|
Comfort Sleeves Size Chart |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1 - AFO |
|
4 - ELBOW |
|
6 - TLSO Youth V-Neck |
|
(Measured at widest part of calf) |
|
(Measured as widest part of bi-cep) |
|
(Measure chest circumference) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Black |
|
|
|
Black |
|
|
|
White |
|
|
|
Size |
Inches |
Product # |
|
Size |
Inches |
Product # |
|
Size |
Inches |
Product # |
|
X-Small |
11"-12" |
101-B |
|
XX-Small |
10" & Smaller |
401-B |
|
Small |
17"-21" |
601-W |
|
Small |
12"-13" |
102-B |
|
X-Small |
10"-11" |
402-B |
|
Medium |
21"-25" |
602-W |
|
Medium |
13"-14" |
103-B |
|
Small |
11"-12" |
403-B |
|
Large |
25-28" |
603-W |
|
Large |
14"-15" |
104-B |
|
Medium |
12"-13" |
404-B |
|
|
|
|
|
X-Large |
15" & Over |
105-B |
|
Large |
13"-14" |
405-B |
|
7 - TLSO ADULT V NECK |
|
|
|
|
|
X-Large |
14"-15" |
406-B |
|
(Measure chest circumference) |
|
White |
|
|
|
XX-Large |
15" & Over |
407-B |
|
|
|
|
|
Size |
Inches |
Product # |
|
|
|
|
|
White |
|
|
|
X-Small |
11"-12" |
101-W |
|
White |
|
|
|
Size |
Inches |
Product # |
|
Small |
12"-13" |
102-W |
|
Size |
Inches |
Product # |
|
X-Small |
28"-33" |
701-W |
|
Medium |
13"-14" |
103-W |
|
XX-Small |
10" & Smaller |
401-W |
|
Small |
33-37" |
702-W |
|
Large |
14"-15" |
104-W |
|
X-Small |
10"-11" |
402-W |
|
Medium |
37"-40" |
703-W |
|
X-Large |
15" & Over |
105-W |
|
Small |
11"-12" |
403-W |
|
Large |
40"-44" |
704-W |
|
|
|
|
|
Medium |
12"-13" |
404-W |
|
X-Large |
44" & Over |
705-W |
|
|
|
|
|
Large |
13"-14" |
405-W |
|
|
|
|
|
2 - KO KNEE SLEEVE |
|
X-Large |
14"-15" |
406-W |
|
8 - TLSO ADULT T-NECK |
|
(Measured 8" above mid-patella) |
|
XX-Large |
15" & Over |
407-W |
|
(Measure chest circumference) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Black |
|
|
|
5 - Wrist/Thumb Sleeves |
|
White |
|
|
|
Size |
Inches |
Product # |
|
(Wrist circumference) |
|
Size |
Inches |
Product # |
|
X-Small |
to 18" |
201-B |
|
|
|
|
|
Small |
33"-37" |
801-W |
|
Small |
18"-20" |
202-B |
|
Black |
|
|
|
Medium |
37"-40" |
802-W |
|
Medium |
20"-23" |
203-B |
|
Size |
Inches |
Product # |
|
Large |
40"-44" |
803-W |
|
Large |
23"-25" |
204-B |
|
XX-Small |
3"-4" |
501-B |
|
|
|
|
|
X-Large |
25"-28" |
205-B |
|
X-Small |
4"-5" |
502-B |
|
9 - TLSO Tube Top |
|
XX-Large |
28"-30" |
206-B |
|
Small |
5"-6" |
503-B |
|
(Measure chest circumference) |
|
XXX-Large |
30" & Over |
207-B |
|
Medium |
6"-7" |
504-B |
|
|
|
|
|
|
|
|
|
Large |
7"-8" |
505-B |
|
White |
|
|
|
White |
|
|
|
X-Large |
8" & Over |
506-B |
|
Size |
Inches |
Product # |
|
Size |
Inches |
Product # |
|
|
|
|
|
X-Small |
34" & Smaller |
901-W |
|
X-Small |
to 18" |
201-W |
|
White |
|
|
|
Small |
34"-37" |
902-W |
|
Small |
18"-20" |
202-W |
|
Size |
Inches |
Product # |
|
Medium |
37"-40 |
903-W |
|
Medium |
20"-23" |
203-W |
|
XX-Small |
3"-4" |
501-W |
|
Large |
40"-44" |
904-W |
|
Large |
23"-25" |
204-W |
|
X-Small |
4"-5" |
502-W |
|
X-Large |
44"-46" |
905-W |
|
X-Large |
25"-28" |
205-W |
|
Small |
5"-6" |
503-W |
|
XX-Large |
46" & Over |
906-W |
|
XX-Large |
28"-30" |
206-W |
|
Medium |
6"-7" |
504-W |
|
|
|
|
|
XXX-Large |
30" & Over |
207-W |
|
Large |
7"-8" |
505-W |
|
|
|
|
|
|
|
|
|
X-Large |
8" & Over |
506-W |
|
|
|
|
|
3 - KAFO |
|
|
|
|
|
|
|
|
|
Measured 8" above mid-patella) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Black |
|
|
|
|
|
|
HCPCS Billing Codes |
|
Size |
Inches |
Product # |
|
|
|
|
|
|
|
|
|
X-Small |
to 18" |
301-B |
|
|
|
|
The following codes are to help in
determining |
|
Small |
18"-20" |
302-B |
|
|
|
|
reimbursement for Comfort Sleeves
products: |
|
Medium |
20"-23" |
303-B |
|
|
|
|
|
|
|
|
|
Large |
23"-25" |
304-B |
|
|
|
|
L2840 |
Addition to lower extremity |
|
X-Large |
25"-28" |
305-B |
|
|
|
|
|
Orthosis, tibial length sock,
fracture |
|
XX-Large |
28"-30" |
306-B |
|
|
|
|
|
or equal, each. |
|
|
XXX-Large |
30" & Over |
307-B |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
L2850 |
Addition to lower extremity orthosis |
|
White |
|
|
|
|
|
|
|
sock, femoral length sock, fracture |
|
Size |
Inches |
Product # |
|
|
|
|
|
or equal, each. |
|
|
X-Small |
to 18" |
301-W |
|
|
|
|
|
|
|
|
|
Small |
18"-20" |
302-W |
|
|
|
|
L3995 |
Addition to upper extremity |
|
Medium |
20"-23" |
303-W |
|
|
|
|
|
orthosis sock, fracture or equal,
each. |
|
Large |
23"-25" |
304-W |
|
|
|
|
|
|
|
|
|
X-Large |
25"-28" |
305-W |
|
|
|
|
L0984 |
Protective body sock, each. |
|
XX-Large |
28"-30" |
306-W |
|
|
|
|
|
|
|
|
|
XXX-Large |
30" & Over |
307-W |
|
|
|
|
|
|
|
|