Doctor in the House · Braces & slings
Miracle Splint Pro Wrist Brace
A wrist brace from Doctor in the House with removable thermoplastic stays you warm and mold to the wrist, supplied under a New York workers’ comp or no-fault claim when your treating provider prescribes it.
- Stays
- Heat-moldable
- Sizes
- One size · XL
- HCPCS
- L3916 (maker)
Providers may also fax (973) 846-7077 or email referral@citydme.com. Provider referrals are not accepted by phone. Email is not a secure channel: to request a secure upload option, contact CityDME first, and do not include patient documents in your initial message.
The short answer
Can I get the Miracle Splint Pro wrist brace through workers’ comp or no-fault in New York?
When your treating provider prescribes it for a work injury or a motor-vehicle accident, CityDME can supply it under the New York workers’ comp or no-fault claim. A prescription is always required for a claim. Coverage, any prior authorization, and patient cost depend on the claim, the applicable fee schedule, and payer review.
As described by Doctor in the House
What it is
The Miracle Splint Pro was designed by orthopedic hand surgeon Dr. Scott Fried. Its thermoplastic stays are removable and moldable: warmed in a microwave for 60 seconds, then shaped on the wrist in a neutral position. The Pro version adds a dynamic hinge and a night resting piece. Photo shows the right-hand brace.
Heat-moldable thermoplastic stays
Removable stays that are warmed for 60 seconds, cooled to a comfortable temperature, then molded on the wrist.
Neutral wrist position
Molded with the hand resting in wrist-neutral position.
Dynamic hinge and night resting piece
Included with the Pro version.
Thumb spica attachment
Listed on the maker’s DME page for the Pro.
Specifications
- Manufacturer
- Doctor in the House
- Model
- Miracle Splint Pro Wrist Brace
- Designed by
- Dr. Scott Fried, orthopedic hand surgeon
- Stays
- Removable, heat-moldable thermoplastic
- Sizing
- One size fits most; XL available
- Shown
- Right hand
- HCPCS (maker-listed)
- L3916; L3915 custom-fitted. Maker-listed; not PDAC-verified.
Specifications as published by the manufacturer. The prescription decides the exact model, size, and settings.
How to get it through a New York claim
Your treating provider decides what’s medically necessary. CityDME checks the referral, bills the carrier directly, and delivers.
The treating provider prescribes it
A claim always needs a prescription, and it decides the exact model and size or side. Send it with the claim type (workers’ comp or no-fault) and any claim details you have.
We review the referral the next business day
CityDME checks the order and claim details for completeness and lets the sender know if a document is missing. For workers’ comp items that need prior authorization, the Board-authorized prescribing provider submits the PAR through OnBoard; DME suppliers cannot.
We coordinate delivery
Once documentation is complete, we schedule delivery. Coverage and any patient cost remain subject to the claim, the applicable fee schedule, and payer review.
Common questions
How is it molded?
Per the maker’s instructions: warm it in a microwave for 60 seconds, let it cool to a comfortable temperature, put it on and tighten the straps, then rest the hand in a neutral wrist position for 60 seconds while it sets.
Does CityDME submit the workers’ comp prior authorization?
No. When an item requires prior authorization under New York workers’ comp, the Board-authorized prescribing provider submits the PAR through OnBoard. DME suppliers are not eligible to submit PARs, and CityDME does not submit them.
What do you need for a no-fault (car accident) claim?
The prescription, plus the claim number, carrier, accident date, and assignment-of-benefits paperwork so the no-fault carrier can be billed directly. If a document is missing from the referral, we let you know which one.
Which New York rules apply?
Equipment on a New York claim is billed under the workers’ compensation DME fee schedule, or the no-fault (Regulation 68) fee schedule for auto claims. A claim always needs a prescription, coverage depends on the claim and payer review, and for workers’ comp any prior authorization is provider-submitted through OnBoard.
General equipment questions? Call (855) 248-9363.
Product information sources
- Doctor in the House: Miracle Splint Pro Wrist Brace
- Doctor in the House: Miracle Splint Pro (DME page)
- Doctor in the House: Miracle Splint (molding instructions)
Product names and trademarks belong to their owners. Photos identify the model; this page is not medical advice.