Literature

Product Search

PDAC (SADMERC) Letters

Medicare HCPCS Coding Verification Letters, please click on the product item number below to view the letter

Note: Select codes may have changed, or “cross walked” to a revised code since the original issue date of these letters. Claim submissions bearing the original code should be honored for payment. For an up-to-date listing of original and “cross walked” codes for SAI Therapeutic Brands please follow this link:

https://www.dmepdac.com/dmecsapp/do/search

Click on “Search DMEPOS Product Classification List”; under Manufacturer/Distributor type in Surgical Appliance, then select GO. 

 

Ankle Supports

 

  • C-307 Champion Neoprene Ankle Support
  • 2092 OTC Ankle Stirrup Brace w/ Airform Pads
  • 2093 OTC Ankle Stirrup w/ Honeycomb Pads
  • 2371 OTC High-performance Ankle Brace
  • 2372 OTC Canvas Ankle Splint
  • 2375 OTC Ankle Stabilizer w/ Heel Locking Straps
  • 2376 OTC Ankle Stabilizer w/ Criss-cross Strap & Molded Exoskeleton
  • 2417 OTC Firm Elastic Pullover Ankle Support
  • 2426 OTC Ankle Support w/ Viscoelastic Insert
  • 2560 OTC Ankle Support w/ Spiral Stays

 

Back Supports

 

  • 447-VHS Lumbosacral Support
  • 457-VHS Lumbosacral Support
  • 464-GHS Lumbosacral Orthosis
  • 464-VHS Lumbosacral Orthosis
  • 465-HS Lumbosacral Orthosis
  • 465-VHS Lumbosacral Orthosis
  • 486-HS Thoracolumbar Orthosis
  • 609-HS Women's Lumbosacral Support
  • 609-VHS Women's Lumbosacral Support
  • 613-HS Women's Lumbosacral Support
  • 613-VHS Women's Lumbosacral Support
  • 615-VHS Women's Lumbosacral Support
  • 616-VHS Women's Lumbosacral Support
  • 643-VHS Lumbosacral Support
  • 644-VHS Lumbosacral Support
  • 645-VHS Lumbosacral Support
  • 957 Knight-Taylor Thoracolumbar Orthosis
  • 962 Chair-Back Lumbosacral Orthosis
  • 2884 OTC Lightweight Lumbosacral Support
  • 2886 OTC Heavy Duty Sacro Brace w/ Thermo Pad
  • 2890 OTC Lumbosacral Support w/ Abdominal Uplift
  • 2891 OTC Lightweight Elastic Lumbosacral Support
  • 2892 OTC Lumbosacral Orthosis
  • 2893 OTC Lumbosacral Support w/ Abdominal Uplift
  • 2894 OTC TruTEK Lumbosacral Orthosis w/ Anterior-Posterior Inserts
  • 2895 OTC LumboTEK Elastic Lumbosacral Support

 

Cervical Supports

  • 2394 OTC Soft Foam Cervical Collar

Elbow Supports

  • 2423 OTC Tennis Elbow Strap with Lightweight Air Pad

Hand-Wrist Supports

 

  • C-128 Champion Neoprene Wraparound Wrist Support
  • C-303 Champion Neoprene Wrist-Thumb Support
  • C-304 Champion Neoprene Cock-up Wrist Support
  • C-305 Champion Neoprene Thumb Splint
  • C-50/33 Champion Elastic Wrist Splint
  • 2072 OTC Soft Lightweight Thumb Immobilizer
  • 2073 OTC Molded Plastic Thumb Splint
  • 2081 Exolite Low-profile Wrist Brace
  • 2082 OTC Lightweight 6" Wrist Splint
  • 2083 OTC Lightweight Breathable 8" Wrist Splint
  • 2086 OTC 6” Wrist-Thumb Splint
  • 2087 OTC Lightweight Breathable 8" Wrist-Thumb Splint
  • 2360 OTC SoftFit Suede Finish Wrist Brace
  • 2362 OTC Cock-up Wrist Splint
  • 2364 OTC Professional's Choice Cock-up Wrist Splint
  • 2389 OTC Occupational Wrist Support
  • 2418 OTC Elastic Pullover Wrist Support

 

Hernia Supports

 

  • C-5 Champion Hernia Belt - for Single or Double Hernia
  • 2956 OTC Lightweight Beige Bilateral Hernia Support
  • 2958 OTC Lightweight Single Hernia Support
  • 2958D OTC Lightweight Bilateral Hernia Support

 

HME - Comfort Care - Mobility

 

  • 210404 PCP Adjustable Folding Cane w/ Orthopedic Handle
  • 212100 Adjustable Aluminum Cane
  • 212200 Adjustable Aluminum Cane
  • 5040 PCP Sitz Bath
  • 5091S PCP Adjustable Aluminum Crutches - Tall Adult
  • 5026 Commode Chair, Aluminum w/ Removable Back
  • 5068 Folding Traveler's Walker
  • 5085 Adjustable Aluminum Cane
  • 5086 5086-L Adjustable Aluminum Canes
  • 5305 Folding Lightweight Rollator
  • 5306 Lightweight Folding Rollator
  • 5307 Convertible Rollator/Transport Chair
  • 5313-TI Deluxe Rollator with Curved Back
  • 5526 Commode Chair Coated Aluminum w/ Removable Back
  • 5595-BL PCP Low-profile, Large Base Quad Cane
  • 6230 PCP Ring Cushion - Inflatable
  • 6233 PCP Ring Cushion - Carved Foam
  • 7002 PCP Adjustable Shower Chair w/o Back
  • 7013 PCP Molded Raised Toilet Seat
  • 7255 PCP Coated Tub Bar

 

Knee Supports

 

  • C-65 Champion Knee Brace w/ Hinged Bars
  • C-141 Champion Neoprene Knee Support w/ Oval Pad
  • C-142 Champion Neoprene Knee Support w/ Hor-Shu Pad
  • C-143 Champion Neoprene Knee Support w/ Pad & Hinged Bars
  • C-144 Champion Neoprene Knee Support w/ Pad & Spiral Stays
  • C-306 Champion Neoprene Knee Support w/ Open Patella
  • C-308 Champion Neoprene Knee Stabilizer w/ Spiral Stays
  • C-309Champion Neoprene Knee Support w/ Stabilizer Pad
  • C-310 Champion Neoprene Knee Stabilizer w/ Hinged Bars
  • C-311 Champion Neoprene Knee Stabilizer Wrap w/ Hinged Bars
  • C-312 Champion Neoprene Knee Stabilizer Wrap w/ Hinged Stays
  • C-314 Champion Neoprene Knee Wrap w/ Stabilizer Pad
  • 2416 OTC Elastic Pullover Knee Support
  • 2422 OTC KNEED-IT Therapeutic Knee Guard
  • 2425 OTC Knee Support w/ Viscoelastic Insert
  • 2540 OTC Knee Stabilizer Wrap for Osteoarthritis
  • 2541 OTC Orthotex Knee Stabilizer w/ Spiral Stays
  • 2542 OTC Orthotex Knee Stabilizer Wrap w/ Spiral Stays
  • 2543 OTC Orthotex Knee Stabilizer w/ Hinged Bars
  • 2544 OTC Orthotex Knee Stabilizer Wrap w/ Hinged Bars
  • 2545 OTC Knee Support w/ Front Opening, Pressure Pads
  • 2546 OTC Orthotex Knee Support w/ Stabilizer Pads
  • 2548 OTC Orthotex Knee Sstabilizer w/ Hinged Bars
  • 2549 OTC Orthotex Knee Sstabilizer Wrap w/ Hinged Bars
  • 2553-P OTC Knee Support w/ Spiral Stays, Open Patella
  • 2554 OTC Knee Brace w/ Hinged Bars
  • 2555 OTC Knee Support w/ Pressure Pads, Open Patella
  • 2555-V OTC Knee Support w/ Expansion Panel, Pressure Pads