Summary & Overview
HCPCS E1807: Dynamic Adjustable Wrist Extension Device
HCPCS Level II code E1807 represents a dynamic adjustable wrist extension device with a soft interface material. Such orthotic devices support wrist extension by providing adjustable tension and cushioning, serving patients with conditions that impair active wrist extension or require positional support during rehabilitation. Nationally, these devices are relevant to durable medical equipment coverage, rehabilitation pathways, and post-operative or neurologic care protocols.
Key payers in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical indications and typical sites of service, payer coverage considerations, and benchmarking context where available. The publication outlines common billing modifiers and administrative elements used alongside E1807 (provided separately), typical claim scenarios, and points of clinical documentation that support medical necessity.
This resource is intended for billing managers, medical coders, rehabilitation clinicians, and policy analysts seeking a focused reference on coding, coverage touchpoints, and the clinical role of a dynamic wrist extension orthotic. Data not available in the input is noted where applicable.
Billing Code Overview
HCPCS Level II code E1807 describes a dynamic adjustable wrist extension only device that includes soft interface material. This device is intended to provide controlled wrist extension with adjustable tension and a cushioning interface to protect skin and improve wearer comfort.
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Service type: Durable medical equipment / orthotic device
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Typical site of service: Outpatient durable medical equipment suppliers, outpatient clinics, rehabilitation centers, and home use
Clinical & Coding Specifications
Clinical Context
A 46-year-old patient presents to an outpatient orthopedic or hand therapy clinic with limited wrist extension and extensor tendon imbalance following distal radius fracture OR radial nerve palsy with wrist drop. The clinician (orthopedist, physiatrist, or certified hand therapist) evaluates range of motion, muscle strength, and functional impairment. Conservative management (bracing, splinting, therapy) is attempted; persistent functional loss of active wrist extension affecting activities of daily living prompts provision of a dynamic adjustable wrist extension orthosis described by E1807 (dynamic adjustable wrist extension only device, includes soft interface material).
Device fitting occurs in the clinic or durable medical equipment (DME) supplier setting. The provider documents the functional limitation, objective measures (degrees of wrist extension deficit), trial of conservative care, and the device prescription specifying E1807 with parameters (dynamic tension, adjustability, soft interface). The orthosis is adjusted for tension and comfort at the visit; follow-up visits are scheduled with the prescribing clinician or hand therapist to document functional gains and need for continued use or adjustment.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | No modifier |