Summary & Overview
HCPCS Level II E1825: Dynamic Adjustable Finger Extension and Flexion Device
HCPCS Level II code E1825 identifies a dynamic, adjustable orthotic for finger extension and flexion that includes soft interface material. Nationally, this device matters for hand rehabilitation, post-injury and post-surgical recovery, and functional restoration for patients with tendon or nerve injuries and stiffness. As an equipment code, it affects durable medical equipment coverage, supplier billing, and therapy-related care pathways across major payers.
Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context and typical sites of service, payer coverage landscape, common billing modifiers, and related administrative considerations. The publication outlines benchmarks for utilization and reimbursement where available, highlights recent policy updates that affect coverage and prior authorization, and summarizes payer-specific documentation and coding practices.
This analysis is intended to inform clinicians, billing professionals, and policy stakeholders about coding accuracy, documentation expectations, and the role of E1825 in outpatient and home-based hand care workflows. Data not available in the input is noted where applicable.
Billing Code Overview
HCPCS Level II code E1825 describes a dynamic adjustable finger extension and flexion device that includes soft interface material. This is an orthotic device designed to provide controlled motion of one or more digits, allowing adjustable extension and flexion support while protecting soft tissues.
-
Service type: Durable medical equipment / orthotic device for finger digit support and range-of-motion management
-
Typical site of service: Outpatient clinics, specialty hand therapy centers, orthotics and prosthetics supplier locations, and home use following clinician fitting and instruction
Data not available in the input.
Clinical & Coding Specifications
Clinical Context
A patient with finger extensor and/or flexor weakness or contracture following a distal radius fracture and subsequent tendon adhesions presents to an outpatient orthopedics or hand therapy clinic. The typical patient is an adult recovering from trauma, tendon repair, stroke-related spasticity, or chronic inflammatory arthritis who requires a dynamic, adjustable orthosis to restore or maintain active and passive range of motion of one or more digits. The clinical workflow begins with evaluation by a hand surgeon, physiatrist, or certified hand therapist who documents the functional deficit, range-of-motion measurements, and treatment goals. A custom fitting session follows where the clinician selects and adjusts the device E1825 to provide graded extension and flexion assistance while protecting surgical repairs or stretching contractures. The patient returns for periodic follow-up visits to document progress, modify tension settings, and record objective measures of range of motion and function. Typical sites of service include outpatient clinics, hospital outpatient departments, and skilled therapy clinics where durable medical equipment is dispensed or fitted.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | No modifier | Standard reporting when no special circumstance applies |