L3650 – Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf

Long description

Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf

Short description

So 8 abd restraint pre ots

Pricing indicator

38 Orthotics, prosthetics, prosthetic devices & vision services

Medicare coverage

C Carrier judgment – coverage decided by the Medicare contractor

BETOS category

D1F Prosthetic/Orthotic devices

Added

January 1, 1986

Last change

January 1, 2014 – No change

Nearby L codes

• L3590 – Orthopedic shoe addition, convert firm shoe counter to soft counter
• L3595 – Orthopedic shoe addition, march bar
• L3600 – Transfer of an orthosis from one shoe to another, caliper plate, existing
• L3610 – Transfer of an orthosis from one shoe to another, caliper plate, new
• L3620 – Transfer of an orthosis from one shoe to another, solid stirrup, existing
• L3630 – Transfer of an orthosis from one shoe to another, solid stirrup, new
• L3640 – Transfer of an orthosis from one shoe to another, dennis browne splint (riveton), both shoes
• L3649 – Orthopedic shoe, modification, addition or transfer, not otherwise specified
• L3660 – Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf
• L3670 – Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf
• L3671 – Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment
• L3674 – Shoulder orthosis, abduction positioning (airplane design), thoracic component and support bar, with or without nontorsion joint/turnbuckle, may include soft interface, straps, custom fabricated, includes fitting and adjustment
• L3675 – Shoulder orthosis, vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf
• L3677 – Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
• L3678 – Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, prefabricated, off-the-shelf
• L3702 – Elbow orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment