HCPCS Code Section: HCPCS L Codes

Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type Short Description: Whfo w/o joints pre ots Coverage Code: Carrier judgment Action Code: No maintenance for this code Date …

Hand finger orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment Short Description: Hfo w/joint(s) cf Coverage …

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

Hand orthosis, metacarpal fracture orthosis, prefabricated, off-the-shelf Short Description: Metacarp fx orthosis pre ots Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, …

Shoulder elbow wrist hand orthosis, abduction positioning, erb’s palsey design, prefabricated, includes fitting and adjustment Short Description: Sewho erbs palsey design abd Coverage Code: Carrier judgment Action Code: No …

Shoulder elbow wrist hand orthosis, shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment Short Description: Sewho cap design w/o jnts cf …

Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment Short Description: Sewho airplan desig abdu pos Coverage Code: Carrier judgment Action Code: No maintenance …

Addition of joint to upper extremity orthosis, any material; per joint Short Description: Add joint upper ext orthosis Coverage Code: Carrier judgment Action Code: No maintenance for this code …

Finger orthosis, nontorsion joint, may include soft interface, custom fabricated, includes fitting and adjustment Short Description: Fo nontorsion joint cf Coverage Code: Carrier judgment Action Code: No maintenance for …

Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment Short Description: Upper ext fx orthosis wrist Coverage Code: Carrier judgment Action Code: No maintenance for this code Date …