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HCPCS Codes

After evaluating our product and reviewing public information, a suggested code is assigned as a convenience to our customers. This is only a suggested code and Sroufe Healthcare Products does not make claims or guarantees as to the availability of the reimbursement for any product.

Sroufe Healthcare Products accepts no responsibility as to the actual code used and/or reimbursement of the product. It is the sole discretion of the customer to determine the appropriate billing code for a product or if it complies with the medical necessity or other requirements of the payor.

PDAC/SADMERC Letters

  • Product Name: Sher Comfort Series Half-Sole Inserts
  • Part Numbers: 717, 718, 719, 720 and 721
  • View PDF File: L-Code - L3060 - Click Here
  • Product Name: SAS Sher Ankle Stabilizing Brace
  • Part Numbers: 1765-01, 1765-02, 1765-03, 1765-04, 1765-05, 1765-06
  • View PDF File: L-Code - L1902 - Click Here
  • Product Name: Chevron Lite Walker (High), Chevron Lite Ankle Walker (Low)
  • Part Numbers: 4040-1, 4040-2, 4040-3, 4040-4, 4040-5, 4042-1, 4042-2, 4042-3, 4042-4, 4042-5
  • View PDF File: L-Code - L4386 - Click Here
  • Product Name: Shoulder Immobilizer with Abduction Pillow
  • Part Numbers: 1506-10, 1506-12, 1506-14
  • View PDF File: L-Code - L3660 - Click Here
  • Product Name: 7" Elastic Wrist Support, 9" Elastic Wrist Support
  • Part Numbers: 1742-08, 1742-09, 1742-10, 1742-11, 1742-12, 1742-13, 1742-14, 1742-15, 1742-16, 1742-17, 1744-10, 1744-11, 1744-12, 1744-13, 1744-14, 1744-15, 1744-16, 1744-17
  • View PDF File: L-Code - L3908 - Click Here
  • Product Name: 6" Canvas Duck Wrist Splint
  • Part Numbers: 1750-06, 1750-07, 1750-08, 1750-09, 1750-10, 1750-11, 1750-12, 1750-13, 1750-14, 1750-15, 1750-16, 1750-17
  • View PDF File: L-Code - L3908 - Click Here
  • Product Name: 8" Soft Wrist Splint
  • Part Numbers: 1754 Series: 1754-07, 1754-09, 1754-11, 1754-13, 1754-15, 1754-17, 1754-06, -1754-08, 1754-10, 1754-12, 1754-14, 1754-16 - 1754BL Series: 1754BL-07, 1754BL-09, 1754BL-11, 1754BL-13, 1754BL-15, 1754BL-17, 1754BL-06, -1754BL-08, 1754BL-10, 1754BL-12, 1754BL-14, 1754BL-16
  • View PDF File: L-Code - L3908 - Click Here
  • Product Name: 8" Soft Wrist Splint with Abducted Thumb
  • Part Numbers: 1755 Series: 1755-07, 1755-09, 1755-11, 1755-13, 1755-15, 1755-17, 1755-06, -1755-08, 1755-10, 1755-12, 1755-14, 1755-16 | 1755BL Series: 1755BL-07, 1755BL-09, 1755BL-11, 1755BL-13, 1755BL-15, 1755BL-17, 1755BL-06, -1755BL-08, 1755BL-10, 1755BL-12, 1755BL-14, 1755BL-16
  • View PDF File: L-Code - L3807 - Click Here
  • Product Name: 8" Black Perf Wrist Splint, 10" Black Perf Wrist Splint
  • Part Numbers: 1757-08, 1757-09, 1757-10, 1757-11, 1757-12, 1757-13, 1757-14, 1757-15, 1757-16, 1757-17, 1758-08, 1758-09, 1758-10, 1758-11, 1758-12, 1758-13, 1758-14, 1758-15, 1758-16, 1758-17
  • View PDF File: L-Code - L3908 - Click Here
  • Product Name: Compression Knee Immobilizer
  • Part Numbers: 1813-00, 1815-00, 1817-00, 1819-00, 1821-00, 1823-00
  • View PDF File: L-Code - L1830 - Click Here
  • Product Name: Trim-Fit Universal Knee Immobilizer
  • Part Numbers: 1841-00, 1842-00, 1843-00, 1844-00
  • View PDF File: L-Code - L1830 - Click Here
  • Product Name: Three Panel Knee Immobilizer
  • Part Numbers: 2812-00, 2816-00, 2818-00, 2820-00, 2822-00, 2824-00
  • View PDF File: L-Code - L1830 - Click Here
  • Product Name: Multi-Position (MP) Hinge Knee Support w/ Anterior Closure
  • Part Numbers: 7135-2, 7135-3, 7135-4, 7135-5, 7135-6, 7135-7, 7135-8, 7165-2, 7136-3, 7136-4, 7136-5, 7136-6, 7136-7, 7136-8
  • View PDF File: L-Code - L1832 - Click Here
  • Product Name: Knee Support w/ Standard Hinged-Open Patella and Popliteal
  • Part Numbers: 7052-2, 7052-3, 7052-4, 7052-5, 7052-6, 7052-7, 7052-8
  • View PDF File: L-Code - L1810 - Click Here

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