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HCPCS Procedure & Supply Codes

Orthotic Devices & Services

section notes

Orthotic Devices -- Upper Limb

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Other WHFOs -- Custom Fitted

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L3905 Who w/nontorsion jnt(s) cf
L3906 Who w/o joints cf
L3908 Who cock-up nonmolde pre ots
L3912 Hfo flexion glove pre ots
L3913 Hfo w/o joints cf
L3915 Who nontorsion jnts pre cst
L3916 Who nontorsion jnts pre ots
L3917 Metacarp fx orthosis pre cst
L3918 Metacarp fx orthosis pre ots
L3919 Ho w/o joints cf
L3921 Hfo w/joint(s) cf
L3923 Hfo without joints pre cst
L3924 Hfo without joints pre ots
L3925 Fo pip dip jnt/sprng pre ots
L3927 Fo pip dip no jt spr pre ots
L3929 Hfo nontorsion jnts pre cst
L3930 Hfo nontorsion jnts pre ots
L3931 Whfo nontorsion joint prefab
L3933 Fo w/o joints cf
L3935 Fo nontorsion joint cf
L3956 Add joint upper ext orthosis
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