Therapist Frequently Asked Questions

Some insurance companies and insurance programs such as Medicare have covered SilverRing™ splints in the past. Coverage is dependent on variables such as the type of insurance policy and the medical necessity of the splint. Typically a facility or patient orders the splints and submits the invoice to insurance to be reimbursed.

Please visit our Insurance Coverage page for information on filing a claim.

Will insurance companies cover the splints and what codes does one use? Yes, insurance companies may cover our splints but it depends on many variables. We do not bill insurance so the first step is to contact the provider and check what process one may need to follow to get the splints covered. The provider may be willing to reimburse the patient, or splints may need to be ordered through the measuring facility, orthotics company or durable medical equipment supplier (DME).

During the process, there may be a question about what “L” codes or “HCPCS” codes to use for SilverRing™ splints. Static finger splint codes are most often used. The following codes can be a good starting point in the discussion with the provider. These codes do not guarantee coverage or payment and do not replace your medical provider’s billing expertise. It is your responsibility to bill with the appropriate billing codes for the services and/or products provided. Based on feedback from individuals, our best advice is: Do not give up easily.

Since some people need multiple splints for each hand or finger, a more comprehensive “Letter of Medical Necessity” can be helpful. The form we provide is a generic letter to help the therapist, doctor or patient in the process of submitting to an insurance provider. It already includes the most common codes used for our splints.

Most forms have a field labeled Place of Service. Place of Service refers to the place where the patient will be using the device/orthosis/splint, not where the splint was measured. We recommend filling in this field with the numerical code for Home. We have seen code – 12 used for Home. It is the responsibility of the patient or therapist to check filing codes on any forms being submitted.

*The click here link at the end of each of the following lines takes you to a page for an exact definition and allows you to search by state to check Fee Schedules.

Custom Orthosis:

“L3933” –  Custom fabricated finger orthosis (click here)
“L3913” –  Custom fabricated hand finger orthosis
**Note: we have seen this code used for thumb splints** (click here)
“L3808” –  Custom fabricated wrist hand finger orthosis
**Note: we have seen this code used for thumb splints** (click here)
“E1399” – Durable medical equipment, miscellaneous (click here)
**Note: Code may only be valid if ordering through DME supplier. Not all facilities have a DME classification.

Other Splint Codes:

“Q4049” – Finger splint, static (click here)
“L3927” –  Prefabricated finger orthosis (click here)
“L3923” –  Prefabricated hand finger orthosis (click here)

Splints that are unused or returned in new condition may be exchanged free of charge.  Used or damaged splints may not be returned for exchange, credit or refund.  Any modification to or repair of the splints by anyone other than the Silver Ring Splint Co. voids our warranty.  Splints that are damaged, badly scratched, etc will not be accepted for return or exchange.  Do not use tools on our splints.  Note that we do not size splints, they are exchanged so returned splints must be received in new condition to be put back into our inventory.   

Return splints in a box with padding to insure they are not damaged in transit.  We are not responsible for any splint that has been flattened, damaged, or lost during shipping. Please insure shipments properly.

Use the RMA form when returning for exchange or refund.  There is no need to call Silver Ring Splint for a RMA number.  Instead, please put your Invoice number on the RMA Form to reference your order.

All Mail: Silver Ring Splint Co. 1140 East market Street Charlottesville, VA 22902

Please be sure to use the proper address above and to follow all instructions, Allow 3-8 business days for us to open and process returns/exchanges once the shipment has been received.

We are not responsible for customs or duty charges or for return mailing charges. Exchanges are usually shipped back free of charge through US Mail – if you require a specific carrier or expedited service you may be charged shipping fees on the exchange.  Please note not all carriers can deliver to a PO Box.

Splints with stones are “special order splints” and cannot be returned. Before you call us, please consider your choices. You will have to choose either gold or silver, a kind of stone (i.e. Ruby, Sapphire, Peridot, etc.), a stone quality (i.e. genuine, lab grown or synthetic) and a stone size. All these factors will affect the price. We recommend having a color and a budget in mind before you call us.

Stone splints can take 2-4 weeks to process and the size and fit will need to be verified in silver first.

Gold splints are special order splints and cannot be returned. Gold splint prices are based on the market price of gold on the day the splint is ordered. For example, when the market price of gold is $1,400: Swan Neck splints are $670, Boutonniere splints are $710 and MCP splints are $1,770 (without the proximal volar extension or the bracelet). The size and fit of the splint must first be verified in silver before the gold splint can be ordered.

Facilities, therapists and medical offices may place an order for the EZ-Sizer™ measuring kit and for SilverRing™ splints by submitting our order form, either by fax at 888-456-8828 or email. Our EZ-Sizer™ can also be purchased through North Coast Medical and Performance Health.

There is no credit application to submit and our terms are net 30 days. Individual patients may not purchase the EZ-Sizer measuring kit to measure themselves. Patients may not purchase SilverRing™ splints until they have been seen by a therapist or other trained medical practitioner. Once the patient has been seen for evaluation and measurement, the patient may order directly from the company without having the facility or therapist place the order.

The Price List is available online. You may also call the company to get a quote on a splint.

We no longer offer regular strength splints.

Extra strength splints have become our standard for all our products so as to provide the best quality and durability.  Wide splints are made from the same gauge wire as extra strength splints, but have an increased lip width to help disperse the pressure on the dorsal surface of the finger. For example, the lip width of a size 9 ring in extra strength is 3.2 mm and in wide is 4.4 mm.

The bracelet that is ordered with the splint is a standard eight inch length. During fitting and evaluation, we suggest using a safety pin, twist ties or dental floss to adjust the bracelet to a comfortable length. This adjustment can be tried and changed over several days as the patient gets used to the splint. The bracelet should be comfortable and help keep the splint in place. Once a length has been decided on, you can return the splint and the bracelet to us. Please provide the total length of the bracelet needed, including jump ring and clasp. We will send the splint back to you all at no charge. Alternatively, you can have a local jeweler adjust the bracelet, which should be a quick adjustment for a nominal fee.

Non-Returnable Splints are splints that are unique and not part of our normal product line. Gold splints and splints with precious or semi-precious stones are Non-Returnable Splints. Non-Returnable Splints may not be returned for size changes, refund or credit. Because Non-Returnable Splints may not be returned, there are specific steps that are followed in the ordering process. When someone wants or needs a Non-Returnable Splint, we first send either a regular silver splint or an unfinished mock-up splint for size verification. This step may require several iterations until the correct fit is obtained. Once the size and function of the silver splint is verified, that silver splint may returned for credit and the Non-Returnable Splints may be ordered.

Special order splints typically take 2-4 weeks to make.

We do offer reshaping of older splints for a nominal fee. The splint must be free of cracks and will need to be returned to us for evaluation. At this time we can determine the splint integrity and will contact you to discuss the options. Please provide contact information, including a telephone number, and payment information with your return.

All regular splints may be exchanged free of charge if they are in “like new” condition. We encourage patients to try out splints to make sure they fit properly. The silver from which the splints are manufactured is malleable and the angle between the rings may be manually changed to adjust the fit of the splint (see our Adjustment Flyer download for instructions). These changes are expected and will not prevent the splints from being exchanged free of charge. Never use tools when adjusting the splints as tools will scratch the splints. Splints with heavy scratches or tool marks may not be exchanged. Special order splints may not be exchanged free of charge; therapists should contact us by phone with questions. Return instructions are supplied with all orders. See How do I return a splint for more information.

The Silver Ring Splint Company warrants its products against defects in materials and workmanship for one year. Should any product fail to perform for either of the above reasons, the Silver Ring Splint Company will repair or replace the product at no charge. Repairs by anyone other than the Silver Ring Splint Company voids our warranty, with the exception of bracelet adjustments. Typically, it costs more to repair a broken splint that is out of warranty than to buy a new splint. However, if you would like for us to evaluate the condition of your splint, please follow the return instructions.  Be sure to include your contact information.

We strive to get all SilverRing™ splint orders processed and shipped out in 2-4 business days. Special order splints (those splints noted as special order on our price list), gold splints and splints with stones can take 2-4 weeks for us to manufacture. Shipping times will depend on the method chosen at the time of the order. Any missing information on the order form can cause delays in the order. Our order forms have a place for email confirmation and tracking and this is the best way to check the status of an order. 1st Class Mail (USPS) averages 2-10 business days and FedEx Ground takes 5 business days to the west coast. Two-Day and Overnight shipping is available and International Airmail generally takes 8 to 12 business days depending on the distance and customs.

Special order splints often have a multi-step ordering process to ensure that special order splints fit and function properly and keeps splint costs lower. We first send special order splints unfinished for fitting and function purposes and for size verification. The thermoplastic splints or plaster molds can be useful in understanding shape, but cannot always be duplicated in silver. Then, with feedback from the therapist and the patient, we can make size changes and adjustments without having to remake the whole splint.  Please inform the patient up front about the process so the turnaround time does not come as a surprise.

Records for each patient are kept under the customer number of the facility or office where they were measured for splints. This number has nothing to do with billing and insures that the patient was seen by someone with our custom tools. It is required for all orders. With the customer number, we can locate records of prior shipments to patients.