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
HCPCS Level II code · L codes: Orthotic and Prosthetic Procedures and Devices
HCPCS codeL3917
- Long description
- 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
- Short description
- Metacarp fx orthosis pre cst
- Pricing indicator
38Orthotics, prosthetics, prosthetic devices & vision services- Medicare coverage
CCarrier judgment – coverage decided by the Medicare contractor- BETOS category
D1FProsthetic/Orthotic devices- Added
- January 1, 2004
- Last change
- January 1, 2014 – No change
Frequently asked questions
What is HCPCS code L3917?
L3917 is a HCPCS Level II code for 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.
Does Medicare cover L3917?
The HCPCS file lists coverage code C: Carrier judgment – coverage decided by the Medicare contractor. Coverage and payment also depend on local coverage determinations and the patient’s plan.
Nearby L codes
- L3904 – Wrist hand finger orthosis, external powered, electric, 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
- L3918 – Hand orthosis, metacarpal fracture orthosis, prefabricated, off-the-shelf
- L3919 – Hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment
- L3921 – Hand finger orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment
- L3923 – Hand finger orthosis, 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
- L3924 – Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf
- L3925 – Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), non torsion joint/spring, extension/flexion, may include soft interface material, prefabricated, off-the-shelf
- L3927 – Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), without joint/spring, extension/flexion (e.g., static or ring type), may include soft interface material, prefabricated, off-the-shelf
- L3929 – Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.