Selecting the right Durable Medical Equipment (DME) can make a significant difference in how patients recover after surgery. For hospitals, clinics, and providers across the United States, ensuring that the equipment is Medicare-compliant, PDAC-approved, and cost-effective this is not just a goal it’s a necessity.
One commonly prescribed solution is L1686 hip brace, that designed for hip stabilization and controlled range of motion (ROM). In this blog guide, we’ll break down what providers need to know from coverage & documentation to reimbursement and real-world application so you can make informed decisions that support both your patients and your practice.
What Exactly is the L1686 Code?
If you’re new to durable medical equipment billing, you might wonder what L1686 means. It’s a HCPCS code used when it is billing to a patient for a post-operative hip orthosis.
Officially, it covers:
“Hip orthosis (HO), abduction control of hip joints, post-operative hip brace, with or without range of motion control.”
This type of brace is typically used after surgeries such as:
• Hip arthroscopy
• Total hip replacement
• Hip dislocation management
• Hip fracture repair
Orthopedic specialists often rely on this brace to prevent re-injury while still allowing patients to regain functional mobility.
Does Insurance Cover the L1686 Hip Brace?
Yes most of Medicare and private insurers covers the L1686 brace when it is medically necessary. However, reimbursement depends mainly on documentation quality.
Here’s a quick checklist to improve approval chances:
• A prescription from the treating physician clearly stating medical necessity
• Clinical notes detailing post-op stabilization needs or range-of-motion restrictions
• Signed proof of delivery and patient instructions
• Use of PDAC-verified equipment specifically labeled under L1686
💡 Pro Tip: Working with a DME supplier who provides pre-filled documentation templates can drastically reduce the time your team spends on paperwork and minimize claim denials.
What Quality Will You Look In L1686 ROM Hip Brace
When evaluating braces, it’s not just about meeting billing codes. Consider these three key categories:
1. Medical Compliance
Only use PDAC-approved braces for L1686 billing.
Include Essential Clinical features
• A hinge for adjusting hip range-of-motion
• Abduction/adduction controls
• Adjustable thigh and pelvic cuffs for a secure fit
2. Ease of Use
Your staff will thank you for choosing a brace that adjusts easily.
• Quick-lock dials to change ROM settings without tools
• Customizable length & limb fit
• Clearly marked adjustment points
3. Patient Comfort
Even the best brace won’t help if patients won’t wear it.
• Choose lightweight materials
• Look for soft, breathable padding for long-term use
• Ensure straps are snug, but not restrictive
“Patients are more likely to follow instructions when the device feels comfortable,” notes James, a PT assistant at a rehab center in Dallas.
You might be wondering—does every piece of medical equipment need to be PDAC approved? but that is not truth it is not mandatory for every DMEPOS product but certain product categories requires verification before they can be billed to Medicare. So, which Common Product Categories Requiring PDAC Approval Let’s break it down:
How L1686 Braces Assist Patients Healing
The main function of a l1686 post ROM hip brace is to avoid dangerous movements that will undermine post-op healing. That being said, motion is still important to prevent stiffness and enhance healing.
Key Advantages:
• Restricts flexion/extension to guard the joint
• Promotes safe motion throughout rehab
• Stabilizes the pelvis and femur, particularly while walking or sitting
Common Use Scenarios:
• Total hip arthroplasty (THA)
• Hip dislocation or instability
• FAI or labral repairs
U.S. Reimbursement Tips for Clinics & DME Providers
Skip delays and rejections with this L1686 billing checklist:
✅ Physician’s detailed prescription
✅ Specific diagnosis explaining medical necessity
✅ Delivery slip signed by patient/caregiver
✅ Product label indicating L1686 compliance
✅ Use of PDAC-approved product
Why Partner with Ava Medical Supply?
When you’re managing multiple patients and insurance carriers, having a trusted DME partner is half the battle. That’s us.
Ava Medical Supply offers:
• Fully PDAC-approved L1686 hip braces
• Pre-filled documentation templates
• Billing support and staff training
• Dropshipping to your clinic or directly to the patient
As the experienced partner we are, we know the pressure you feel to manage care and compliance.
If you are ready to enhance your post-op care protocols while optimizing DME reimbursement:
✅ Discover PDAC-approved L1686 hip braces.
📞 Call to talk bulk pricing or onboarding support on
