Formula Pediatric Replacement Foot Plate

Suggested L-Codes

L5980, L5986

Suggested L-Codes are provided as a reference only. It is the responsibility of the practitioner and/or patient care facility submitting this claim to determine and submit the correct coding within all established rules and guidelines.

Featured Specifications

Functional Level

K3, K4

Mount

Posterior Mount

Patient Weight Maximum

125 lbs. (57 kg)

Ordering Information

Warranty

  • 2 year warranty, manufacturing defects only. No trial period.

The Pediatric Formula has been designed and manufactured for specific patient weights. Failure to follow the weight guidelines and/or overload conditions caused by the patient, such as heavy lifting, high impact sports, or abusive activities, that would otherwise damage the natural limb, may void the warranty.

Additional Specifications

Patient Weight Minimum: 30 lbs. (14 kg)

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