Hips

Hip Orthosis (HKO)

Coverage Determination:

  • Hip Adduction and Scissoring
  • Increase Hip Range of Motion

SoftPro HKO Hip Knee Orthosis

SoftPro HKO Hip Knee Orthosis

  • Product Description: HKO
  • Product Treats: Treats hip abduction or adduction contracture
  • Product Utilization: Treatment for non-ambulatory patients with hip contracture
  • Sizes: Standard and large based on circumference of legs 4” above the knee
  • Coding: L1652 HO thigh cuffs with separator bar. ICD Code 718.45 contracture of joint pelvic region
  • Required Documentation: Therapy, Nursing or Physician notes stating the patient has the above diagnosis and requires a HKO for treatment of hip contracture. Telephone order is required for dispensing and must state HKO for treatment of hip contracture.
  • Adjunct Products: Air Bladder starter kit available for severe adduction. Must be ordered separately and is not a billable item. HKO and OrthoPro ROM KO can be combined and billed as individual components.

RestAir Hip Orthosis

RestAir Hip Orthosis

  • Product Description: HKO
  • Product Treats: Treats hip abduction or adduction contracture
  • Product Utilization: Treatment for non-ambulatory patients with hip contracture
  • Sizes: Small and large based on circumference of legs 4” above the knee
  • Coding: L1652 HO thigh cuffs with separator bar. ICD Code 718.45 contracture of joint pelvic region
  • Required Documentation: Therapy, Nursing or Physician notes stating the patient has the above diagnosis and requires an HKO for treatment of hip contracture. Telephone order is required for dispensing and must state HKO for treatment of hip contracture.

Hip-Thigh Abductor shown with air assist (L1652) - Hip-Thigh Abductor (L1652)

Hip-Thigh Abductor

*Shown with air assist (L1652)

  • Used to treat tight hip abductors and knee scissoring due to immobility or trauma. Air assist included.

Hip-Thigh Abductor (L1652)

  • Used to treat tight hip abductors and knee scissoring due to immobility or trauma. Air assist included.