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HCPCS Procedure & Supply Codes

Orthotic Devices & Services

section notes

Orthotic Devices -- Upper Limb

section notes

Other WHFOs -- Custom Fitted

section notes
L3905   Wrist hand orthosis, includes one or more nontorsion joints, elastic bands, turn...
L3906   Wrist hand orthosis, without joints, may include soft interface, straps, custom ...
L3908   Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated,...
L3912   Hand finger orthosis (hfo), flexion glove with elastic finger control, prefabric...
L3913   Hand finger orthosis, without joints, may include soft interface, straps, custom...
L3915   Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, tu...
L3916   Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, tu...
L3917   Hand orthosis, metacarpal fracture orthosis, prefabricated item that has been tr...
L3918   Hand orthosis, metacarpal fracture orthosis, prefabricated, off-the-shelf
L3919   Hand orthosis, without joints, may include soft interface, straps, custom fabric...
L3921   Hand finger orthosis, includes one or more nontorsion joints, elastic bands, tur...
L3923   Hand finger orthosis, without joints, may include soft interface, straps, prefab...
L3924   Hand finger orthosis, without joints, may include soft interface, straps, prefab...
L3925   Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), no...
L3927   Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), wi...
L3929   Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, ela...
L3930   Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, ela...
L3931   Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckle...
L3933   Finger orthosis, without joints, may include soft interface, custom fabricated, ...
L3935   Finger orthosis, nontorsion joint, may include soft interface, custom fabricated...
L3956   Addition of joint to upper extremity orthosis, any material; per joint
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