FAQs

You will need a referral from your physician to an Occupational Therapist (OT), Physical Therapist (PT), or Certified Hand Therapist (CHT) who is familiar with splinting. If you need the name of a therapist in your community who is familiar with our products, please contact us.-

1. How do I obtain a splint?
2. How much do SIRIS™ splints cost?
3. Can I order or reorder splints without going through the facility?
4. Are SIRIS™ splints covered by insurance?
5. Are there codes for billing insurance companies?
6. What kind of splint do I order?
7. What if the splint does not fit?
8. How do I return a splint?
9. Should I order regular strength, extra strength or extra wide splints?
10. What are “Special Order Splints”?
11. How does one order a splint with a precious or semi-precious stone? How much does a splint with a precious or semi-precious stone cost?
12. How does one order gold splints? How much does a gold splint cost?
13. What happens if I step on my splint? Can I get my splint reshaped?
14. What is the warranty on SIRIS™ splints? Can I get a broken splint repaired?
15. When can I expect my splint to arrive?
16. The bracelet with my thumb splint is too long. How can I get it shortened?
17. Why do special order splints have a multi-step ordering process?
18. Why does one need a customer number?

1. How do I obtain a splint?

A: To obtain a SIRIS™ Splint, you will need to be seen by a therapist who can evaluate your hand function and recommend whether finger splints will improve your hand function and/or decrease pain. SIRIS™ splints are custom fit to your fingers. In order to obtain custom fit SIRIS™ splints, your fingers will have to be measured by the therapist using our specialized measuring tool, the EZ-Sizer. To locate a therapist in your area who has a measuring kit and can take your measurements, please email us your postal code at customerservice@silverringsplint.com. If there is no therapist in your city who has a measuring kit, we will try to suggest someone in one of the surrounding cities.

2. How much do SIRIS™ Splints cost?

A: The price list is online at Price List. You may also call the company to get a quote on a splint.

3. Can I order or reorder splints without going through the facility?

A: If you are ordering for the first time you must have been evaluated and measured by a therapist. You should have received an order form from the therapist with the splint type and your sizes listed. This order form will have a customer number at the top, which we will use to store your information. If you can fax or email the new order, it is preferred so we can have a hard copy to check against and be sure to provide your telephone number in case we have any questions. We are also happy to take reorders over the phone. Our office is open 9:00am to 5:30pm EST. If you are re-ordering, please have as much information on hand as possible. If you have saved the old invoice, packing slip or plastic bag the splints came in, then we will be able to use the invoice number as a reference to re-order the correct splint. If you don’t have any old paperwork, please try to remember the name of the facility where you were measured and the approximate date (month & year). We have records dating back over fifteen years, so there is a good chance we can find your original order. When a patient is ordering directly, payment must be made by credit card or by including a check with the order when it is mailed to us. If the payment is being made by check, please call to verify the price and shipping charge so the check will be for the correct amount.

4. Are SIRIS™ splints covered by insurance?

A: Some insurance companies and insurance programs such as medicare have covered SIRIS 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.

5. Are there codes for billing insurance companies?

A: One of the most common questions we get: “will insurance companies cover our splints and what codes do I use”.  Yes, insurance companies do cover our splints but it depends on many variables.  We have seen 100% coverage, partial and no coverage.  We do not bill insurances so the first step is to contact your provider and check what process you need to follow to get your splints covered.  The provider may be willing to reimburse you, or splints may need to be ordered through the measuring facility/orthotics company/durable medical equipment supplier (DME).

During the process you may get a question about what “L” codes or “HCPCS” codes to use for SIRIS™ splints.  Most people use the static finger splint codes.  The following codes can be a good starting point in the discussion with your provider.  These codes do not guarantee coverage or payment and do not replace your medical providers billing expertise.  It is your responsibility to bill within 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 robust “Letter of Medical Necessity” can be important. The form we provide is a generic letter to help the therapist, doctor or yourself in the process of submitting to an insurance provider. It already includes the most common codes we see used for our splints. We suggest printing out and taking to any appointment in case it can help.

Most forms have a field labeled Place of Service. Place of Service refers to the place where you will be using the device/orthosis/splint, not where you were measured. We recommend filling in this field with the numerical code for Home. We have seen code – 12 used for Home. Please understand this information is second hand and it is your responsibility to check how to fill out any forms you are submitting.

The “click here” link, at the end of each line, takes you to a page for an exact definition and allows you to search by state to check “Fee Schedules”.

Prefabricated Orthosis:

“L3927” –  Prefabricated finger orthosis (click here)
“L3923” –  Prefabricated hand finger orthosis (click here)

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)

Other Splint codes:

“Q4049” –  Finger splint, static (click here)

6. What kind of splint do I order?

A: The splint type that will help you depends on what problems you are experiencing with your hands and fingers. A therapist or another medical professional that understands hands can evaluate your hand function and make recommendations.

7. What if the splint does not fit?

A: 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 properly fit. 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. These changes are expected and will not prevent the splints from being exchanged free of charge. However, 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 are may not be exchanged free of charge and therapists should contact us by phone with questions. Return instructions are supplied with all orders. Also see “How do I return a splint” below.

8. How do I return a splint?

A: On a copy of the packing slip or invoice that came with the splint, please tell us what needs to be done (i.e. exchange for new size, credit account, other). Also, please include a contact telephone number or email address in case we have questions. Package the splint in a box so it does not get crushed in transit and send everything to us. If the request incurs any additional fees, please provide us with billing information again since we do not keep credit card numbers on file.

Our mailing address is:

Silver Ring Splint Company
PO Box 2856
Charlottesville, VA 22902
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Our street address for UPS and FedEx delivery is:

Silver Ring Splint Company
1140 East Market Street
Charlottesville, VA 22902

9. Should I order regular strength, extra strength or extra wide splints?

A: 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.  Extra 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 regular strength is 2.9mm, in extra strength is 3.2 mm and in extra wide is 4.4 mm.

10. What are “Special Order Splints”?

A: Special order 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 special order splints. Special order splints may not be returned for size changes, refund or credit. Because special order splints may not be returned, there are specific steps that are followed in the ordering process. When someone wants or needs a special order 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 special order splint may be ordered.

Special order splints typically take 2-3 weeks to make.

11. How does one order a splint with a precious or semi-precious stone? How much does a splint with a precious or semi-precious stone cost?

A: Splints with stones are “special order splints”. To understand the steps that will be followed when ordering splints with stones, see “What are Special Order Splints” above at answer #8. You may contact us for a price quote. 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. For a splint with a stone, please allow 2-3 weeks for us to make the final splint once it is ordered.

12. How does one order gold splints? How much does a gold splint cost?

A: Gold splints are “special order splints”. To understand the steps that will be followed when ordering gold splints, see “What are Special Order Splints” above in answer #8. Gold splint prices are based on the market price of gold on the day the final splint is ordered. To give an idea of the cost of a gold splint, 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).

13. What happens if I step on my splint? Can I get my splint reshaped?

A: Some splints can be reshaped, even if they were run over by a car, stepped on or chewed up by a dog. And some splints cannot be reshaped. To determine if the splint’s integrity has been lost, it will have to be returned to us. We offer reshaping for a nominal fee. Please provide contact information, including a telephone number, and payment information with your return.

14. What is the warranty on SIRIS™ splints? Can I get a broken splint repaired?

A: 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. 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, return it to us following the instructions under “How Do I Return a Splint” at Question #8 above. Be sure to include your contact information.

15. When can I expect my splint to arrive?

A: Swan Neck splints and Boutonniere splints are usually shipped the day after we receive the order. All other regular splints are shipped in 1-3 days. That means, for orders received before 4:00pm EST, we ship the splint in one to two days, depending on the splint type. Special order splints (those splints noted as special order on our price list), gold splints and splints with stones can take up to two weeks for us to manufacture. When the splint arrives will be determined by the shipping method chosen. We have found that United States Postal Service (USPS) can take anywhere from a couple of days to two weeks to the west coast. FedEx Ground generally takes five business days to the west coast. We can also ship 2-day and next day. International airmail generally takes eight to ten business days depending on where you live.

16. The bracelet with my thumb splint is too long. How can I get it shortened?

A: The bracelet that is sent with the splint is a standard eight inch length. During fitting and evaluation, we suggest using a safety pin or twist tie to adjust the bracelet length 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. We will remove the number of links you specify and send the splint back to you all at no charge. Alternatively, you can have a local jeweler adjust the bracelet, which should take a only matter of minutes, but you will be charged for their services.

17. Why do special order splints have a multi-step ordering process?

A: It is hard to design custom splints when there are no specific ways to measure for the splint, even if we have thermoplastic models or plaster molds to work from. Therefore, we must manufacture special order splints in multiple steps. We typically initially send special order splints unfinished for fitting and function purposes and for size verification. Then, with feedback from the therapist and the patient, we can make size changes and adjustments without having to remake the whole splint. This multi-step, back and forth process is the only way to ensure that special order splints fit and function properly. Please be patient and inform the patient about the process so they do not get anxious or upset.

18. Why does one need a customer number?

A: Records for each patient are kept under the customer number of the facility or office where they were measured for splints. Since we are not able to set up an account for each patient, this is the way we keep information organized. With the customer number, we can locate records of prior shipments to patients.