HCPCS Code Section: HCPCS L Codes

L3978

Shoulder elbow wrist hand finger orthosis, abduction positioning (airplane design), thoracic component and support bar, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, …

L3977

Shoulder elbow wrist hand finger orthosis, shoulder cap design, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment …

L3976

Shoulder elbow wrist hand finger orthosis, abduction positioning (airplane design), thoracic component and support bar, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment Short …

L3975

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

L4040

Replace molded thigh lacer, for custom fabricated orthosis only Short Description: Replace molded thigh lacer Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January …

L4030

Replace quadrilateral socket brim, custom fitted Short Description: Replace socket brim cust fit Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1985 …

L4020

Replace quadrilateral socket brim, molded to patient model Short Description: Replace quadlat socket brim Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, …

L4010

Replace trilateral socket brim Short Description: Replace trilateral socket br Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1985 Effective Date: January …

L4210

Repair of orthotic device, repair or replace minor parts Short Description: Orth dev repair/repl minor p Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code …

L4002

Replacement strap, any orthosis, includes all components, any length, any type Short Description: Replace strap, any orthosis Coverage Code: Carrier judgment Action Code: No maintenance for this code Date …