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Static progressive stretch knee device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories

HCPCS code

Medical Policies and Guidelines for Static progressive stretch knee device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories

Related policies from health plans

Mechanical Stretching Devices for Joint Stiffness and Contracture (PDF)

Similar Codes


ICD10CM codes

M21.269 - Flexion deformity, unspecified knee
M25.669 - Stiffness of unspecified knee, not elsewhere classified
M25.661 - Stiffness of right knee, not elsewhere classified
M21.261 - Flexion deformity, right knee
M25.66 - Stiffness of knee, not elsewhere classified
M24.569 - Contracture, unspecified knee
S80.249 - External constriction, unspecified knee
M21.26 - Flexion deformity, knee
S80.249A - External constriction, unspecified knee, initial encounter
M24.56 - Contracture, knee

HCPCS codes

E1811 - Static progressive stretch knee device, extension and/or flexion, with or without range of motion ad
E1816 - Static progressive stretch ankle device, flexion and/or extension, with or without range of motion a
E1801 - Static progressive stretch elbow device, extension and/or flexion, with or without range of motion a
E1806 - Static progressive stretch wrist device, flexion and/or extension, with or without range of motion a
E1841 - Static progressive stretch shoulder device, with or without range of motion adjustment, includes all
E1818 - Static progressive stretch forearm pronation / supination device, with or without range of motion ad
E1810 - Dynamic adjustable knee extension / flexion device, includes soft interface material
L1820 - Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricate
E1815 - Dynamic adjustable ankle extension/flexion device, includes soft interface material
L1812 - Knee orthosis, elastic with joints, prefabricated, off-the-shelf

CPT4 codes

27486 - Revision of total knee arthroplasty, with or without allograft; 1 component
27570 - Manipulation of knee joint under general anesthesia (includes application of traction or other fixat
27487 - Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component
29530 - Strapping; knee
95851 - Range of motion measurements and report (separate procedure); each extremity (excluding hand) or eac
27438 - Arthroplasty, patella; with prosthesis
27580 - Arthrodesis, knee, any technique
29870 - Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure)
27445 - Arthroplasty, knee, hinge prosthesis (eg, Walldius type)
27446 - Arthroplasty, knee, condyle and plateau; medial OR lateral compartment