L3764 – Elbow wrist hand orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Long description

Elbow wrist hand orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Short description

Ewho w/joint(s) 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, 2006 – No change

Nearby L codes

• 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
• L3761 – Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, off-the-shelf
• L3762 – Elbow orthosis, rigid, without joints, includes soft interface material, prefabricated, off-the-shelf
• L3763 – Elbow wrist hand orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment
• L3765 – Elbow wrist hand finger orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment
• L3766 – Elbow wrist hand finger orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment
• L3806 – Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, custom fabricated, includes fitting and adjustment
• L3807 – Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
• L3808 – Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment
• L3809 – Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type
• L3891 – Addition to upper extremity joint, wrist or elbow, concentric adjustable torsion style mechanism for custom fabricated orthotics only, each
• L3900 – Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, wrist or finger driven, custom fabricated