HCPCS Code Section: HCPCS L Codes

L3763

Elbow wrist hand orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment Short Description: Ewho rigid w/o jnts cf Coverage Code: Carrier judgment …

L3762

Elbow orthosis, rigid, without joints, includes soft interface material, prefabricated, off-the-shelf Short Description: Eo rigid w/o joints pre ots Coverage Code: Carrier judgment Action Code: No maintenance for this …

L3761

Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, off-the-shelf Short Description: Eo, adj lock joint prefab ot Coverage Code: Carrier judgment Action Code: No maintenance for this code …

L3760

Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with …

L3740

Elbow orthosis, double upright with forearm/arm cuffs, adjustable position lock with active control, custom fabricated Short Description: Cuffs adj lock w/ active con Coverage Code: Carrier judgment Action Code: …

L3730

Elbow orthosis, double upright with forearm/arm cuffs, extension/ flexion assist, custom fabricated Short Description: Forearm/arm cuffs ext/flex a Coverage Code: Carrier judgment Action Code: No maintenance for this code …

L3720

Elbow orthosis, double upright with forearm/arm cuffs, free motion, custom fabricated Short Description: Forearm/arm cuffs free motio Coverage Code: Carrier judgment Action Code: No maintenance for this code Date …

L3710

Elbow orthosis, elastic with metal joints, prefabricated, off-the-shelf Short Description: Eo elas w/metal jnts pre ots Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: …

L3702

Elbow orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment Short Description: Eo w/o joints cf Coverage Code: Carrier judgment Action Code: No maintenance …

L3678

Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, prefabricated, off-the-shelf Short Description: So hard plas stabili pre ots Coverage Code: Carrier judgment Action Code: No …