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Velpeau Shoulder Immobilizer

SKU #: 0814 0191; 0814 0192; 0814 0193; 0814 0194; 0814 0195; 5000 0191; 5000 0192; 5000 0193; 5000 0194; 5000 0195

  • Designed to stabilize, support, and protect the arm and shoulder
  • Lightweight sling pouch with soft laminated foam shoulder and waist straps
  • Thumb loop maintains hand in a neutral position and reduces pouch migration
  • Hook and loop closures on both straps for easy application and removal
  • Waist strap may be removed if not required
  • Left or right application reduces inventory requirements
Quote Request
HCPCS Code: L3670*
Instructions
Reorder No. Size  Pouch Size Waist Strap Length Shoulder Strap Length
0814 0191 X-Small 6.25″ x 12.25″ 32″ 35″
0814 0192 Small 8.25″ x 13.5″ 36″ 38″
0814 0193 Medium 8.5″ x 15.75″ 39″ 45″
0814 0194 Large 9″ x 17.25″ 43″ 48″
0814 0195 X-Large 9.5″ x 20″ 46″ 52″
Physician’s Choice® Packaging
5000 0191 X-Small 6.25″ x 12.25″ 33″ 35″
5000 0192 Small 8.25″ x 13.5″ 36″ 38″
5000 0193 Medium 8.5″ x 15.75″ 39″ 45″
5000 0194 Large 9″ x 17.25″ 43″ 48″
5000 0195 X-Large 9.5″ x 20″ 50″ 52″

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*It is the Patient Care Facility’s responsibility to determine medical necessity; ensure coverage criteria are met; and submit appropriate HCPCS codes, modifiers, and charges for provided medical devices. Bird & Cronin suggested HCPCS codes are provided as a courtesy and do not superscede the Patient Caregiver’s full responsibility for the accurate billing of services and medical devices provided

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