L3671 – Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Long description

Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Short description

So cap design w/o jnts cf

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, 2006

Last change

January 1, 2011 – No change

Nearby L codes

• 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
• L3650 – Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf
• 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
• 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
• L3710 – Elbow orthosis, elastic with metal joints, prefabricated, off-the-shelf
• L3720 – Elbow orthosis, double upright with forearm/arm cuffs, free motion, custom fabricated
• L3730 – Elbow orthosis, double upright with forearm/arm cuffs, extension/ flexion assist, custom fabricated