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  • Safe Step Morre Balance Brace Form

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Moore Balance Brace Order Form MBB Considerations See the Library section of SafeStep website for Fall Prevention Assesment Template This easy to use form is an excellent way to assess fall risk and provide compliance documentation PTTD Charcot moderate to severe drop foot osteoarthritis accommodation of See the SafeStep website for prescription plantar prominences or whenever forms and compliance documentation significant frontal plane support is required templates MBB Articulated MBB Diabetic with custom molded inserts A5513 Quantity Closure default to Velcro unless otherwise noted Velcro Lace Use Standard Arizona AFO style bracing if significant PTTD or other frontal plane deformity is present A physical/occupational therapy referral is MBB Diabetic and MBB Articulated Diabetic featuring custom inserts should strongly recommended for further be worn in therapeutic footwear assessment and treatment for imbalance Consider prescription for home health care services for homebound patien....

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The Moore Balance Brace is a custom-made ankle-foot orthosis recommended for patients who experience the following: Ankle instability. Arthritis in the ankle. Inner ear disorders associated with dizziness. Low blood pressure associated with dizziness and confusion.

Medicare's Pricing, Data Analysis and Coding (PDAC) has determined that the HCPCS codes to use when billing the Moore Balance Brace are : L1940 – ankle foot orthosis, molded to patient, plastic. L2820 – addition to lower extremity orthoses, soft interface for molded plastic, below knee section.

What Is a Balance Brace? A balance brace is an ankle-foot orthosis (AFO) designed and built to help reduce the risk of falls. The brace features a full footbed, supports the sides and back of the ankle, and the lower shin.

HCPCS Code for Ankle foot orthosis (AFO), plastic or other material, custom-fabricated L1940.

Codes L4396 and L4397 are used for an ankle-foot orthosis which is worn when a beneficiary is non-ambulatory, or minimally ambulatory.

HCPCS code L1960 for Ankle foot orthosis (AFO), posterior solid ankle, plastic, custom-fabricated as maintained by CMS falls under Ankle-foot Orthotics .

Medicare's Pricing, Data Analysis and Coding (PDAC) has determined that the HCPCS codes to use when billing the Moore Balance Brace are : L1940 – ankle foot orthosis, molded to patient, plastic. L2820 – addition to lower extremity orthoses, soft interface for molded plastic, below knee section.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232