Insurance and Workers’ Compensation
Both Carpal Rx Bundles (for One Hand or Both Hands) are covered (partially or fully) by most major health insurance companies. Exactly how much you will be reimbursed for purchasing the Carpal Rx depends on your particular insurer.
5 Easy Steps to File an Insurance Claim
Step 1: Contact your insurance provider and ask how much you will be reimbursed after you buy the Carpal Rx. You will need to give your insurance provider some of the information at the bottom.
Step 2: Purchase the right Carpal Rx Bundle for your condition.
Step 3: Have your doctor complete a "Letter of Medical Necessity". (Print the blank sample below for your doctor to fill out.)
Step 4: Print and fill out one of the two Claim Forms below (either HCFA-1500 or CMS 1490 - which ever your carrier requires).
Step 5: Send your receipt + Completed Letter of Medical Necessity + one of Forms below to your insurance carrier.
Note: We cannot give you additional information or advice about medical insurance reimbursement.
Helpful insurance and Worker’s Compensation reimbursement information
Carpal Pain Solutions, Inc.
170 Cardinal Avenue, Fort Pierce, Florida 34982 (Tel: 800-450-6118)
National Provider Identifier (NPI) Number:
Carpal Rx Myofascial Massager (also called “therapeutic massager”)
Standard Health Insurance Claim Form HCFA-1500
Medicare Insurance Claim Form CMS1490s
ICD Code 354.0 – Carpal Tunnel Syndrome
HCPCS Code E1399 – Durable medical equipment, miscellaneous
HCPCS Code L3906 – Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting & adjustment
HCPCS Code L3904 – Wrist hand finger orthosis, external powered, electric, custom-fabricated
HCPCS Code L3809 – Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type