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2025 HCPCS code E1806

Supply of a static progressive stretch wrist device for flexion with or without extension and range of motion adjustment, including all components and accessories.

Follow HCPCS coding guidelines and payer-specific requirements for DME billing.

Modifiers may apply depending on circumstances (e.g., multiple devices, rental vs. purchase).Consult payer guidelines for appropriate modifier usage.Examples from the provided data are modifiers'LL' (lease/rental), 'NR' (new when rented), 'RR' (rental).

The medical necessity of E1806 is established by documentation supporting the need for the device to improve wrist range of motion and function due to a specific medical condition (e.g., fracture, surgery, arthritis). The device must be deemed reasonable and necessary for the patient's condition by the payer.

The provider is responsible for assessing the patient's need for the device, selecting the appropriate size and type of device, fitting the device to the patient, and providing instructions on its use and care. Documentation of medical necessity is crucial.

IMPORTANT:Similar devices are available for the elbow (E1801), knee (E1811), ankle (E1816), and forearm (E1818).

In simple words: This code covers providing a special brace for the wrist that helps improve its flexibility and range of motion.The brace is designed to gently stretch the wrist over time to help it heal and regain function after an injury or surgery.

This HCPCS code (E1806) covers the supply of a static progressive stretch wrist device for flexion with or without extension and range of motion adjustment.The code includes all components and accessories. This device is used in rehabilitation to restore wrist function. The provider supplies the device to the patient; it improves wrist flexion and/or extension and may include range-of-motion adjustment.The device is static (rigid), applying force to stretch the joint without motion. It provides a low-force stretch to alleviate muscle contracture from immobilization due to trauma, illness, or surgery.If adjustable, the mechanism creates brief periods of high-intensity stretch followed by relaxation.This addresses range-of-motion loss following surgery and the development of periarticular fibrosis.

Example 1: A patient sustains a wrist fracture and develops significant stiffness after immobilization. The physician orders a static progressive stretch wrist device (E1806) to improve range of motion and reduce contracture., A patient undergoes carpal tunnel release surgery. Post-operatively, the patient experiences limited wrist extension. The surgeon prescribes a static progressive stretch wrist device (E1806) to improve wrist function., A patient with rheumatoid arthritis experiences significant wrist pain and limited mobility.A physiatrist orders a custom-fitted static progressive stretch wrist device (E1806) to help improve joint flexibility and reduce pain.

Physician's order specifying the need for the device, including diagnosis, justification for medical necessity, and device specifications.Documentation of the patient's assessment (range of motion, strength, etc.), fitting of the device, patient education, and follow-up care.

** The provided data lacks details on specific payer policies and reimbursement rates.Always consult payer guidelines and local coverage determinations (LCDs) before billing.

** Only Enterprise users with EHR integration can access case-specific answers. Click here to request access.

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iFrame™ AI's knowledge is aligned with and limited to the materials uploaded by users and should not be interpreted as medical, legal, or any other form of advice by iFrame™.