L3960 cpt code. State Street, Chicago, IL 60610.

L3960 cpt code. State Street, Chicago, IL 60610. We ship fast to patients no inventory needed. Jul 1, 2025 · Fees shown below are effective July 1, 2025. Dropship the L3960 PDAC-approved shoulder/arm brace with Medicare code. L3960 : HCPCS Code (2025) : XML L3960 : Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment ( Sewho airplan desig abdu pos ) Additionally, you can get information about the “L3960” HCPCS code in HTML | TXT | PDF | JSON formats. View corresponding CPT® codes and their definitions. Used for documenting medical procedures performed and supplies used, including Durable Medical Equipment (DME). State regulations and/or payer policies may establish limitations on the use of one or Orthotic and Prosthetic Procedures, Devices L0650 is a valid 2025 HCPCS code for Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel (s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel (s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps The PDAC Contractor provides coding assistance to manufacturers to ensure proper coding of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS). SUGGESTED HCPC: L3960 ORDER NUMBER: 5100-E SIZE: Universal (see sizing chart to the left) PRODUCT HIGHLIGHTS: • Lightweight, universally-sized • Removable wedge allows shoulder position at 0, 15, 30, 60 and 90 degrees • Strapping systems allows abductor to be worn on the left or right arm with minimal adjustment HCPCS Code L3967 for Shoulder elbow wrist hand orthosis, abduction positioning (airplane design), thoracic component and support bar, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment. Apr 9, 2025 · Example: A supplier provides a prefabricated device that is listed on the PDAC Product Classification List (PCL) as L3960 (SHOULDER ELBOW WRIST HAND ORTHOSIS, ABDUCTION POSITIONING, AIRPLANE DESIGN, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT). All products HCPCS Code L1690 for Combination, bilateral, lumbo-sacral, hip, femur orthosis providing adduction and internal rotation control, prefabricated, includes fitting and adjustment. This HCPCS code L3962 for Shoulder elbow wrist hand orthosis (SEWHO), abduction positioning, erbs palsey design, prefabricated, includes fitting and adjustment as maintained by CMS falls under Shoulder-elbow-wrist-hand Orthotics . Applications are available at the AMA website. Order Shoulder Brace ARC® One Size Fits Most Buckle Closure by Breg AE050400 Applicable Codes The following list(s) of procedure and/or diagnosis codes is provided for reference purposes only and may not be all inclusive. Enter a HCPCS Code: Healthcare Common Procedure Coding System code L3807 pertains to a specific type of prefabricated orthotic device. L3960 is a valid 2025 HCPCS code for Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment or just “ Sewho airplan desig abdu pos ” for short, used in Lump sum purchase of DME, prosthetics, orthotics. Product and Service Code (s): OR02 : ORTHOSES: PREFABRICATED (CUSTOM FITTED). " For questions about correct coding, contact the PDAC HCPCS Helpline at (877) 735-1326 during the Telescoping arms Durable, removable wedge allowing shoulder positioning at 0, 15, 30, 60 or 90 degrees A strapping system which allows the Comfortmax Shoulder/ Arm Abduction System to be worn on the left or right arm with minimal adjustment, making this device a one size fits all product Indications The Coretech 960 Advanced Arm Sling (HCPCS: L3960) provides adjustable abduction and rotation control for ideal shoulder positioning post-surgery. Match supply and drug codes in a snap. Review description and fee schedules for HCPCS Code L3960, intended for Orthotic Procedures and services, and compare rates across different payers. These frequency restrictions are applied to any provider billing the procedure code within the designated time frame(s). 0 material moves moisture Jan 27, 2022 · An announcement in the Federal Register regarding indicates any product billed with six identified HCPCS will require a Face-to-Face Encounter and a Written Order Prior to Delivery. This device is uniquely crafted for a specific patient to address their individual medical needs and physical dimensions. 0 features 2. L3960 SHOULDER ELBOW WRIST HAND ORTHOSIS, ABDUCTION POSITIONING, AIRPLANE DESIGN, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT HCPCS Code L3960 is a healthcare procedural terminology code used within the Level II Healthcare Common Procedure Coding System (HCPCS) framework. Mar 12, 2020 · License to use CPT for any use not authorized here in must be obtained through the AMA, CPT Intellectual Property Services, 515 N. S. Oct 1, 2015 · Use this page to view details for the Local Coverage Article for Ankle-Foot/Knee-Ankle-Foot Orthoses - Policy Article. Orthotic and Prosthetic Procedures, Devices L3999 is a valid 2025 HCPCS code for Upper limb orthosis, not otherwise specified or just “ Upper limb orthosis nos ” for short, used in Lump sum purchase of DME, prosthetics, orthotics. These guidelines ensure that billing for arthroscopic procedures aligns with Medicare's rules to prevent improper payments due to incorrect coding. HCPCS Code L3962 for Shoulder elbow wrist hand orthosis, abduction positioning, erb's palsey design, prefabricated, includes fitting and adjustment. Two coding options are available for billing this product, based on the actions of the supplier at the time of delivery: L3960 – Billed if fitting Oct 1, 2015 · Use this page to view details for the Local Coverage Article for Lower Limb Prostheses - Policy Article. Oct 10, 2024 · Example: A supplier provides a prefabricated device that is listed on the PDAC Product Classification List (PCL) as L3960 (SHOULDER ELBOW WRIST HAND ORTHOSIS, ABDUCTION POSITIONING, AIRPLANE DESIGN, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT). HCPCS: L3960 Our signature aluminum waistband is moldable to each patient’s unique torso shape and prevents anterior migration that is common with shoulder braces. Oct 22, 2020 · October 22, 2020 Correct Use of Not Otherwise Specified L-codes for Orthoses and Prostheses – Billing Reminder Joint DME MAC Article The Durable Medical Equipment Medicare Administrative Contractors (DME MACs) and Pricing, Data Analysis and Coding (PDAC) Contractor want to remind suppliers on the correct use of a group of L-codes which share the phrase, "Not otherwise specified" (NOS). L3960 is a valid 2025 HCPCS code for Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment or just “ Sewho airplan desig abdu pos ” for short, used in Lump sum purchase of DME, prosthetics, orthotics. Fee Schedule Lookup HCPCS Code* Date of Service* Show for Search Clear Fee Schedule Category: Prosthetics and Orthotics Short Description for L3960: Sewho airplan desig abdu pos Long Description for L3960: SHOULDER ELBOW WRIST HAND ORTHOSIS, ABDUCTION POSITIONING, AIRPLANE DESIGN, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT HCPCS Code for Shoulder elbow wrist hand orthosis (SEWHO), shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment L3961 HCPCS code L3961 for Shoulder elbow wrist hand orthosis (SEWHO), shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment as maintained by Oct 1, 2015 · Use this page to view details for the Local Coverage Determination for Orthopedic Footwear. It is officially defined as a wrist-hand orthosis that includes adjustable positioning and is designed to support or immobilize the wrist and hand. These codes describe various types of shoulder orthoses, including figure of eight designs, canvas and webbing types, acromio/clavicular types, shoulder joint designs, abduction positioning designs, and vest types. HCPCS Code for Shoulder orthosis (SO), acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670 HCPCS code L3670 for Shoulder orthosis (SO), acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf as maintained by CMS falls under Shoulder Orthotics . HCPCS L Codes - Orthotic and Prosthetic Procedures, DevicesContinued L3980 Upper extremity fracture orthosis, humeral, prefabricated, includes fitting and adjustment L3981 Upper extremity fracture orthosis, humeral, prefabricated, includes shoulder cap design, with or without joints, forearm section, may include soft interface, straps, includes fitting and adjustments L3982 Upper extremity Sizes: universal Our signature aluminum waistband is moldable to each patient s unique torso shape and prevents anterior migration that is common with shoulder braces. Listing of a code in this policy does not imply that the service described by the code is a covered or non-covered health service. UnitedHealthcare reimbursement policies may use Current Procedural Terminology (CPT®*), Centers for Medicare and Medicaid Services (CMS) or other coding guidelines. L3960 is a prefabricated shoulder "airplane design" abduction orthosis which includes Upper Limb Orthosis Coding for Upper Limb Orthoses An upper extremity orthotic device (HCPCS codes L3650-L3984) (i. Trusted B2B DME supplier in the U. With the exception of the diabetic shoe and HCPCS Code L3916 for Wrist hand orthosis, includes one or more nontorsion joint (s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf. Clear Fee Schedule Category: Prosthetics and Orthotics Short Description for L3960: Sewho airplan desig abdu pos Long Description for L3960: SHOULDER ELBOW WRIST HAND ORTHOSIS, ABDUCTION POSITIONING, AIRPLANE DESIGN, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT Mar 24, 2020 · L3960 is a prefabricated shoulder "airplane design" abduction orthosis which includes the elbow, wrist, hand, and fingers. 0 material moves moisture HCPCS coding information for L3960 - Sewho airplan desig abdu pos. There are adjustable rigid cuffs and joints/components to optimize the shoulder, elbow, wrist, and hand angles. L3960 is a prefabricated shoulder "airplane design" abduction orthosis which includes The HCPCS codes range Orthotic Procedures and services L0112-L4631 is a standardized code set necessary for Medicare and other health insurance providers to provide healthcare claims. HCPCS Code range (L0112-L4631), Orthotic Procedures and services, contains HCPCS codes for Orthotic procedures services, Cervical flexible (foam collar), (plastic collar), semi-rigid thermoplastic foam. 2. The ARC® 2. This article explores the intricacies of billing for orthotic procedures using AI automation. Two coding options are available for billing this product, based on the actions of the supplier at the time of delivery: L3960 - Billed if fitting HCPCS Code for Wrist hand orthosis (WHO), includes one or more nontorsion joint (s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf L3916 HCPCS code L3916 for Wrist hand orthosis (WHO), includes one or more nontorsion joint (s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf as maintained by CMS falls The following selected Healthcare Common Procedure Coding System (HCPCS) Level II codes are frequently used by occupational therapy practitioners to report fabrication and fitting or supply of specific upper extremity (UE) orthoses and prostheses. e. May 8, 2024 · Upper Limb Orthoses Coding Articles Correct coding is an essential element for correct claim payment. Not all codes are accepted by all payers, including Medicare. 0 universal sling design folds to fit every patient with one brace – right or left, football player or gymnast. The DME MACs and Pricing, Data Analysis and Coding (PDAC) contractor maintain a variety of resources to assist suppliers in determining the appropriate code for billing upper extremity braces. It is critical for healthcare providers and suppliers to understand the distinctions between these codes to ensure correct billing practices and optimize reimbursement. The DMEPOS fee schedule contains fee schedule amounts for each procedure code subject to fee schedule payment methodologies. HCPCS Code L3971 for Shoulder elbow wrist hand orthosis, shoulder cap design, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment. . List With HCPCS Codes For Shoulder Orthotics The HCPCS codes for Shoulder Orthotics range from L3650 to L3678. This code specifically refers to “Shoulder elbow wrist hand orthosis, single upright, semirigid configuration, includes fitting and adjustments. # HCPCS Code L3916 ## Definition Healthcare Common Procedure Coding System (HCPCS) code L3916 refers to a custom-fabricated wrist-hand orthosis, which includes both wrist extension and flexion joint control. Other related codes, such as L3960 or L3924, describe orthotic devices covering similar anatomical regions but with varying levels of customization or prefabrication. The PDAC publishes coding decisions based on the coding guidelines established by the Local Coverage Determinations (LCDs) and associated Policy Articles and any related Advisory Articles established by the DME MACs. Codes that are not part of an LCD Policy, codes associated with accessories and supplies, or Lower Limb Prosthetics are excluded. " If you have questions, please contact the PDAC HCPCS Helpline at (877) 735-1326 during the hours of 9:30 a. Benefit coverage for health services is determined by the member specific benefit plan document and applicable laws that Oct 28, 2025 · HCPCS Procedure & Supply, and DME medical codes - l3 code groups. m Mar 24, 2020 · The DME MACs have noticed a substantial increase in claim submission for HCPCS code L3960 SHOULDER ELBOW WRIST HAND ORTHOSIS, ABDUCTION POSITIONING, AIRPLANE DESIGN, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT. References: The device is manufactured in quantity without a specific beneficiary in mind. The Redesigned MCD Search Page lets you search on a keyword, code, or document ID Oct 1, 2015 · Use this page to view details for the Local Coverage Determination for Cardiovascular Nuclear Medicine. 0 material for maximum breathability and comfort. L3960 - Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustmentTable of content for "Sewho airplan desig abdu pos" (HCPCS L3960) Adjusted rates for orthotic codes for primary care physicians and specialists Please note, this communication applies to Anthem HealthKeepers Plus, Medallion and Anthem HealthKeepers Plus, Commonwealth Coordinated Care Plus (Anthem CCC Plus) offered by HealthKeepers, Inc. Dec 9, 2023 · This article reminds DMEPOS suppliers the description of HCPCS code L3960 and establishes a written coding verification review for dates of service on or after August 1, 2020 by the PDAC. Mar 12, 2020 · March 12, 2020 L3960 – Coding Verification Review Requirement Joint DME MAC & PDAC Publication The DME MACs have noticed a substantial increase in claim submission for HCPCS code L3960 SHOULDER ELBOW WRIST HAND ORTHOSIS, ABDUCTION POSITIONING, AIRPLANE DESIGN, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT. Understanding NCCIThe NCCI, developed by the Centers for Medicare & Medicaid Services (CMS), aims to Same/Similar Code Lookup Enter a HCPCS code in the search field to view a list of other HCPCS codes that may be considered the same as or similar to the base item entered. ” Aug 19, 2022 · Learn how to properly code L3960 for shoulder, elbow, wrist, and hand orthoses. HCPCS Code L3670 for Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf. Medicare's National Correct Coding Initiative (NCCI) guidelines for arthroscopy are crucial for healthcare providers and coders to understand. L3960 is a prefabricated shoulder "airplane design" abduction orthosis which includes the elbow, wrist, hand, and fingers. 0 universal sling design folds to fit every patient with one brace right or left, football player or gymnast. Aug 19, 2022 · Learn how to properly code L3960 for shoulder, elbow, wrist, and hand orthoses. m Oct 10, 2024 · To identify a prefabricated custom fitted HCPCS code which has a corresponding prefabricated off -the-shelf HCPCS code, suppliers should reference the joint DME MAC publication " Definitions Used for Off-the-Shelf versus Custom Fitted Prefabricated Orthotics (Braces) - Correct Coding - Revised. Features: Multiple positioning options; the Kahuna malleable aluminum waistband with arm support allows for unlimited arm positioning including airplane splint Breathable material allows for optimal comfort Mar 11, 2021 · To identify Prefabricated Custom Fitted codes which have a corresponding Prefabricated Off -the-Shelf HCPCS code, suppliers should reference the joint DME MAC article " Definitions Used for Off-the-Shelf versus Custom Fitted Prefabricated Orthotics (Braces) - Correct Coding - Revised. This reimbursement policy is intended to ensure that you are reimbursed based on the code or codes that correctly describe the health care services provided. Free, official coding info for 2025 HCPCS L3960 - includes code properties, rules & notes nd more. , non-myoelectric, non-power enhanced, non-custom fitted or custom fabricated hand) is considered medically necessary for an individual requiring stabilization or support to the upper limb and who is expected to have improved function with the use of the device: to substitute The HCPCS codes range Shoulder Orthotics L3650-L3678 is a standardized code set necessary for Medicare and other health insurance providers to provide healthcare claims. Apr 3, 2025 · Example: A supplier provides a prefabricated device that is listed on the PDAC Product Classification List (PCL) as L3960 (SHOULDER ELBOW WRIST HAND ORTHOSIS, ABDUCTION POSITIONING, AIRPLANE DESIGN, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT). ” Jul 1, 2025 · Fees shown below are effective July 1, 2025. This responsibility includes the development of Local Coverage Determinations (coverage policies). This Tool does not include all HCPCS codes billable to the DME MAC. 5 days ago · CMS has contracted with CGS to process Durable Medical Equipment, Prosthetic, Orthotic and Supply (DMEPOS) claims for Jurisdiction C. Fee Schedule Lookup Look up contracted rates of Commercial plans for CPT or HCPC codes, for a specific physician/healthcare professional name and product. This section contains a list of frequency limits for purchased orthotic appliances. Jul 1, 2025 · 2025 DME fee schedule for L3916 - Wrist hand orthosis, includes one or more nontorsion joint (s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf Apr 3, 2025 · This article educates suppliers regarding the coding and billing of custom fitted orthotics that do not have a corresponding off-the-shelf equivalent. CPT® codes 95250 (ambulatory continuous glucose monitoring [CGM] of interstitial fluid via a subcutaneous sensor for a minimum of 72 hours; physician or other qualified health care professional [office] provided equipment, sensor placement, hook-up, calibration of monitor, patient training, removal of a sensor, and printout of recording) and Mar 12, 2020 · March 12, 2020 L3960 – Coding Verification Review Requirement Joint DME MAC & PDAC Publication The DME MACs have noticed a substantial increase in claim submission for HCPCS code L3960 SHOULDER ELBOW WRIST HAND ORTHOSIS, ABDUCTION POSITIONING, AIRPLANE DESIGN, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT. Two coding options are available for billing this product, based on the actions of the supplier at the time of delivery: L3960 – Billed if fitting Kahuna ® Brace L3999, L3960 The Kahuna Brace is a universally-sized abduction sling and is applied to the left or right side. HCPCS Code L3960 is a healthcare procedural terminology code used within the Level II Healthcare Common Procedure Coding System (HCPCS) framework. Nov 18, 2021 · This article is a revised reminder to DMEPOS suppliers about the correct coding of finger, hand, hand-finger, and wrist-hand-finger braces. The following table lists addition codes which describe components or features that can be and frequently are physically incorporated in the specified custom fabricated base orthosis. Durable Medical Equipment (DME) E0936 is a valid 2025 HCPCS code for Continuous passive motion exercise device for use other than knee or just “ Cpm device, other than knee ” for short, used in Rental of DME. For code descriptions, refer to a HCPCS code book or the Orthotic and Prosthetic Appliances: Billing Codes – Orthotics section of this manual. Aug 22, 2024 · August 22, 2024 Correct Coding of Elbow, Shoulder, Shoulder-Elbow-Wrist-Hand and Shoulder-Elbow-Wrist-Hand-Finger Braces (Orthoses) – Revised Joint DME MAC and PDAC Publication Based on recent analysis of claims submitted to the Durable Medical Equipment Medicare Administrative Contractors (DME MACs) for upper extremity braces, the DME MACs and the Pricing, Data Analysis and Coding (PDAC Mar 11, 2021 · To identify Prefabricated Custom Fitted codes which have a corresponding Prefabricated Off -the-Shelf HCPCS code, suppliers should reference the joint DME MAC article " Definitions Used for Off-the-Shelf versus Custom Fitted Prefabricated Orthotics (Braces) - Correct Coding - Revised. svivzu r8jg2 xh6th zed vdjwytd ztft7 jq5 jinw hg ewcutfk