVAS WRIST 6"XL RT
SOUTHPORT CANVAS WRIST 8"XS LT
SOUTHPORT CANVAS WRIST 8"SM LT
SOUTHPORT CANVAS WRIST 8"MD LT
SOUTHPORT CANVAS WRIST 8"LG LT
SOUTHPORT CANVAS WRIST 8"XL LT
SOUTHPORT CANVAS WRIST 8"XS RT
SOUTHPORT CANVAS WRIST 8"SM RT
SOUTHPORT CANVAS WRIST 8"MD RT
SOUTHPORT CANVAS WRIST 8"LG RT
SOUTHPORT CANVAS WRIST 8"XL RT
CLASSIC WRIST BRACE XS LT
CLASSIC WRIST BRACE SM LT
CLASSIC WRIST BRACE MD LT
CLASSIC WRIST BRACE LG LT
CLASSIC WRIST BRACE XL LT
CLASSIC WRIST BRACE XS RT
CLASSIC WRIST BRACE SM RT
CLASSIC WRIST BRACE MD RT
CLASSIC WRIST BRACE LG RT
CLASSIC WRIST BRACE XL RT
COMFOR FOAM SPLINT 1" X 18"
COMFOR FOAM SPLINT 1/2" X 18"
COMFOR FOAM SPLINT 3/4" X 18"
VELCRO BINDER ORGANIZER 10/PK
SPECIAL COLLES ADULT RT
SPECIAL COLLES ADULT PADDED RT
SPEC COLLES ADULT N.PAD LT
SPEC COLLES ADULT PADDED LT
SPECIAL COLLES YOUTH RT
SPECIAL COLLES YOUTH PADDED RT
SPECIAL COLLES YOUTH LT
SPECIAL COLLES YOUTH PADDED LT
SPECIAL COLLES CHILD RT
SPECIAL COLLES CHILD PADDED RT
SPECIAL COLLES CHILD LT
SPECIAL COLLES CHILD PADDED LT
SPECIAL COLLES INFANT RT
SPECIAL COLLE INFANT PADDED RT
SPECIAL COLLES INFANT LT
SPECIAL COLLE INFANT PADDED LT
Page 29 of 49
HCPC/L-Code
A6534
A6534
A6534
A6534
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
Does this Product
contain Latex
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No.
08146091
08146092
08146093
08146094
08146095
08146096
08146097
08146100
08146110
08146111
08146121
08146141
08146142
08146143
08146144
08146145
08146148
08146150
08146152
08146153
08146154
08146155
08146160
08146161
08146162
08146163
08146211
08146212
08146213
08146214
08146221
08146222
08146223
08146224
08146231
08146241
08146242
08146243
08146252
08146253
08146254
08146255
08146261
08146262
08146291
08146292
08146293
08146294
08146295
08146296
08146297
08146302
08146303
08146304
Description
ANTERIOR CLOSURE HNGD KNEE XS
ANTERIOR CLOSURE HNGD KNEE SM
ANTERIOR CLOSURE HNGD KNEE MD
ANTERIOR CLOSURE HNGD KNEE LG
ANTERIOR CLOSURE HNGD KNEE XL
ANTERIOR CLOSURE HNGD KNEE 2X
ANTERIOR CLOSURE HNGD KNEE 3X
ALUMINUM FINGER SPLINT KIT
FINGER SPLINT KIT BOX ONLY
FINGER PROTECTOR 3.5" PAD 12/P
FINGER PROTECTOR 2.5" PAD 12/P
FINGER PROTECTOR 1.5" PAD 12/P
PHILA. COLLAR W/TRACH 2 1/4" SM
PHILA. COLLAR W/TRACH 2 1/4" MD
PHILA. COLLAR W/TRACH 2 1/4" LG
PHILA. COLLAR W/TRACH 2 1/4" XL
PHILA. COLLAR W/TRACH INFANT
PHILA. COLLAR W/TRACH PED.
PHILA. COLLAR W/TRACH 3 1/4" SM
PHILA. COLLAR W/TRACH 3 1/4" MD
PHILA. COLLAR W/TRACH 3 1/4" LG
PHILA. COLLAR W/TRACH 3 1/4" XL
MASON ALLEN SPLINT LG NO PAD
MASON ALLEN SPLINT LG PADDED
MASON ALLEN SPLINT SM NO PAD
MASON ALLEN SPLINT SM PADDED
FINGER COT 3.5" PADDED 12/PKG
BUNION SPLINT SM LEFT
BUNION SPLINT MD LEFT
BUNION SPLINT LG LEFT
FINGER COT 3" PADDED 12/PKG
BUNION SPLINT SM RIGHT
BUNION SPLINT MD RIGHT
BUNION SPLINT LG RIGHT
FINGER COT 2" PADDED 12/PKG
FINGER COT 1" PADDED 12/PKG
PHILLY STABILIZER ADULT
PHILLY HALO ADULT
PHILA. COLLAR W/TRACH 4 1/4" SM
PHILA. COLLAR W/TRACH 4 1/4" MD
PHILA. COLLAR W/TRACH 4 1/4" LG
PHILA. COLLAR W/TRACH 4 1/4" XL
FINGER COT 1" UNPADDED 12/PKG
FINGER COT 2" UNPADDED 12/PKG
ANTERIOR CLOS.HNGD KNEE XS
ANTERIOR CLOS.HNGD KNEE SM
ANTERIOR CLOS.HNGD KNEE MD
ANTERIOR CLOS.HNGD KNEE LG
ANTERIOR CLOS.HNGD KNEE XL
ANTERIOR CLOS.HNGD KNEE 2X
ANTERIOR CLOS.HNGD KNEE 3X
FOAM FINGER SPLINT SM
FOAM FINGER SPLINT MD
FOAM FINGER SPLINT LG
Page 30 of 49
HCPC/L-Code
L1810
L1810
L1810
L1810
L1810
A4570
A4570
A4570
L0172
L0172
L0172
L0172
L0172
L0172
L0172
L0172
L0172
L0172
A4570
L3100
L3100
L3100
A4570
A4570
A4570
L0172
L0172
L0172
L0172
A4570
A4570
A4570
A4570
A4570
Does this Product
contain Latex
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
Yes
Yes
Yes
Yes
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No.
08146321
08146331
08146341
08146351
08146352
08146353
08146354
08146355
08146361
08146371
08146381
08146382
08146383
08146384
08146385
08146386
08146400
08146411
08146412
08146420
08146421
08146430
08146431
08146435
08146436
08146439
08146442
08146450
08146451
08146452
08146460
08146461
08146470
08146471
08146500
08146501
08146502
08146503
08146504
08146505
08146506
08146507
08146510
08146511
08146520
08146521
08146530
08146542
08146544
08146601
08146602
08146609
08146611
08146621
Description
BASEBALL SPLINT PADDED SM 12/P
BASEBALL SPLINT PADDED MD 12/P
BASEBALL SPLINT PADDED LG 12/P
FROG SPLINT PADDED LG 12/PK
PHILA. COLLAR W/TRACH 5 1/4" SM
PHILA. COLLAR W/TRACH 5 1/4" MD
PHILA. COLLAR W/TRACH 5 1/4" LG
PHILA. COLLAR W/TRACH 5 1/4" XL
FROG SPLINT PADDED MD 12/PKG
FROG SPLINT PADDED SM 12/PKG
V-LOCK ANKLE STABILIZER XS
V-LOCK ANKLE STABILIZER SM
V-LOCK ANKLE STABILIZER MD
V-LOCK ANKLE STABILIZER LG
V-LOCK ANKLE STABILIZER XL
V-LOCK ANKLE STABILIZER XXL
THUMB SPICA UNIVERSAL
METACARPAL HAND ADULT RIGHT
METACARPAL HAND ADULT RT PAD.
METACARPAL HAND ADULT LT.
METACARPAL HAND ADULT LT PAD.
METACARPAL HAND YOUTH RT
METACARPAL HAND YOUTH RT PAD.
METACARPAL HAND YOUTH LT
METACARPAL HAND YOUTH LT PAD.
LEWIN THUMB SPLINT PADDED
LEWIN FINGER SPLINT PADDED
METACARPAL FOREARM ADULT RT
METACARPAL FOREARM ADULT LT
45" SIDE RELEASE WALKING BELT
METACARPAL FOREARM YOUTH RT
METACARPAL FOREARM YOUTH LT
METACARPAL FOREARM CHILD RT
METACARPAL FOREARM CHILD LT
SPIFFYS® MODESTY SHORTS YTH SM
SPIFFYS® MODESTY SHORTS YTH MD
SPIFFYS® MODESTY SHORTS SM
SPIFFYS® MODESTY SHORTS MD
SPIFFYS® MODESTY SHORTS LG
SPIFFYS® MODESTY SHORTS XL
SPIFFYS® MODESTY SHORTS 2XL
SPIFFYS® MODESTY SHORTS 3XL
TIBIA-FIBULA ADULT KNEE
TIBIA-FIBULA ADULT KNEE PADDED
TIBIA-FIBULA YOUTH KNEE NONPAD
TIBIA-FIBULA YOUTH KNEE PADDED
TIBIA-FIBULA CHILD KNEE NONPAD
54" SIDE RELEASE BELT ROYAL
72"SIDE RELEASE BELT NATURAL
CURVED FINGER SPLINT 7"PAD 12P
60" SIDE RELEASE WALKING BELT
CURVED FINGER SPLINT 9"PAD 12P
6" CURVED FINGER SPLNT PAD 12P
3.5"CURVED FINGER SLNT PAD 12P
Page 31 of 49
HCPC/L-Code
A4570
A4570
A4570
A4570
L0172
L0172
L0172
A4570
A4570
L1906
L1906
L1906
L1906
L1906
L1906
L3807
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
A4570
A4570
L3908
L3908
L3908
L3908
L3908
L3908
A4570
A4570
A4570
A4570
A4570
A4570
A4570
Does this Product
contain Latex
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No.
08146631
08146632
08146641
08146642
08146651
08146661
08146662
08146663
08146711
08146721
08146722
08146731
08146810
08146811
08146820
08146821
08146830
08146831
08146840
08146841
08146850
08146851
08146860
08146861
08146870
08146871
08146880
08146881
08146882
08146911
08146921
08146931
08146941
08146951
08146961
08146981
08146982
08146983
08146985
08147000
08147001
08147002
08147003
08147004
08147005
08147006
08147007
08147008
08147010
08147011
08147012
08147013
08147014
08147015
Description
2.5"CURVED FINGER SPNT PAD 12P
2.5"CURVED FINGER SPNT UNPD 12
1.5"CURVED FINGER SLNT PAD 12P
1.5"CURVED FINGER SLNT UNPD 12
4.5"CURVED FINGER SPNT PAD 12P
BURNHAM FINGER SPLINT PADDED
BURNHAM THUMB SPLINT PADDED LT
BURNHAM THUMB SPLINT PADDED RT
HAND COCK-UP ADULT PADDED
HAND COCK-UP YOUTH PADDED
72" SIDE RELEASE WALKING BELT
HAND COCK-UP CHILD PADDED
FOREARM SPLINT ADULT N.PAD RT
FOREARM SPLINT ADULT PAD RT
FOREARM SPLINT ADULT N.PAD LT
FOREARM SPLINT ADULT PAD LT
FOREARM SPLINT YOUTH N.PAD RT
FOREARM SPLINT YOUTH PAD RT
FOREARM SPLINT YOUTH N.PAD LT
FOREARM SPLINT YOUTH PAD LT
FOREARM SPLINT CHILD N.PAD RT
FOREARM SPLINT CHILD PAD RT
FOREARM SPLINT CHILD N.PAD LT
FOREARM SPLINT CHILD PAD LT
FOREARM SPLINT INFANT N.PAD RT
FOREARM SPLINT INFANT PAD RT
FOREARM SPLINT INFANT N.PAD LT
FOREARM SPLINT INFANT PAD LT
WALKING BELT SIDE RELEASE 108
COLLES POST ADULT PAD. RT
COLLES POST ADULT PAD. LT
COLLES POST YOUTH PAD. RT
COLLES POST YOUTH PAD. LT
COLLES POST CHILD PAD. RT
COLLES POST CHILD PAD. LT
TIBIA-FIBULA ADULT THIGH
TIBIA-FIBULA YOUTH THIGH
TIBIA-FIBULA CHILD THIGH
TIBIA-FIBULA ADULT THIGH PAD.
ASPEN COLLAR INFANT SHORT
ASPEN COLLAR INFANT REG
ASPEN COLLAR CHILD TOT
ASPEN COLLAR CHILD SHORT
ASPEN COLLAR CHILD REG
ASPEN COLLAR ADULT SHORT
ASPEN COLLAR ADULT REG
ASPEN COLLAR ADULT TALL
ASPEN COLLAR ADULT X-TALL
ASPEN COLLAR W/PAD INFANT SHRT
ASPEN COLLAR W/PADS INFANT REG
ASPEN COLLAR W/PADS CHILD TOT
ASPEN COLLAR W/PADS CHILD SHRT
ASPEN COLLAR W/PADS CHILD REG
ASPEN COLLAR W/PADS ADULT SHRT
Page 32 of 49
HCPC/L-Code
A4570
A4570
A4570
A4570
A4570
A4570
A4570
A4570
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
A4750
A4570
A4570
L0174
L0174
L0174
L0174
L0174
L0174
L0174
L0174
L0174
L0174
L0174
L0174
L0174
L0174
L0174
Does this Product
contain Latex
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No.
08147016
08147017
08147018
08147033
08147034
08147035
08147036
08147037
08147039
08147040
08147045
08147046
08147047
08147060
08147072
08147074
08147075
08147080
08147101
08147102
08147103
08147104
08147105
08147106
08147111
08147112
08147113
08147114
08147115
08147116
08147132
08147133
08147142
08147143
08147144
08147145
08147152
08147153
08147154
08147155
08147162
08147163
08147164
08147165
08147172
08147173
08147174
08147175
08147202
08147203
08147204
08147232
08147233
08147234
Description
ASPEN COLLAR W/PADS ADULT REG
ASPEN COLLAR W/PAD ADULT TALL
ASPEN COLLAR W/PAD ADULT XTALL
ASPEN COLLAR PAD SET ONLY CHILD REG
ASPEN COLLAR PAD SET ONLY ADULT UNIV
ASPEN COLLAR BACK PAD ONLY SM ADULT
ASPEN COLLAR BACK PAD ONLY LG ADULT
ASPEN COLLAR BACK PANEL ONLY SM ADLT
ASPEN COLLAR BACK PANEL ONLY LG ADULT
BAND-IT TENNIS ELBOW SUPPORT
VISTA COLLAR UNIVERSAL
VISTA COLLAR UNIVERSAL W/PADS
VISTA COLLAR PAD SET ONLY UNIV
COMFOR FOAM TENNIS ELBOW UNIV
FINGER LINK SPLINT SM 10/PK
FINGER LINK SPLINT REG 10/PK
BICRO TENNIS ELBOW 6 PACK
BACK SPIN TENNIS ELBOW UNIV
NEOPRENE KNEE SLEEVE XS
NEOPRENE KNEE SLEEVE SM
NEOPRENE KNEE SLEEVE MD
NEOPRENE KNEE SLEEVE LG
NEOPRENE KNEE SLEEVE XL
NEOPRENE KNEE SLEEVE XXL
NEOPRENE KNEE SLEEVE W/CO XS
NEOPRENE KNEE SLEEVE W/CO SM
NEOPRENE KNEE SLEEVE W/CO MD
NEOPRENE KNEE SLEEVE W/CO LG
NEOPRENE KNEE SLEEVE W/CO XL
NEOPRENE KNEE SLEEVE W/CO XXL
TPC COLLAR W/TRACH INFANT
TPC COLLAR W/TRACH PEDIATRIC
TPC COLLAR W/TRACH 2.25" SM
TPC COLLAR W/TRACH 2.25" MD
TPC COLLAR W/TRACH 2.25" LG
TPC COLLAR W/TRACH 2.25" XL
TPC COLLAR W/TRACH 3.25" SM
TPC COLLAR W/TRACH 3.25" MD
TPC COLLAR W/TRACH 3.25" LG
TPC COLLAR W/TRACH 3.25" XL
TPC COLLAR W/TRACH 4.25" SM
TPC COLLAR W/TRACH 4.25" MD
TPC COLLAR W/TRACH 4.25" LG
TPC COLLAR W/TRACH 4.25" XL
TPC COLLAR W/TRACH 5.25" SM
TPC COLLAR W/TRACH 5.25" MD
TPC COLLAR W/TRACH 5.25" LG
TPC COLLAR W/TRACH 5.25" XL
ULNAR FRACTURE BRACE SM
ULNAR FRACTURE BRACE MD
ULNAR FRACTURE BRACE LG
THUMB/WRIST ORTHOSIS SM LT
THUMB/WRIST ORTHOSIS MD LT
THUMB/WRIST ORTHOSIS LG LT
Page 33 of 49
HCPC/L-Code
L0174
L0174
L0174
L3999
L0174
L0174
L0174
L3999
L3999
L3999
L2999
L2999
L2999
L2999
L2999
L2999
L2999
L2999
L2999
L2999
L2999
L2999
L0172
L0172
L0172
L0172
L0172
L0172
L0172
L0172
L0172
L0172
L0172
L0172
L0172
L0172
L0172
L0172
L0172
L0172
L3982
L3982
L3982
L3984
L3984
L3984
Does this Product
contain Latex
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No.
08147242
08147243
08147244
08147251
08147252
08147253
08147254
08147258
08147259
08147260
08147261
08147262
08147263
08147264
08147265
08147298
08147299
08147299
08147300
08147300
08147310
08147312
08147313
08147314
08147322
08147323
08147324
08147332
08147333
08147334
08147335
08147342
08147343
08147344
08147345
08147360
08147361
08147362
08147363
08147364
08147365
08147370
08147371
08147372
08147373
08147374
08147375
08147380
08147381
08147382
08147383
08147384
08147385
08147390
Description
THUMB/WRIST ORTHOSIS SM RT
THUMB/WRIST ORTHOSIS MD RT
THUMB/WRIST ORTHOSIS LG RT
HUMERAL FRACTURE BRACE SM
HUMERAL FRACTURE BRACE MD
HUMERAL FRACTURE BRACE LG
HUMERAL FRACTURE BRACE XL
L'TIMATE® KNEE WRAP 2XL
L'TIMATE® KNEE WRAP 3XL
L'TIMATE® UNIVERSAL KNEE WRAP
L'TIMATE® X-LG UNIV. KNEE WRAP
HUMERAL FRAC W/SHOULDER SM
HUMERAL FRAC W/SHOULDER MD
HUMERAL FRAC W/SHOULDER LG
HUMERAL FRAC W/SHOULDER XL
4.5" COMFOR TOT CAST BOOT OPEN
5.5" COMFOR TOT CAST BOOT OPEN
5.5" COMFOR TOT CAST BOOT OPEN
6 3/8"COMFOR TOT CAST BT OPEN
6 3/8"COMFOR TOT CAST BT OPEN
STOCKINETTE ONLY - WRIST HAND
WRIST HAND ORTHOSIS SM LT
WRIST HAND ORTHOSIS MD LT
WRIST HAND ORTHOSIS LG LT
WRIST HAND ORTHOSIS SM RT
WRIST HAND ORTHOSIS MD RT
WRIST HAND ORTHOSIS LG RT
HUMERAL FRACTURE BRACE SM LEFT
HUMERAL FRACTURE BRACE MD LEFT
HUMERAL FRACTURE BRACE LG LEFT
HUMERAL FRACTURE BRACE XL LEFT
HUMERAL FRAC.BRACE SM RIGHT
HUMERAL FRAC.BRACE MD RIGHT
HUMERAL FRAC.BRACE LG RIGHT
HUMERAL FRAC.BRACE XL RIGHT
PRIMO WRIST W/THUMB BLK XXS RT
PRIMO WRIST W/THUMB BLK XS RT
PRIMO WRIST W/THUMB BLK SM RT
PRIMO WRIST W/THUMB BLK MD RT
PRIMO WRIST W/THUMB BLK LG RT
PRIMO WRIST W/THUMB BLK XL RT
PRIMO WRIST W/THUMB BLK XXS LT
PRIMO WRIST W/THUMB BLK XS LT
PRIMO WRIST W/THUMB BLK SM LT
PRIMO WRIST W/THUMB BLK MD LT
PRIMO WRIST W/THUMB BLK LG LT
PRIMO WRIST W/THUMB BLK XL LT
PRIMO WRIST BRACE BLACK XXS RT
PRIMO WRIST BRACE BLACK XS RT
PRIMO WRIST BRACE BLACK SM RT
PRIMO WRIST BRACE BLACK MD RT
PRIMO WRIST BRACE BLACK LG RT
PRIMO WRIST BRACE BLACK XL RT
PRIMO WRIST BRACE BLACK XXS LT
Page 34 of 49
HCPC/L-Code
L3984
L3984
L3984
L3980
L3980
L3980
L3980
L2999
L2999
L2999
L2999
L3980
L3980
L3980
L3980
L3260
L3260
L3260
L3260
L3260
L3984
L3984
L3984
L3984
L3984
L3984
L3980
L3980
L3980
L3980
L3980
L3980
L3980
L3980
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
Does this Product
contain Latex
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No.
08147391
08147392
08147393
08147394
08147395
08147420
08147430
08147431
08147432
08147433
08147434
08147435
08147436
08147440
08147499
08147500
08147514
08147521
08147522
08147523
08147526
08147527
08147528
08147532
08147533
08147534
08147535
08147542
08147543
08147544
08147545
08147552
08147553
08147554
08147562
08147563
08147564
08147571
08147572
08147573
08147574
08147602
08147603
08147604
08147605
08147611
08147612
08147613
08147614
08147615
08147616
08147617
08147618
08147662
Description
PRIMO WRIST BRACE BLACK XS LT
PRIMO WRIST BRACE BLACK SM LT
PRIMO WRIST BRACE BLACK MD LT
PRIMO WRIST BRACE BLACK LG LT
PRIMO WRIST BRACE BLACK XL LT
VOLLEY TENNIS ELBOW UNIV.
VOLLEY TENNIS ELBOW UNIV. 6 PK
L'TIMATE® TENNIS ELBOW SUPP XS
L'TIMATE® TENNIS ELBOW SUPP SM
L'TIMATE® TENNIS ELBOW SUPP MD
L'TIMATE® TENNIS ELBOW SUPP LG
L'TIMATE® TENNIS ELBOW SUPP XL
L'TIMATE® TENNIS ELBOW SUPP XXL
ARMBAND TENNIS ELBOW UNIV.
WRISTLET W/ THUMB UNIVERSAL
AMBIDEX. WRIST W/THUMB ABDUCT.
12 1/2" LG PLASTIC GONIOMETER
TIBIA FRAC.FOOT COMPONENT SM L
TIBIA FRAC.FOOT COMPONENT MD L
TIBIA FRAC.FOOT COMPONENT LG L
TIBIA FRAC.FOOT COMPONENT SM R
TIBIA FRAC.FOOT COMPONENT MD R
TIBIA FRAC.FOOT COMPONENT LG R
TIBIA FRACTURE BRACE SM LT
TIBIA FRACTURE BRACE MD LT
TIBIA FRACTURE BRACE MD/EXT L
TIBIA FRACTURE BRACE LG LT
TIBIA FRACTURE BRACE SM RT
TIBIA FRACTURE BRACE MD RT
TIBIA FRACTURE BRACE MD/EXT R
TIBIA FRACTURE BRACE LG RT
SHORT TIBIA FRACTURE SM LT
SHORT TIBIA FRACTURE MD LT
SHORT TIBIA FRACTURE LG LT
SHORT TIBIA FRACTURE SM RT
SHORT TIBIA FRACTURE MD RT
SHORT TIBIA FRACTURE LG RT
PED. TIBIAL FRAC BRACE LT
PED. TIBIAL FRAC BRACE RT
YOUTH TIBIAL FRAC BRACE LT
YOUTH TIBIAL FRAC BRACE RT
NEOPRENE LUMBOSACRAL S/M
NEOPRENE LUMBOSACRAL M/L
NEOPRENE LUMBOSACRAL L/XL
NEOPRENE LUMBOSACRAL XL-2XL
EXTENSOR L.S.W/POCKET XS 24"-26"
EXTENSOR L.S.W/POCKET SM 26"-30"
EXTENSOR L.S.W/POCKET MD 30"-34"
EXTENSOR L.S.W/POCKET LG 34"-38"
EXTENSOR L.S.W/POCKET XL 38"-42"
EXTENSOR L.S.W/POCKET 2X 42"-46"
EXTENSOR L.S.W/POCKET 3X 46"-50"
EXTENSOR L.S.W/POCKET 4X 50"-54"
TRI-BACK SUPPORT W/GEL SM
Page 35 of 49
HCPC/L-Code
L3908
L3908
L3908
L3908
L3908
L3999
L3999
L3999
L3999
L3999
L3999
L3999
L3999
L3999
L3908
L3908
L1930
L1930
L1930
L1930
L1930
L1930
L2114
L2114
L2114
L2114
L2114
L2114
L2114
L2114
L2114
L2114
L2114
L2114
L2114
L2114
L2114
L2114
L2114
L2114
L0625
L0625
L0625
L0625
L0625
L0625
L0625
L0625
L0625
L0625
L0625
L0625
Does this Product
contain Latex
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No.
08147663
08147664
08147665
08147666
08147782
08147783
08147784
08147785
08147786
08147787
08147788
08147792
08147793
08147794
08147795
08147796
08147797
08147798
08147799
08148025
08148061
08148102
08148103
08148104
08148105
08148106
08148114
08148115
08148195
08148196
08148198
08148200
08148200
08148202
08148203
08148203
08148204
08148205
08148206
08148212
08148213
08148213
08148214
08148214
08148215
08148215
08148216
08148216
08148217
08148217
08148218
08148218
08148220
08148220
Description
TRI-BACK SUPPORT W/GEL MD
TRI-BACK SUPPORT W/GEL LG
TRI-BACK SUPPORT W/GEL XL
TRI-BACK SUPPORT W/GEL XXL
BICRO SKIN LUMBAR/PAD SM 28"-32"
BICRO SKIN LUMBAR/PAD MD 32"-34"
BICRO SKIN LUMBAR/PAD LG 34"-36"
BICRO SKIN LUMBAR/PAD XL 36"-38"
BICRO SKIN LUMBAR/PAD 2X 38"-42"
BICRO SKIN LUMBAR/PAD 3X 42"-46"
BICRO SKIN LUMBAR/PAD 4X 46"-50"
BICRO SKIN LUMBAR W/POCKET SM
BICRO SKIN LUMBAR W/POCKET MD
BICRO SKIN LUMBAR W/POCKET LG
BICRO SKIN LUMBAR W/POCKET XL
BICRO SKIN LUMBAR W/POCKET 2X
BICRO SKIN LUMBAR W/POCKET 3X
BICRO SKIN LUMBAR W/POCKET 4X
BICRO SKIN LUMBAR W/POCKET 5X
KODEL PADS FOR 0814 8024
ACCESSORIES FOR 8060 HIP ABD.
HIP SPICA ELASTIC 24-32" SM
HIP SPICA ELASTIC 30-38" MD
HIP SPICA ELASTIC 36-44" LG
HIP SPICA ELASTIC 42-50" XL
HIP SPICA ELASTIC 50-58" XXL
UTILITY GRIP 12/PK
ENDO-MATE TUBE HOLDER
COMFOR SHOULDER ABD.PILLOW UNV
SHOULD ABD PILLOW W/HARNESS SM
SHOULD ABD PILLOW W/HARNESS LG
CHAS CATH-MATE® STRAP,BOX OF 48
CHAS CATH-MATE® STRAP,BOX OF 48
HEAD AND CHIN STRAP
TELEMETRY POUCH 24/CS
TELEMETRY POUCH 24/CS
TELEMETRY POUCH SINGLE STRAP
TELEMETRY POUCH 50/CS
TELEMETRY POUCH CAROLINA BLUE
PCA POUCH W/POCKET 48/CS
CATH-MATE® II X-LONG STRAP 28"
CATH-MATE® II X-LONG STRAP 28"
CATH-MATE® II CATHETER STRAP
CATH-MATE® II CATHETER STRAP
TRACH-MATE® HOLDER ADULT 48/CS
TRACH-MATE® HOLDER ADULT 48/CS
TRACH-MATE® II STRAP ADLT 48/CS
TRACH-MATE® II STRAP ADLT 48/CS
TRACH-MATE® HOLDER INFANT 48/CS
TRACH-MATE® HOLDER INFANT 48/CS
TRACH-MATE® II STRAP INF. 48/CS
TRACH-MATE® II STRAP INF. 48/CS
PRODY BULB HOLDER 48/CS
PRODY BULB HOLDER 48/CS
Page 36 of 49
HCPC/L-Code
L0625
L0625
L0625
L0625
L0625
L0625
L0625
L0625
L0625
L0625
L0625
L0625
L0625
L0625
L0625
L1600
A7526
L3962
L3962
L3962
A4334
A4334
A4334
A4334
A4334
A4334
A7526
A7526
A7526
A7526
A7526
A7526
Does this Product
contain Latex
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No.
08148223
08148225
08148252
08148253
08148254
08148255
08148262
08148263
08148264
08148265
08148270
08148271
08148275
08148280
08148282
08148283
08148284
08148285
08148292
08148293
08148294
08148295
08148311
08148331
08148332
08148333
08148334
08148335
08148336
08148337
08148341
08148342
08148343
08148344
08148345
08148346
08148347
08148348
08148351
08148352
08148353
08148354
08148355
08148356
08148361
08148362
08148363
08148364
08148365
08148366
08148367
08148368
08148369
08148370
Description
APNEA HEAD & CHIN STRAP
TRENDELENBURG STRAP -NO BINDNG
B-COOL® SUPER SLING ONLY SM
B-COOL® SUPER SLING ONLY MD
B-COOL® SUPER SLING ONLY LG
B-COOL® SUPER SLING ONLY XL
B-COOL® SUPER SLING PLUS SM
B-COOL® SUPER SLING PLUS MD
B-COOL® SUPER SLING PLUS LG
B-COOL® SUPER SLING PLUS XL
SUPER SLING PLUS UNIVERSAL
SUPER ARM SLING UNIVERSAL
ABDUCTION WEDGE ONLY-SUPER SLG
B & C HAND THERAPY BALL W/LOGO
SUPER SLING PLUS SM
SUPER SLING PLUS MD
SUPER SLING PLUS LG
SUPER SLING PLUS XL
SUPER SLING SM
SUPER SLING MD
SUPER SLING LG
SUPER SLING XL
BICRO LUMBO ROLL W/STRAP REG
GENU-LITE ELASTIC KNEE BLK XS
GENU-LITE ELASTIC KNEE BLK SM
GENU-LITE ELASTIC KNEE BLK MD
GENU-LITE ELASTIC KNEE BLK LG
GENU-LITE ELASTIC KNEE BLK XL
GENU-LITE ELASTIC KNEE BLK XXL
GENU-LITE ELASTIC KNEE BLK 3X
UNIV.PATELLAR-LATERAL PULL XS
UNIV.PATELLAR-LATERAL PULL SM
UNIV.PATELLAR-LATERAL PULL MD
UNIV.PATELLAR-LATERAL PULL LG
UNIV.PATELLAR-LATERAL PULL XL
UNIV.PATELLAR-LATERAL PULL XXL
UNIV.PATELLAR-LATERAL PULL 3XL
UNIV.PATELLAR-LATERAL PULL 4XL
SILICONE ELASTIC ANKLE XS
SILICONE ELASTIC ANKLE SM
SILICONE ELASTIC ANKLE MD
SILICONE ELASTIC ANKLE LG
SILICONE ELASTIC ANKLE XL
SILICONE ELASTIC ANKLE XXL
GENU-LITE ELASTIC KNEE XS
GENU-LITE ELASTIC KNEE SM
GENU-LITE ELASTIC KNEE MD
GENU-LITE ELASTIC KNEE LG
GENU-LITE ELASTIC KNEE XL
GENU-LITE ELASTIC KNEE XXL
GENU-LITE ELASTIC KNEE 3X
GENU-LITE ELASTIC KNEE 4X
GENU-LITE ELASTIC KNEE 5X
TK THUMBKEEPER UNIV
Page 37 of 49
HCPC/L-Code
L3670
L3670
L3670
L3670
L3670
L3670
L3670
L3670
L3670
L3670
L3670
L3670
L3670
L3670
L3670
L3670
L3670
L3670
L3670
A9900
L2999
L2999
L2999
L2999
L2999
L2999
L2999
L2999
L2999
L2999
L2999
L2999
L2999
L2999
L2999
A4466
A4466
A4466
A4466
A4466
A4466
L2999
L2999
L2999
L2999
L2999
L2999
L2999
L2999
L2999
L3807
Does this Product
contain Latex
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
Yes
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
No
No
No
No
No
No.
08148372
08148373
08148375
08148392
08148393
08148395
08148402
08148403
08148405
08148411
08148412
08148441
08148442
08148443
08148444
08148445
08148446
08148447
08148448
08148509
08148511
08148512
08148513
08148514
08148515
08148521
08148522
08148523
08148524
08148525
08148552
08148553
08148554
08148555
08148562
08148563
08148564
08148565
08148711
08148715
08148801
08148801C
08148802
08148802C
08148803
08148803C
08148804
08148804C
08148805
08148805C
08148806
08148806C
08148807
08148807C
Description
TK PATELLAR STAB KNEE WRAP YTH
TK PATELLAR STAB KNEE WRAP REG
TK PATELLAR STAB KNEE WRAP XL
TK STABILIZING KNEE W/STRAP YO
TK STABILIZING KNEE W/STRAP RG
TK STABILIZING KNEE W/STRAP XL
ALPINE SLIDE 46X27
ALPINE SLIDE 46X46
LG SPORT BAG BLACK W/LOGO
BICRO LUMBO ROLL W/STRAP FIRM
1/2 LUMBO ROLL W/STRAP FIRM
HINGED KNEE W/ UNIV. LATERAL PULL XS
HINGED KNEE W/ UNIV. LATERAL PULL SM
HINGED KNEE W/ UNIV. LATERAL PULL MD
HINGED KNEE W/ UNIV. LATERAL PULL LG
HINGED KNEE W/ UNIV. LATERAL PULL XL
HINGED KNEE W/ UNIV. LATERAL PULL XXL
HINGED KNEE W/ UNIV. LATERAL PULL 3XL
HINGED KNEE W/ UNIV. LATERAL PULL 4XL
WESTPORT LACING WRIST XS LT
BICRO CERVICAL ROLL 20 X 3 1/2
WESTPORT LACING WRIST SM LT
WESTPORT LACING WRIST MD LT
WESTPORT LACING WRIST LG LT
WESTPORT LACING WRIST XL LT
WESTPORT LACING WRIST XS RT
WESTPORT LACING WRIST SM RT
WESTPORT LACING WRIST MD RT
WESTPORT LACING WRIST LG RT
WESTPORT LACING WRIST XL RT
WESTPORT LACING WRIST 9" SM LT
WESTPORT LACING WRIST 9" MD LT
WESTPORT LACING WRIST 9" LG LT
WESTPORT LACING WRIST 9" XL LT
WESTPORT LACING WRIST 9" SM RT
WESTPORT LACING WRIST 9" MD RT
WESTPORT LACING WRIST 9" LG RT
WESTPORT LACING WRIST 9" XL RT
COMFOR CERVICAL PILLOW
COMFOR CERVICAL PILLOW COVER
KELLEY CAST BOOT OPEN XS
KELLEY CAST BOOT OPEN XS 6/CS
KELLEY CAST BOOT OPEN SM
KELLEY CAST BOOT OPEN SM 6/CS
KELLEY CAST BOOT OPEN MD
CAST BOOT BLK CNVS OPEN MD 6/C
KELLEY CAST BOOT OPEN LG
CAST BOOT BLK CNVS OPEN LG 6/C
KELLEY CAST BOOT OPEN XL
CAST BOOT BLK CNVS OPEN XL 6/C
KELLEY CAST BOOT OPEN SM/MD
CAST BOOT BLK CNVS OPEN S/M6/C
KELLEY CAST BOOT OPEN MD/LG
CAST BOOT BLK CNVS OPEN M/L6/C
Page 38 of 49
HCPC/L-Code
L2999
L2999
L2999
L2999
L2999
L2999
A9900
A9900
L1810
L1810
L1810
L1810
L1810
L1810
L1810
L1810
L3908
E0190
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
E0190
E0190
L3260
L3260
L3260
L3260
L3260
L3260
L3260
L3260
L3260
L3260
L3260
L3260
L3260
L3260
Does this Product
contain Latex
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No.
08148811
08148812
08148813
08148814
08148815
08148821
08148822
08148823
08148824
08148825
08148861
08148862
08148863
08148864
08148865
08148866
08148867
08148881
08148882
08148883
08148901
08148902
08148903
08148904
08148905
08148906
08148907
08148907
08149019
08149020
08149022
08149023
08149024
08149026
08149027
08149028
08149042
08149043
08149044
08149046
08149047
08149048
08149052
08149053
08149054
08149056
08149090
08149091
08149092
08149093
08149094
08149095
08149096
08149097
Description
PORTLAND WRIST BRACE XS LT
PORTLAND WRIST BRACE SM LT
PORTLAND WRIST BRACE MD LT
PORTLAND WRIST BRACE LG LT
PORTLAND WRIST BRACE XL LT
PORTLAND WRIST BRACE XS RT
PORTLAND WRIST BRACE SM RT
PORTLAND WRIST BRACE MD RT
PORTLAND WRIST BRACE LG RT
PORTLAND WRIST BRACE XL RT
KELLEY CAST BOOT OPEN BAG XS
KELLEY CAST BOOT OPEN BAG SM
KELLEY CAST BOOT OPEN BAG MD
KELLEY CAST BOOT OPEN BAG LG
KELLEY CAST BOOT OPEN BAG XL
KELLEY CAST BOOT OPEN BG SM/MD
KELLEY CAST BOOT OPEN BG MD/LG
EXTENSOR LOW PROFILE CUSHION
COMFOR CARE BACK CUSHION
COMFOR BACK CUSHION W/BOARD
KELLEY CAST BOOT CLOSED XS
KELLEY CAST BOOT CLOSED SM
KELLEY CAST BOOT CLOSED MD
KELLEY CAST BOOT CLOSED LG
KELLEY CAST BOOT CLOSED XL
KELLEY CAST BOOT CLOSED SM/MD
KELLEY CAST BOOT CLOSED MD/LG
KELLEY CAST BOOT CLOSED MD/LG
1/2 X21X36" FELT CAST PADDING
1/4 X21X36" FELT CAST PADDING
2" STANDARD ELASTIC BANDAGE
3" STANDARD ELASTIC BANDAGE
4" STANDARD ELASTIC BANDAGE
6" STANDARD ELASTIC BANDAGE
ELASTIC BNDG DBL 4" NO LATEX
ELASTIC BNDG DBL 6" NO LATEX
ELASTIC BANDAGE DELUXE 2"10/BX
ELASTIC BANDAGE DELUXE 3"10/BX
ELASTIC BANDAGE DELUXE 4"10/BX
ELASTIC BANDAGE DELUXE 6"10/BX
4"DBL LENGTH BNDG -HOOK 10/BX
6" DBL LENGTH BNDG-HOOK 10/BX
ELASTIC BNDG 2"DELUXE-NO LATEX
ELASTIC BNDG 3"DELUXE-NO LATEX
ELASTIC BNDG 4"DELUXE-NO LATEX
ELASTIC BNDG 6"DELUXE-NO LATEX
FLEXIGRIP SIZE A SUPPORT BNDG
FLEXIGRIP SIZE B SUPPORT BNDG
FLEXIGRIP SIZE C SUPPORT BNDG
FLEXIGRIP SIZE D SUPPORT BNDG
FLEXIGRIP SIZE E SUPPORT BNDG
FLEXIGRIP SIZE F SUPPORT BNDG
FLEXIGRIP SIZE G SUPPORT BNDG
FLEXIGRIP SIZE J SUPPORT BNDG
Page 39 of 49
HCPC/L-Code
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3260
L3260
L3260
L3260
L3260
L3260
L3260
A9900
A9900
A9900
L3260
L3260
L3260
L3260
L3260
L3260
L3260
L3260
A6451
A6451
A6451
A6451
A6451
A6451
A6451
A6451
A6451
A6451
A6451
A6451
A6451
A6451
A6451
A6451
Does this Product
contain Latex
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No.
08149098
08149099
08149110
08149132
08149133
08149134
08149136
08149202
08149202
08149203
08149203
08149204
08149204
08149205
08149205
08149210
08149215
08149221
08149222
08149223
08149224
08149226
08149305
08149305
08149306
08149306
08149307
08149307
08149308
08149308
08149310
08149310
08149312
08149312
08149332
08149333
08149351
08149357
08149370
08149371
08149372
08149373
08149374
08149375
08149376
08149377
08149378
08149379
08149390
08149391
08149392
08149393
08149394
08149395
Description
FLEXIGRIP SIZE K SUPPORT BNDG
FLEXIGRIP SIZE L SUPPORT BNDG
PLASTER BUCKET
2" POLY-COTTON STOCKINETTE
3" POLY-COTTON STOCKINETTE
4" POLY-COTTON STOCKINETTE
6" POLY-COTTON STOCKINETTE
TERI-TREDS CHILD SM
TERI-TREDS CHILD SM
TERI-TREDS CHILD MD
TERI-TREDS CHILD MD
TERI-TREDS CHILD LG
TERI-TREDS CHILD LG
TERI-TREDS CHILD XL
TERI-TREDS CHILD XL
COMFOR PIN-SITE PADS 1" 30/BX
COMFOR PIN-SITE PADS 1.5"30/BX
1" POLYESTER STOCKINETTE 25 YD
2" POLYESTER STOCKINETTE 25 YD
3" POLYESTER STOCKINETTE 25 YD
4" POLYESTER STOCKINETTE 25 YD
6" POLYESTER STOCKINETTE 25 YD
TERI-TREDS ADULT 4-5 1/2
TERI-TREDS ADULT 4-5 1/2
TERI-TREDS ADULT 6-7
TERI-TREDS ADULT 6-7
TERI-TREDS ADULT 7 1/2-8 1/2
TERI-TREDS ADULT 7 1/2-8 1/2
TERI-TREDS ADULT 9-10
TERI-TREDS ADULT 9-10
TERI-TREDS ADULT 10 1/2-11 1/2
TERI-TREDS ADULT 10 1/2-11 1/2
TERI-TREDS ADULT 12-13 1/2
TERI-TREDS ADULT 12-13 1/2
SPIRIT-ELECT COLLAR PEDI UNIV.
SPIRIT-ELECT COLLAR ADULT UNIV
EAGAN EXTRICATION COLLAR INFNT
EAGAN EXTRICATION COLLAR UNIV.
MONTANA COLLAR W/PAD INFT SHRT
MONTANA COLLAR W/PAD INFT REG
MONTANA COLLAR W/PAD CHILD TOT
MONTANA COLLAR W/PAD CHILD SHT
MONTANA COLLAR W/PAD CHILD REG
MONTANA COLLAR W/PAD ADULT XSH
MONTANA COLLAR W/PAD ADULT SHT
MONTANA COLLAR W/PAD ADULT REG
MONTANA COLLAR W/PAD ADULT TLL
MONTANA COLLAR W/PAD ADULT XTL
MONTANA CERV COLLAR INFT SHORT
MONTANA CERV COLLAR INFT REG
MONTANA CERV COLLAR CHILD TOT
MONTANA CERV COLLAR CHILD SHT
MONTANA CERV COLLAR CHILD REG
MONTANA CERV COLLAR ADULT XSHT
Page 40 of 49
HCPC/L-Code
L3995
L3995
L3995
L3995
L3995
L3995
L3995
L3995
L3995
L0140
L0140
L0140
L0140
L0150
L0150
L0150
L0150
L0150
L0150
L0150
L0150
L0150
L0150
L0150
L0150
L0150
L0150
L0150
L0150
Does this Product
contain Latex
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No.
08149396
08149397
08149398
08149399
08149403
08149404
08149421
08149422
08149423
08149424
08149425
08149426
08149427
08149428
08149507
08149507
08149508
08149508
08149509
08149509
08149511
08149511
08149512
08149512
08149513
08149513
08149514
08149514
08149515
08149515
08149518
08149518
08149524
08149524
08149525
08149525
08149530
08149530
08149532
08149532
08149533
08149533
08149561
08149561
08149562
08149562
08149563
08149563
08149564
08149564
08149565
08149565
08149566
08149566
Description
MONTANA CERV COLLAR ADULT SHRT
MONTANA CERV COLLAR ADULT REG
MONTANA CERV COLLAR ADULT TALL
MONTANA CERV COLLAR ADULT XTLL
MONTANA PAD SET ONLY CHILD
MONTANA PAD SET ONLY ADULT
EAGAN II EXTRICATION COLLAR IN
EAGAN II EXTRICATION COLLAR PE
EAGAN II EXTRICATION COLLAR LO
EAGAN II EXTRICATION COLLAR SH
EAGAN II EXTRICATION COLLAR RE
EAGAN II EXTRICATION COLLAR TA
EAGAN II EXTRICATION PED. UNIV
EAGAN II EXTRICATION ADLT UNIV
COMFOR TOT NEWBORN WHITE
COMFOR TOT NEWBORN WHITE
COMFOR TOT NEWBORN BLUE
COMFOR TOT NEWBORN BLUE
COMFOR TOT NEWBORN PINK
COMFOR TOT NEWBORN PINK
COMFOR-TREDS® TODDLER
COMFOR-TREDS® TODDLER
COMFOR-TREDS® YOUTH
COMFOR-TREDS® YOUTH
COMFOR-TREDS® REG ADULT
COMFOR-TREDS® REG ADULT
COMFOR-TREDS® LARGE ADULT
COMFOR-TREDS® LARGE ADULT
COMFOR-TREDS® XL ADULT
COMFOR-TREDS® XL ADULT
OMNI-TRED II SLIPPER DBL.
OMNI-TRED II SLIPPER DBL.
DIAMOND-TREDS BLUE REG ADULT
DIAMOND-TREDS BLUE REG ADULT
DIAMOND-TREDS LG ADULT NAVY
DIAMOND-TREDS LG ADULT NAVY
COMFOR-TREDS® 2XL ADULT
COMFOR-TREDS® 2XL ADULT
BARI-TRED SLIPPER
BARI-TRED SLIPPER
BARI-TRED SLIPPER DUAL TRED
BARI-TRED SLIPPER DUAL TRED
DUAL-TRED SLIPPER TODDLER
DUAL-TRED SLIPPER TODDLER
DUAL-TRED SLIPPER YOUTH
DUAL-TRED SLIPPER YOUTH
DUAL-TRED SLIPPER ADULT
DUAL-TRED SLIPPER ADULT
DUAL-TRED SLIPPER LG ADULT
DUAL-TRED SLIPPER LG ADULT
DUAL-TRED SLIPPER XL ADULT
DUAL-TRED SLIPPER XL ADULT
DUAL-TRED SLIPPER 2XL ADULT
DUAL-TRED SLIPPER 2XL ADULT
Page 41 of 49
HCPC/L-Code
L0150
L0150
L0150
L0150
L0140
L0140
L0140
L0140
L0140
L0140
L0140
L0140
Does this Product
contain Latex
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No.
08149573
08149573
08149574
08149574
08149575
08149575
08149581
08149581
08149582
08149582
08149583
08149583
08149584
08149584
08149585
08149585
08149586
08149586
08149588
08149588
08149592
08149597
08149597
08149598
08149602
08149603
08149604
08149605
08149623
08149623
08149700
08149701
08149702
08149703
08149704
08149705
08149902
08149903
08149904
08149905
08149922
08149933
08149944
08149962
08149966
10009305
10009306
10009307
10009308
10009310
10009312
11241500
11241501
11241502
Description
AMERI-TRED SLIPPER ADULT
AMERI-TRED SLIPPER ADULT
AMERI-TRED SLIPPER LG ADULT
AMERI-TRED SLIPPER LG ADULT
AMERI-TRED SLIPPER XLG ADULT
AMERI-TRED SLIPPER XLG ADULT
DUAL-TREDS * RED* TODDLER
DUAL-TREDS * RED* TODDLER
DUAL-TREDS * RED* CHILD
DUAL-TREDS * RED* CHILD
DUAL-TREDS * RED* ADULT
DUAL-TREDS * RED* ADULT
DUAL-TREDS *RED* LG ADULT
DUAL-TREDS *RED* LG ADULT
DUAL-TREDS *RED* XL ADULT
DUAL-TREDS *RED* XL ADULT
DUAL-TREDS *RED* 2XL ADULT
DUAL-TREDS *RED* 2XL ADULT
OMNI-TRED *RED* 2 SIDED
OMNI-TRED *RED* 2 SIDED
DUAL-TRED SLPR YTH YELLOW 48/C
DUAL-TRED SLPR 2XL YELLOW 48/C
DUAL-TRED SLPR 2XL YELLOW 48/C
OMNI-TRED II DBL YELLOW 48/CS
SERP CERV COLLAR SOFT DENS SM
SERP CERV COLLAR SOFT DENS MD
SERP CERV COLLAR SOFT DENS LG
SERP CERV COLLAR SOFT DENS XL
THRIF-T-TREDS UNIV BLUE
THRIF-T-TREDS UNIV BLUE
SERP CERV COLLAR MED DENS XSM
SERP CERV COLLAR MED DENS PED
SERP CERV COLLAR MED DENS SM
SERP CERV COLLAR MED DENS MD
SERP CERV COLLAR MED DENS LG
SERP CERV COLLAR MED DENS XL
SERP CERV COLLAR FIRM DENS SM
SERP CERV COLLAR FIRM DENS MD
SERP CERV COLLAR FIRM DENS LG
SERP CERV COLLAR FIRM DENS XL
SYNTHETIC CAST PADDING 2"
SYNTHETIC CAST PADDING 3"
SYNTHETIC CAST PADDING 4"
SPRINT® THERAPY DVD
SYNTHETIC CAST PADDING 6"
ASSTD TERI-TRED ADL 4-5.5 48/C
ASSTD TERI-TRED ADL 6-7 48/CS
ASST TERI-TRED ADL 7.5-8.5 48C
ASSTD TERI-TRED ADL 9-10 48/CS
ASSTD TERI-TRED 10.5-11.5 48/C
ASSTD TERI-TRED 12-13.5 48/CS
CAMBION INSOLES SZ A
CAMBION INSOLES SZ B
CAMBION INSOLES SZ C
HCPC/L-Code
L0120
L0120
L0120
L0120
L0120
L0120
L0120
L0120
L0120
L0120
L0120
L0120
L0120
L0120
L3040
L3040
L3040
Page 42 of 49
Does this Product
contain Latex
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No.
11241503
11241504
11241510
11241511
11241512
11241513
11241520
11241521
11241522
11241523
11241530
11241531
11241532
11241533
11241540
11241541
11241542
11241543
11241544
11241545
11241546
11241547
11241570
11241571
11241572
11241573
30200020
30200022
30200023
30200025
30200030
30200035
30200036
30200050
30200060
30201001
30201002
30201003
30201004
30202002
30202003
30202004
30203002
30203003
30203004
30204000
30204001
30205002
30205003
30205004
30206002
30206003
30206004
30207000
Description
CAMBION INSOLES SZ D
CAMBION INSOLES SZ E
CAMBION HEEL PADS SZ A
CAMBION HEEL PADS SZ B
CAMBION HEEL PADS SZ C
CAMBION HEEL PADS SZ D
CAMBION HEEL SPUR CUSHION SZ A
CAMBION HEEL SPUR CUSHION SZ B
CAMBION HEEL SPUR CUSHION SZ C
CAMBION HEEL SPUR CUSHION SZ D
CAMBION FOOTBEDS SZ A
CAMBION FOOTBEDS SZ B
CAMBION FOOTBEDS SZ C
CAMBION FOOTBEDS SZ D
CAMBION 1/8" HEEL WEDGE SZ SM
CAMBION 1/8" HEEL WEDGE SZ LG
CAMBION 1/4" HEEL WEDGE SZ SM
CAMBION 1/4" HEEL WEDGE SZ LG
CAMBION LONGITUDINAL ARCH SM
CAMBION LONGITUDINAL ARCH LG
CAMBION METATARSAL PADS SZ SM
CAMBION METATARSAL PADS SZ LG
CAMBION HEEL CUSHIONS SZ A
CAMBION HEEL CUSHIONS SZ B
CAMBION HEEL CUSHIONS SZ C
CAMBION HEEL CUSHIONS SZ D
3/4 LENGTH HEEL LIFT 3"
3/4 HEEL LIFT 2 1/2" X 7/16"
3/4 HEEL LIFT 2 1/2" X 3/8"
2.5" MEDIAL/LATERAL HEEL WEDGE
3" MEDIAL/LATERAL HEEL PADS
3/4 MEDIAL/LAT. HEEL WEDGE 3"
3/4 MEDIAL/LAT.HEEL WEDGE 2.5
HAPAD HEEL GRIPS
HAPAD TONGUE CUSHION MEN'S
HAPAD METR.LONG. ARCH PAD XS
HAPAD META.LONG.ARCH PAD SM
HAPAD META.LONG. ARCH PAD MED
HAPAD META.LONG.ARCH PAD LG
HAPAD METATARSAL PAD 1/4" SM
HAPAD METATARSAL PAD 5/16" MD
HAPAD METATARSAL PAD 3/8" LG
HAPAD METATARSAL BARS 5/16" SM
HAPAD METATARSAL BARS 5/16" MD
HAPAD METATARSAL BARS 5/16" LG
HAPAD METATARSAL COOKIES MENS
HAPAD METATARSAL COOKIES WOM.
HAPAD SCAPHOID PADS 5/16" SM
HAPAD SCAPHOID PADS 5/16" MD
HAPAD SCAPHOID PADS 5/16" LG
HAPAD HORSESHOE HEEL PAD SM
HAPAD HORSESHOE HEEL PAD MD
HAPAD HORSESHOE HEEL PAD LG
HAPAD DANCER PADS MEN 5/16"
Page 43 of 49
HCPC/L-Code
L3040
L3040
L3485
L3485
L3485
L3485
L3485
L3485
L3485
L3485
L3040
L3040
L3040
L3040
L3080
L3080
L3080
L3080
L3080
L3080
L3080
L3080
L3332
L3332
L3332
L3332
L3485
L3485
L3485
L3485
L3485
L3485
L3485
L3080
L3080
L3060
L3060
L3060
L3060
L3050
L3050
L3050
L3400
L3400
L3400
L3080
L3080
L3010
L3010
L3010
L3485
L3485
L3485
L3080
Does this Product
contain Latex
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
No
Yes
Yes
No
No
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
No.
30207001
30208001
30208002
30208003
30208004
30208005
30208006
30208007
30208008
30208009
30208010
34490050
34491000
34491100
34491200
34491201
34491202
34491250
34491300
34491400
34491500
34491950
34492000
34492100
34492200
34492205
34492210
34492250
34492300
34492400
34492500
34493200
34493250
34493300
34493350
34494000
34494005
34494010
34494015
34494020
34494250
34494255
34494300
34495200
34495225
34495250
34495300
34495500
34499000
41880150L
48456032
48456033
48456034
48456042
Description
HAPAD DANCER PADS WOM 5/16"
HEEL LIFT 2 1/2" x 9/16"
HEEL LIFT 2 1/2" x 1/2"
HEEL LIFT 2 1/2" x 7/16"
HEEL LIFT 2 1/2" x 5/16"
HEEL LIFT 2 1/2" x 3/16"
HEEL LIFT 2" x 9/16"
HEEL LIFT 2" x 1/2"
HEEL LIFT 2" x 7/16"
HEEL LIFT 2" x 5/16"
HEEL LIFT 2" x 3/16"
MIAMI J COLLAR JUNIOR 0-6 MOS.
MIAMI J COLLAR JUNIOR 0-2 YRS
MIAMI J COLLAR JUNIOR 2-6 YRS
MIAMI J COLLAR YOUTH 6-12 YRS
MIAMI J COLLAR MJ-200L STOUT
MIAMI J COLLAR MJ-200S S.SHORT
MIAMI J COLLAR MJ-250 XSMALL
MIAMI J COLLAR MJ-300 SHORT
MIAMI J COLLAR MJ-400 REGULAR
MIAMI J COLLAR MJ-500 TALL
MIAMI J COLLAR W/PAD JR 0-6 MO
MIAMI J COLLAR W/PAD JR 0-2YRS
MIAMI J COLLAR W/PAD JR 2-6YRS
MIAMI J COLLAR W/PAD 6-12 YRS
MIAMI J COLLAR W/PAD S.SHORT
MIAMI J COLLAR W/PAD STOUT
MIAMI J COLLAR W/PAD XSM
MIAMI J COLLAR W/PAD SHORT
MIAMI J COLLAR W/PAD REGULAR
MIAMI J COLLAR W/PAD TALL
MIAMI J PAD ONLY MJP-P3 PED
MIAMI J PAD ONLY MJP-250 XSM
MIAMI J PAD ONLY MJP-100 STND.
MIAMI J PAD ONLY MJP-200 STOUT
MIAMI J SUPINE BACK UNIV.
MIAMI J PAD ONLY MJP-P0 PED
MIAMI J PAD ONLY MJP-P1 PED
MIAMI J PAD ONLY MJP-P2 PED
MIAMI J PAD ONLY MJP-P3 PED
MIAMI J FRONT ONLY X-SMALL
MIAMI J FRONT ONLY SMALL
MIAMI J FRONT ONLY MED
MIAMI J BACK ONLY STOUT
MIAMI J BACK ONLY XS
MIAMI J BACK ONLY SUPER SHORT
MIAMI J BACK ONLY SMALL
MIAMI J BACK ONLY LARGE
MIAMI J THORACIC EXTENSION
LOANER CAST CUTTER AND VACUUM
HALLUX VALGUS SPLINT SM LT
HALLUX VALGUS SPLINT MD LT
HALLUX VALGUS SPLINT LG LT
HALLUX VALGUS SPLINT SM RT
Page 44 of 49
HCPC/L-Code
L3080
L3485
L3485
L3485
L3485
L3485
L3485
L3485
L3485
L3485
L3485
L0174
L0174
L0174
L0174
L0174
L0174
L0174
L0174
L0174
L0174
L0174
L0174
L0174
L0174
L0174
L0174
L0174
L0174
L0174
L0174
L0174
L0174
L0174
L0174
L0174
L0174
L0174
L0174
L0174
L3100
L3100
L3100
Does this Product
contain Latex
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No.
48456043
48456044
48458032
48458033
48458034
48458035
48458122
48458123
48458124
48458132
48458133
48458134
48458140
48458152
48458153
48458154
48458155
48458157
48458162
48458163
48458164
50000019
50000121
50000122
50000123
50000124
50000125
50000126
50000140
50000191
50000192
50000193
50000194
50000195
50000222
50000223
50000224
50000345
50000362
50000372
50000380
50000424
50000445
50000505
50000582
50000583
50000584
50000612
50000622
50000623
50000624
50000652
50000653
50000654
Description
HALLUX VALGUS SPLINT MD RT
HALLUX VALGUS SPLINT LG RT
TOE SEPARATOR SM 12/PK
TOE SEPARATOR MD 12/PK
TOE SEPARATOR LG 12/PK
TOE SEPARATOR XL
12/PK
TOE SPREADER SM 12/PK
TOE SPREADER MD 12/PK
TOE SPREADER LG 12/PK
TOE CAPS SM 3/PK
TOE CAPS MD 3/PK
TOE CAPS LG 3/PK
VISCO-GEL TOE PROTECTOR 8/PK
TOE CREST PAD SM LT 3/PK
TOE CREST PAD MD LT 3/PK
TOE CREST PAD LG LT 3/PK
BUDIN SPLINT UNIV ONE TOE
BUDIN SPLINT UNIV TWO TOES
TOE CREST PAD SM RT 3/PK
TOE CREST PAD MD RT 3/PK
TOE CREST PAD LG RT 3/PK
ARM SLING-UNIV W/VELFOAM STRAP
SPORT-TRAC KNEE STRAP XS
SPORT-TRAC KNEE STRAP SM
SPORT-TRAC KNEE STRAP MD
SPORT-TRAC KNEE STRAP LG
SPORT-TRAC KNEE STRAP XL
SPORT-TRAC KNEE STRAP XXL
GENU-TRAC KNEE STRAP UNIV.
VELPEAU IMMOBILIZER XS
VELPEAU IMMOBILIZER SM
VELPEAU IMMOBILIZER MD
VELPEAU IMMOBILIZER LG
VELPEAU IMMOBILIZER XL
SPRINT® ANKLE W/GERMAN INST.SM
SPRINT® ANKLE W/GERMAN INST.TRN
SPRINT® ANKLE W/GERMAN INST.REG
ABDOMINAL BINDER - 9"/ TO 45"
ABDOMINAL BINDER - 9"/ 46-62IN
ABDOMINAL BINDER - 9" / 55-72"
CERVICAL COLLAR - UNIVERSAL
CRADLES HEEL & ELBOW PROTECTOR
ABDOMINAL BINDER - 12"/ 30- 45"
8" WRIST-MATE BRACE 2PC UNIV
ANKLE - BICRO-LITE SM
ANKLE - BICRO-LITE REG
ANKLE - BICRO-LITE TRN
6X10" HOT/COLD PACK 2 EA/PK
ANKLE - SPRINT® BLUE SM
ANKLE - SPRINT® BLUE TRN
ANKLE - SPRINT® BLUE REG
ANKLE - SPRINT® GREEN SM
ANKLE - SPRINT® GREEN TRN
ANKLE - SPRINT® GREEN REG
Page 45 of 49
HCPC/L-Code
L3649
L3649
L3649
L3649
L3649
L3649
L3649
L3649
L3649
L3649
L3649
L3649
L3649
L3649
L3649
L3649
L3649
L3649
L3649
A4565
L8499
L8499
L8499
L8499
L8499
L8499
L2999
L3670
L3670
L3670
L3670
L3670
L4350
L4350
L4350
L0625
L0625
L0625
L0120
E0191
L0625
L3908
L4350
L4350
L4350
E0230
L4350
L4350
L4350
L4350
L4350
L4350
Does this Product
contain Latex
No
No
No
No
No
No
Yes
Yes
Yes
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No.
50000702
50000703
50000704
50000962
50000963
50000964
50000972
50000973
50000974
50001230
50001231
50001232
50001233
50001234
50001235
50001386
50001387
50002231
50002232
50002233
50002234
50002235
50002236
50002250
50002251
50002252
50002253
50002254
50002255
50002256
50002257
50002572
50002573
50002574
50002575
50002972
50002973
50002974
50002975
50002976
50002977
50003032
50003033
50003034
50003035
50003036
50003037
50003042
50003043
50003044
50003045
50003046
50003047
50003240
Description
ANKLE - X-CEL SM
ANKLE - X-CEL TRN
ANKLE - X-CEL REG
HEEL- SOFT LINE CENTRAL I
HEEL- SOFT LINE CENTRAL II
HEEL- SOFT LINE CENTRAL III
HEEL - SOFT LINE LATERAL I
HEEL - SOFT LINE LATERAL II
HEEL - SOFT LINE LATERAL III
COMFOR CLAVICLE W/HOOK & LOOP XXX
COMFOR CLAVICLE W/HOOK & LOOP XS
COMFOR CLAVICLE W/HOOK & LOOP SM
COMFOR CLAVICLE W/HOOK & LOOP MD
COMFOR CLAVICLE W/HOOK & LOOP LG
COMFOR CLAVICLE W/HOOK & LOOP XL
RIB BELT 2-PANEL 24-60" STRGHT
RIB BELT 2-PANEL 24-60"CONTOUR
ANKLE - F8® W/STRAP XS
ANKLE - F8® W/STRAP SM
ANKLE - F8® W/STRAP MD
ANKLE - F8® W/STRAP LG
ANKLE - F8® W/STRAP XL
ANKLE - F8® W/STRAP 2X
F8® X ANKLE SUPPORT XXS
F8® X ANKLE SUPPORT XS
F8® X ANKLE SUPPORT SM
F8® X ANKLE SUPPORT MD
F8® X ANKLE SUPPORT LG
F8® X ANKLE SUPPORT XL
F8® X ANKLE SUPPORT 2XL
F8® X ANKLE SUPPORT 3XL
MATERNITY MATE LUMBOSACRAL SM
MATERNITY MATE LUMBOSACRAL MD
MATERNITY MATE LUMBOSACRAL LG
MATERNITY MATE LUMBOSACRAL XL
REVERE LUMBOSACRAL SM
REVERE LUMBOSACRAL MD
REVERE LUMBOSACRAL LG
REVERE LUMBOSACRAL XL
REVERE LUMBOSACRAL 2X
REVERE LUMBOSACRAL 3X
LIFTING BELT W/DETACH STRAP SM
LIFTING BELT W/DETACH STRAP MD
LIFTING BELT W/DETACH STRAP LG
LIFTING BELT W/DETACH STRAP XL
LIFTING BELT W/DETACH STRAP 2X
LIFTING BELT W/DETACH STRAP 3X
UPPER BACK SUPPORT 24-26" SM
UPPER BACK SUPPORT 27-29" MD
UPPER BACK SUPPORT 30-32" LG
UPPER BACK SUPPORT 33-35" XL
UPPER BACK SUPPORT 36-38" 2X
UPPER BACK SUPPORT 39-41" 3X
POST-OP SHOE DLX.2 PEDIATRIC
Page 46 of 49
HCPC/L-Code
L4350
L4350
L4350
L3480
L3480
L3480
L3480
L3480
L3480
L3650
L3650
L3650
L3650
L3650
L3650
L1906
L1906
L1906
L1906
L1906
L1906
L1902
L1902
L1902
L1902
L1902
L1902
L1902
L1902
L0628
L0628
L0628
L0628
L0625
L0625
L0625
L0625
L0625
L0625
L0625
L0625
L0625
L0625
L0625
L0625
L3650
L3650
L3650
L3650
L3650
L3650
L3260
Does this Product
contain Latex
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
Yes
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
No
No
No.
50003242
50003243
50003244
50003252
50003253
50003254
50003255
50003260
50003262
50003263
50003264
50003272
50003273
50003274
50003275
50003380
50003394
50003396
50003402
50003403
50003405
50003406
50003407
50004020
50004021
50004030
50004031
50004240
50004241
50004380
50004381
50004382
50004383
50004384
50004385
50004390
50004391
50004392
50004393
50004394
50004395
50004551
50004552
50004553
50004554
50004555
50004561
50004562
50004563
50004564
50004565
50004620
50004711
50004712
Description
POST-OP SHOE DLX.2 FEMALE SM
POST-OP SHOE DLX.2 FEMALE MD
POST-OP SHOE DLX.2 FEMALE LG
POST-OP SHOE DLX.2 MALE SM
POST-OP SHOE DLX.2 MALE MD
POST-OP SHOE DLX.2 MALE LG
POST-OP SHOE DLX.2 MALE XL
POST-OP SHOE DLX.1 PEDIATRIC
POST-OP SHOE DLX.1 FEMALE SM
POST-OP SHOE DLX.1 FEMALE MD
POST-OP SHOE DLX.1 FEMALE LG
POST-OP SHOE DLX.1 MALE SM
POST-OP SHOE DLX.1 MALE MD
POST-OP SHOE DLX.1 MALE LG
POST-OP SHOE DLX.1 MALE XL
COLD THERAPY LUMBAR WRAP
B-COOL® CRYO WRAP 24" W/2 PACKS
B-COOL® CRYO WRAP 48" W/2 PACKS
X-ACTION ELASTIC KNEE SUPP. SM
X-ACTION ELASTIC KNEE SUPP. MD
X-ACTION ELASTIC KNEE SUPP. LG
X-ACTION ELASTIC KNEE SUPP. XL
X-ACTION ELASTIC KNEE SUPP. XXL
U2 WRIST UNIV. RIGHT
U2 WRIST UNIV. LEFT
U2 WRIST W/THUMB UNIV. RT
U2 WRIST W/THUMB UNIV. LT
RX8 UNIV WRIST BRACE RT
RX8 UNIV WRIST BRACE LT
WRIST - PREMIER XXS RT
WRIST - PREMIER XS RT
WRIST - PREMIER SM RT
WRIST - PREMIER MD RT
WRIST - PREMIER LG RT
WRIST - PREMIER XL RT
WRIST - PREMIER XXS LT
WRIST - PREMIER XS LT
WRIST - PREMIER SM LT
WRIST - PREMIER MD LT
WRIST - PREMIER LG LT
WRIST - PREMIER XL LT
WRIST W/THUMB - PREMIER XS LT
WRIST W/THUMB - PREMIER SM LT
WRIST W/THUMB - PREMIER MD LT
WRIST W/THUMB - PREMIER LG LT
WRIST W/THUMB - PREMIER XL LT
WRIST W/THUMB - PREMIER XS RT
WRIST W/THUMB - PREMIER SM RT
WRIST W/THUMB - PREMIER MD RT
WRIST W/THUMB - PREMIER LG RT
WRIST W/THUMB - PREMIER XL RT
ABDOMINAL BINDER - 12"/ 46-62"
WRIST - FRAZER XS LT
WRIST - FRAZER SM LT
Page 47 of 49
HCPC/L-Code
L3260
L3260
L3260
L3260
L3260
L3260
L3260
L3260
L3260
L3260
L3260
L3260
L3260
L3260
L3260
E0230
L2999
L2999
L2999
L2999
L2999
L3908
L3908
L3807
L3807
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L0625
L3908
L3908
Does this Product
contain Latex
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No.
50004713
50004714
50004715
50004716
50004720
50004721
50004722
50004723
50004724
50004725
50004726
50004730
50004731
50004762
50004763
50004764
50004772
50004773
50004774
50004802
50004803
50004804
50004805
50004806
50005541
50005542
50005543
50005544
50005545
50005551
50005552
50005553
50005554
50005555
50005612
50005613
50005614
50005615
50005616
50005617
50005618
50006091
50006092
50006093
50006094
50006095
50006096
50006097
50007060
50007260
50007261
50007420
50007425
50007426
Description
WRIST - FRAZER MD LT
WRIST - FRAZER LG LT
WRIST - FRAZER XL LT
WRIST - FRAZER 2X LT
ABDOMINAL BINDER - 12"/ 55-72"
WRIST - FRAZER XS RT
WRIST - FRAZER SM RT
WRIST - FRAZER MD RT
WRIST - FRAZER LG RT
WRIST - FRAZER XL RT
WRIST - FRAZER 2X RT
UNIVERSAL WRIST 7 1/4" RIGHT
UNIVERSAL WRIST 7 1/4" LEFT
PLANTAR FASCIITIS WRAP SM
PLANTAR FASCIITIS WRAP MD
PLANTAR FASCIITIS WRAP LG/XL
P.F.S. STRETCH NIGHT SPLINT SM
P.F.S. STRETCH NIGHT SPLINT MD
P.F.S. STRETCH NIGHT SPLINT LG
BAKER NIGHT SPLINT SM
BAKER NIGHT SPLINT MD
BAKER NIGHT SPLINT LG
BAKER NIGHT SPLINT XL
BAKER NIGHT SPLINT 2XL
WRIST - CINDY® XS LT
WRIST - CINDY® SM LT
WRIST - CINDY® MD LT
WRIST - CINDY® LG LT
WRIST - CINDY® XL LT
WRIST - CINDY® XS RT
WRIST - CINDY® SM RT
WRIST - CINDY® MD RT
WRIST - CINDY® LG RT
WRIST - CINDY® XL RT
KNEE - NEOPRENE SM
KNEE - SLEEVE MD
KNEE - SLEEVE LG
KNEE - NEOPRENE XL
KNEE - SLEEVE 2X
KNEE - SLEEVE 3X
KNEE - SLEEVE 4X
ANTERIOR CLOSURE HNGD KNEE XS
ANTERIOR CLOSURE HNGD KNEE SM
ANTERIOR CLOSURE HNGD KNEE MD
ANTERIOR CLOSURE HNGD KNEE LG
ANTERIOR CLOSURE HNGD KNEE XL
ANTERIOR CLOSURE HNGD KNEE 2XL
ANTERIOR CLOSURE HNGD KNEE 3XL
COMFOR FOAM TENNIS ELBOW UNIV
L'TIMATE® UNIVERSAL KNEE WRAP
L'TIMATE® X-LARGE KNEE WRAP
TENNIS ELBOW - UNIVERSAL
TGA-TENNIS ELBOW GEL/AIR REG
TGA-TENNIS ELBOW GEL/AIR XLONG
Page 48 of 49
HCPC/L-Code
L3908
L3908
L3908
L3908
L0625
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L1902
L1902
L1902
L1930
L1930
L1930
L1930
L1930
L1930
L1930
L1930
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L2999
L2999
L2999
L2999
L2999
L2999
L2999
L3999
L1820
L1820
L3999
L3999
L3999
Does this Product
contain Latex
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No.
50008341
50008342
50008343
50008344
50008345
50008346
50008347
50008348
50008361
50008362
50008363
50008364
50008365
50008366
50008367
50008368
50008369
50008509
50008512
50008513
50008514
50008515
50008521
50008522
50008523
50008524
50008525
57383252
57383253
57383254
57383255
68351005
69502004
MK0015
MK0279
MK0282
MK0284
MK0285
MK0286
MK4240
MK4241
MK5612
MK5613
MK5614
MK5615
MK5616
MK5617
MK5618
MK7425
MK7426
Description
UNIV.PATELLAR-LATERAL PULL XS
UNIV.PATELLAR-LATERAL PULL SM
UNIV.PATELLAR-LATERAL PULL MD
UNIV.PATELLAR-LATERAL PULL LG
UNIV.PATELLAR-LATERAL PULL XL
UNIV.PATELLAR-LATERAL PULL XXL
UNIV.PATELLAR-LATERAL PULL 3XL
UNIV.PATELLAR-LATERAL PULL 4XL
GENU-LITE ELASTIC KNEE XS
GENU-LITE ELASTIC KNEE SM
GENU-LITE ELASTIC KNEE MD
GENU-LITE ELASTIC KNEE LG
GENU-LITE ELASTIC KNEE XL
GENU-LITE ELASTIC KNEE 2XL
GENU-LITE ELASTIC KNEE 3XL
GENU-LITE ELASTIC KNEE 4XL
GENU-LITE ELASTIC KNEE 5XL
WRIST - WESTPORT XS LT
WRIST - WESTPORT SM LT
WRIST - WESTPORT MD LT
WRIST - WESTPORT LG LT
WRIST - WESTPORT XL LT
WRIST - WESTPORT XS RT
WRIST - WESTPORT SM RT
WRIST - WESTPORT MD RT
WRIST - WESTPORT LG RT
WRIST - WESTPORT XL RT
DOUBLE STRAP ANKLE SUPPORT SM
DOUBLE STRAP ANKLE SUPPORT MD
DOUBLE STRAP ANKLE SUPPORT LG
DOUBLE STRAP ANKLE SUPPORT XL
WHEATON PAVLIK HARNESS X-LG
UNIVERSAL REHAB ELBOW BRACE
SPORTSMAN'S CHOICE UNIV ARM SLING
ANKLIZER® II SPORTSMAN'S® CHOICE XS
ANKLIZER® II SPORTSMAN'S® CHOICE SM
ANKLIZER® II SPORTSMAN'S® CHOICE MD
ANKLIZER® II SPORTSMAN'S® CHOICE LG
ANKLIZER® II SPORTSMAN'S® CHOICE XL
SPORTSMAN'S® CHOICE RX8 WRIST BRACE RT
SPORTSMAN'S® CHOICE RX8 WRIST BRACE LT
SPORTSMAN'S® CHOICE KNEE SLEEVE W/CO S
SPORTSMAN'S® CHOICE KNEE SLEEVE W/CO M
SPORTSMAN'S® CHOICE KNEE SLEEVE W/CO L
SPORTSMAN'S® CHOICE KNEE SLVE W/CO XL
SPORTSMAN'S® CHOICE KNEE SLVE W/CO XXL
SPORTSMAN'S® CHOICE KNEE SLVE W/CO 3XL
SPORTSMAN'S® CHOICE KNEE SLVE W/CO 4XL
SPORTSMAN'S® CHOICE ELBOW UNIV.
SPORTSMAN'S® CHOICE ELBOW XLONG
Page 49 of 49
HCPC/L-Code
L1820
L1820
L1820
L1820
L1820
L1820
L1820
L1820
L2999
L2999
L2999
L2999
L2999
L2999
L2999
L2999
L2999
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L3908
L1902
L1902
L1902
L1902
L1620
L3760
A4565
L4386
L4386
L4386
L4386
L4386
L-3914
L-3914
L2999
L2999
L2999
L2999
L2999
L2999
L2999
L3999
L3999
Does this Product
contain Latex
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
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