X-Ortho Brochure

Better Design. Better Engineering.

Better Quality. Better Functionality.

Better Patient Experience.

Better Outcomes.

Better DME.

XO Formulary Part #

Description

HCPCS Code

XO-BSS-A XO-ASL-1 XO-ASL-2 XO-ASL-3 XO-ASL-4 XO-ASL-5 XO-ASL-6 XO-ASL-7 XO-B42-A XO-BSPO-2 XO-BSPO-3 XO-BSPO-4 XO-BTPO-2 XO-BTPO-3 XO-BTPO-4 XO-BPPO-2 XO-BPPO-3 XO-BPPO-4 XO-BPPO-5 XO-FNO-A2 XO-FNO-A3 XO-FNO-A4 XO-FNO-A5 XO-FXO-B1 XO-FXO-B3 XO-FXO-B5 XO-FXO-C1 XO-FXO-C3 XO-FXO-C5 XO-KNI-A XO-KSO-A2 XO-KSO-A6 XO-ASE-6 XO-SAS-1 XO-SAS-2 XO-SAS-3 XO-SAS-4 XO-SAS-5 XO-SAH-1 XO-WSH-AC XO-TSE-AB XO-TSE-AC XO-TSH-AB XO-WSE-AC XO-WSE-AB XO-WSE-AC XO-WSH-AB

XO Ankle Support XS XO Ankle Support SM XO Ankle Support MD XO Ankle Support LG XO Ankle Support XL XO Ankle Support 2X XO Ankle Support 3X XO Ankle Support 4X XO Back LSO w/Cryotherapy SM-4X XO Boot Short SM & XO AFO Undersleeves (x2) XO Boot Short MD & XO AFO Undersleeves (x2) XO Boot Short LG & XO AFO Undersleeves (x2) XO Boot Tall SM & XO AFO Undersleeves (x2) XO Boot Tall MD & XO AFO Undersleeves (x2) XO Boot Tall LG & XO AFO Undersleeves (x2) XO Boot PEDI SM & XO AFO Undersleeves (x2) XO Boot PEDI MD & XO AFO Undersleeves (x2) XO Boot PEDI LG & XO AFO Undersleeves (x2) XO Boot PEDI XL & XO AFO Undersleeves (x2) XO Finger Orthosis SM XO Finger Orthosis MD XO Finger Orthosis LG XO Finger Orthosis XL XO FX Orthosis LT XS & XO WHO Undersleeeves (x2) XO FX Orthosis LT REG & XO WHO Undersleeeves (x2) XO FX Orthosis LT XL & XO WHO Undersleeeves (x2) XO FX Orthosis RT XS & XO WHO Undersleeeves (x2) XO FX Orthosis RT REG & XO WHO Undersleeeves (x2) XO FX Orthosis RT XL & XO WHO Undersleeeves (x2) XO Knee Immobilizer & XO KO Undersleeves (x2) XO Knee Support ROM w/Cryotherapy SM-2X & XO KO Undersleeves (x2) XO Knee Support ROM w/Cryotherapy 3X-7X & XO KO Undersleeves (x2) XO Sling Arm Shoulder XS XO Sling Arm Shoulder SM XO Sling Arm Shoulder MD XO Sling Arm Shoulder LG XO Sling Arm Shoulder XL XO Sling Arm Shoulder PEDI XS XO Sling Arm Shoulder PEDI SM XO Thumb Orthosis RT & XO WHTO Undersleeeves (x2) XO Thumb Orthosis LT & XO WHTO Undersleeeves (x2) XO Thumb Orthosis PEDI RT & XO WHTO Undersleeeves (x2) XO Thumb Orthosis PEDI LT & XO WHTO Undersleeeves (x2) XO Wrist Orthosis RT & XO WHO Undersleeeves (x2) XO Wrist Orthosis LT & XO WHO Undersleeeves (x2) XO Wrist Orthosis PEDI RT & XO WHO Undersleeeves (x2) XO Wrist Orthosis PEDI LT & XO WHO Undersleeeves (x2)

L1902 L1902 L1902 L1902 L1902 L1902 L1902 L1902 L0642 L4361 & L2840 (x2) L4361 & L2840 (x2) L4361 & L2840 (x2) L4361 & L2840 (x2) L4361 & L2840 (x2) L4361 & L2840 (x2) L4361 & L2840 (x2) L4361 & L2840 (x2) L4361 & L2840 (x2) L4361 & L2840 (x2) L3927 L3927 L3927 L3927 L3807 & L3995 (x2) L3807 & L3995 (x2) L3807 & L3995 (x2) L3807 & L3995 (x2) L3807 & L3995 (x2) L3807 & L3995 (x2) L1830 & L2397 (x2) L1833 & L2397 (x2) L1833 & L2397 (x2) L3670 L3670 L3670 L3670 L3670 L3670 L3670 L3809 & L3995 (x2) L3809 & L3995 (x2) L3809 & L3995 (x2) L3809 & L3995 (x2) L3908 & L3995 (x2) L3908 & L3995 (x2) L3908 & L3995 (x2) L3908 & L3995 (x2)

Charge Value Cost

$120.04 $120.04 $120.04 $120.04 $120.04 $120.04 $120.04 $120.04 $319.33 $483.59 $483.59 $483.59 $483.59 $483.59 $483.59 $483.59 $483.59 $483.59 $483.59 $38.15 $38.15 $38.15 $38.15 $362.97 $362.97 $362.97 $362.97 $362.97 $362.97 $359.94 $793.87 $793.87 $150.78 $150.78 $150.78 $150.78 $150.78 $150.78 $150.78 $362.97 $362.97 $362.97 $362.97 $165.64 $165.64 $165.64 $165.64

$14.74 $14.74 $14.74 $14.74 $14.74 $14.74 $14.74 $14.74 $69.78 $59.55 $59.55 $59.55 $59.55 $59.55 $59.55 $59.55 $59.55 $59.55 $59.55 $8.88 $8.88 $8.88 $8.88 $31.87 $31.87 $31.87 $31.87 $31.87 $31.87 $37.92 $54.77 $54.77 $13.93 $13.93 $13.93 $13.93 $13.93 $13.93 $13.93 $19.84 $19.84 $19.84 $19.84 $15.98 $15.98 $15.98 $15.98

XO Boot Pneumatic World Class Aerodynamic Structure Technologically advanced aerodynamic & ergonomic engineering enhances structural integrity generating cast like stability & protection. Crafted with innovative materials to reduce weight & allow struts to flex, combined with a calf adjustment function to adapt to various anatomical differences. Safe step rocker absorbs shock & offloads pressure generating a fluid natural gait with increased traction control.

Revolutionary Compression System Purposefully placed compartmentalized air cells provide greater surface area contact, combined with a low force bulb & intuitive inflation deflation valve allows for controlled customization of compression.

T-shirt soft interior liner regulates temperature & enhances comfort. EZ grip strapping system has textured tips with a hybrid hook loop strap & 360 swivel d-rings for quicker donning & doffing.

Flex Strut Armor

Air Chamber System

Flexible Lightweight Durable Protection

Compartmentalized Customization

Calf Adjustment

Safe Step Rocker

Accommodates Larger Wider Lower Legs

Shock Absorption Fluid Heel Toe Gait

XO Back Support LSO Cyro 6-Post Pulley

Cyro Gel Pad

XO Lumbar Sacral Orthosis with Cryotherapy The X-Ortho LSO features an innovative design that delivers proven clinical effectiveness and outstanding therapeutic benefits.

Superior Biomechanical Advantage

Proven Clinical Efficacy

• • • • • •

A BCBS clinical guidelines study supported by American Academy Orthopedic Surgeons, North American Spine Society, and Medicare illustrates it is a medical necessity to reduce pain by restricting mobility of the trunk.

This facilitates healing from an injury or surgical procedure to the spine or related soft tissue or to support weak spinal muscles.

Low profile, lightweight & breathable soft padded fabric Flexible contoured, carbon fiber covered posterior panel Next-generation 6-post dual string compression system Optional posterior, anterior, oblique and extension panels Dual removable medical grade Cryo Therapy gel pads Fits SM - 4X waist sizes 22” to 72”

Transformational Therapeutic Benefit • • • •

Provides exceptional pain-relieving Cryo Therapy Generates twice the compression with half the effort Acts as a crutch for the core reducing load up to 40% Manages intersegmental motion of vertebrae in multiple planes simultaneously • Self-adjusts to each patient’s unique lordotic curve • Supports step-down injury management protocols

PDAC approved for various HCPCS codes enhancing reimbursement potential.

XO Knee Support ROM Cyro Cryo Gel Pad

KO Undersleeve

The XO Knee Support with Dual Axis and ROM Hinges and Cryotherapy The X-Ortho Knee ROM Cryo is a state-of-the-art design, adopted by leading professionals and athletes offering a versatile solution for most knee injuries.

Applications for Knee Injuries

Enhanced Comfort and Wearability

• State-of-the-art design adopted by leading professionals and athletes • Suitable for most knee injuries

• Multilayered blend of proprietary foam and neoprene • Micronized velvet sheathing for added comfort • Dual counter strap and wrap-around anterior closure system • Easy grip tip strap for frictionless donning and doffing • Customizable compression with a circular buttress pad for added protection • Adjustable Fit, sizes (SM to 2X) or (3X to 7X)

Advanced Dual Axis Hinge • Moves on two planes of motion independently • Accurately mirrors natural knee motion

Controlled Range of Motion • ROM Unicentric Hinges control flexion and extension • Adjustable in 15-degree increments from full lockout to full range of motion

Cryotherapy Features • Removable medical-grade gel pad for cold therapy • Provides pain relief through effective temperature management

Innovative KO Undersleeve • Silky soft Knee Orthosis Undersleeve included • Adds light compression and warmth to the knee • Creates a barrier for skin protection, enhancing cleanliness and extending device longevity

XO Formulary XO Ankle Support

XO Knee ROM Cryo

XO Back LSO Cryo

XO Shoe Surgical

XO Boot Pneumatic

XO Sling Arm/Shoulder

XO Finger Orthosis

XO Thumb Orthosis

XO Fracture Orthosis

XO Undersleeves

XO Knee Immobilizer

XO Wrist Orthosis

XO is the most advanced, most sophisticated, and most anticipated orthopedic product line ever created. XO products were strategically crafted by biomechanical engineers with feedback from Orthopedic, Urgent Care, and Podiatric Professionals.

XORTHO.COM

|

855.XORTHO1