Summary & Overview
HCPCS E1827: Dynamic Adjustable Finger Flexion Device, With Soft Interface Material
HCPCS Level II code E1827 designates a dynamic adjustable finger flexion-only orthotic device that includes soft interface material. This code identifies durable medical equipment used to assist active finger flexion, support hand function, and provide a cushioned interface for contact points. Nationally, clear coding for devices such as those represented by E1827 matters for appropriate billing, durable medical equipment management, and access to rehabilitative supports for patients with hand impairments.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context for finger flexion orthoses, typical sites of service, common modifiers and billing considerations (listed separately), and what to expect in payer coverage approaches. The publication summarizes benchmarks and policy-relevant points where available and flags areas where data were not provided.
The content serves clinicians, DME suppliers, billing professionals, and policy analysts seeking a focused reference on coding and service context for dynamic finger flexion orthoses. Topics covered include device description, typical clinical use cases, payer landscape, and practical billing metadata to support claim submission and administrative planning on a national scale.
Billing Code Overview
HCPCS Level II code E1827 describes a dynamic adjustable finger flexion only device that includes soft interface material. This device is intended to facilitate or assist active finger flexion while providing cushioning and contact comfort through integrated soft interface materials. The service type is orthotic/prosthetic durable medical equipment focused on hand and finger function. The typical site of service is outpatient durable medical equipment supply settings, including orthotics clinics, outpatient rehabilitation facilities, and hospital outpatient pharmacies or supply departments.
Clinical & Coding Specifications
Clinical Context
A 45-year-old patient presents to an outpatient hand therapy clinic after a distal radius fracture and subsequent finger stiffness with impaired flexion of the proximal interphalangeal joints. The treating hand surgeon prescribes a dynamic adjustable finger flexion only device to assist passive and assisted active flexion during the subacute rehabilitation phase. The device (E1827) is custom-fit by a certified hand therapist or orthotist during a clinic visit; the workflow includes evaluation, measurement, fitting, patient education on wear schedule and skin monitoring, and scheduled follow-up visits to adjust tension and range as swelling and function change. Typical sites of service are outpatient orthopedics, outpatient physical or occupational therapy clinics, and ambulatory surgery centers when provided at discharge after hand surgery. The device is used to promote tendon gliding, prevent extension contractures, and restore functional flexion for activities of daily living.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | No modifier | Standard use when no modifier applies |
22 |