2024 HCPCS Code 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

TAGS: custom nontorsion shoulder include finger elastic fitting wrist adjustment elbow

Short DescriptionSewhfo cap desgn w/jnt(s) cf
HCPCS Coverage Code C - Carrier judgment
HCPCS Action Code N - No maintenance for this code
HCPCS Action Effective Date January 01, 2006
HCPCS Code Added Date January 01, 2006
HCPCS Pricing Indicator Code 38 - Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)
HCPCS Multiple Pricing Indicator Code A - Not applicable as HCPCS priced under one methodology
HCPCS Coverage Issues Manual Reference Section Number
HCPCS Type Of Service Code P - Lump sum purchase of DME, prosthetics, orthotics
HCPCS Anesthesia Base Unit Quantity 0

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