L3675 – Shoulder orthosis, vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf

Long description

Shoulder orthosis, vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf

Short description

So vest canvas/web 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, 1999

Last change

January 1, 2014 – No change

Nearby L codes

• 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
• 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
• 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
• L3740 – Elbow orthosis, double upright with forearm/arm cuffs, adjustable position lock with active control, custom fabricated
• L3760 – Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise