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Speak with Customer Care for order details,

or speak with Dr. Z about your condition.



Carpal Pain Solutions, Inc.

170 Cardinal Ave.

Fort Pierce, FL 34982 (USA)

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©2019 by Carpal Rx. All Rights Reserved.

Carpal Rx Insurance


This page contains information for receiving reimbursement for your Carpal Rx purchase by your insurance company or Workers’ Compensation.

Note: 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 appropriate Carpal Rx Bundle for your condition (treatment for One Hand or Both Hands).


Step 3: Ask 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 insurance requires).


Step 5: Send your receipt + Completed Letter of Medical Necessity + one of Forms below to your insurance provider.

Note: We cannot give you additional information or advice about medical insurance reimbursement.

Key Insurance & Worker’s Comp 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”)



• Sample Letter of Medical Necessity

• Standard Health Insurance Claim Form HCFA-1500

• Medicare Insurance Claim Form CMS 1490s


Useful Codes:

  • 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