L3904 – Wrist hand finger orthosis, external powered, electric, custom fabricated

Long description

Wrist hand finger orthosis, external powered, electric, custom fabricated

Short description

Whfo electric custom fitted

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, 1982

Last change

January 1, 2001 – No change

Nearby L codes

• 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
• L3901 – Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, cable driven, custom fabricated
• L3905 – Wrist hand orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment
• L3906 – Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment
• L3908 – Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf
• L3912 – Hand finger orthosis (hfo), flexion glove with elastic finger control, prefabricated, off-the-shelf
• L3913 – Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment
• L3915 – Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, 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
• L3916 – Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf
• L3917 – Hand orthosis, metacarpal fracture orthosis, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise