L3807 Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

HCPCS code

#### Name of the Procedure:
- **Common Name:** Wrist-hand-finger orthosis
- **Technical Term:** WHFO, prefabricated, custom-fitted orthosis

#### Summary
A wrist-hand-finger orthosis (WHFO) is a medical device designed to support, align, prevent, or correct deformities or to improve the function of the wrist, hand, and fingers. This specific orthosis is prefabricated but customized to fit the patient by a healthcare professional with the necessary expertise.

#### Purpose
- **Medical Conditions Treated:**
  - Carpal tunnel syndrome
  - Arthritis
  - Tendonitis
  - Post-surgical stabilization
  - Fractures or sprains
- **Goals/Outcomes:**
  - Provide support and stability
  - Reduce pain and inflammation
  - Enhance healing and rehabilitation
  - Improve functional use of the wrist, hand, and fingers

#### Indications
- **Symptoms/Conditions:**
  - Persistent pain or inflammation in the wrist, hand, or fingers
  - Immobilization needs post-surgery or injury
  - Functional impairments due to neuromuscular conditions
- **Patient Criteria:**
  - Individuals with acute or chronic wrist and hand conditions
  - Patients requiring stability and support during healing

#### Preparation
- **Pre-procedure Instructions:**
  - No specific fasting required
  - Inform the practitioner about any existing medical conditions or allergies
- **Diagnostic Tests/Assessments:**
  - Physical examination
  - Imaging studies (X-rays, MRIs) if necessary

#### Procedure Description
1. **Initial Assessment:**
   - The healthcare professional evaluates the patient’s specific needs.
2. **Customization:**
   - The prefabricated orthosis is trimmed, bent, or molded to fit the patient’s anatomy.
   - Adjustments are made to ensure comfort and optimal functionality.
3. **Fitting:**
   - The customized orthosis is assembled and fitted on the patient.
   - Final adjustments ensure proper alignment and support.

**Tools/Equipment Used:**
- Prefabricated orthosis components
- Tools for trimming, bending, and molding

#### Duration
- Typically completed within 30-60 minutes

#### Setting
- Outpatient clinic, orthopedic or rehabilitation center

#### Personnel
- Orthotist or trained healthcare professional
- Occupational therapist (if involved in rehabilitation)

#### Risks and Complications
- **Common Risks:**
  - Mild discomfort or pressure areas
  - Skin irritation
- **Rare Risks:**
  - Improper fit leading to impaired circulation or nerve compression
  - Allergic reactions to materials

**Management:**
- Adjustments to the fit and periodic evaluations

#### Benefits
- **Expected Benefits:**
  - Immediate support and relief of symptoms
  - Enhanced healing process
  - Improved hand and wrist function
- **Timeframe:** 
  - Benefits can often be observed within days of use

#### Recovery
- **Post-procedure Care:**
  - Follow instructions for wearing and caring for the orthosis
  - Regular follow-up appointments for adjustments and monitoring
- **Recovery Time:**
  - Varies based on the underlying condition and patient compliance
  - Typically ranges from a few weeks to several months

#### Alternatives
- **Other Treatment Options:**
  - Custom-made orthotics
  - Physical therapy
  - Medication for inflammation and pain
  - Surgical options
- **Pros and Cons:**
  - Custom-made orthotics offer a higher precision fit but are more costly.
  - Physical therapy can complement but not replace orthosis support.
  - Medications may offer short-term relief but do not address structural support.

#### Patient Experience
- **During the Procedure:**
  - Generally painless, slight discomfort during the fitting process
  - Minimal invasive adjustments
- **After the Procedure:**
  - Mild discomfort as the patient acclimates to the orthosis
  - Pain management through over-the-counter pain relievers if needed
  - Instructions for maintaining hygiene and daily wear adjustments

Medical Policies and Guidelines for Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

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