L3671-Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment
The following add-on codes may be used for this base code (only code for what you use). Subject to Coverage Criteria:
L3999- Upper limb orthosis, not otherwise specified
L3674-Shoulder orthosis, abduction positioning (airplane design), thoracic component and support bar, with or without nontorsion joint/turnbuckle, may include soft interface, straps, custom fabricated, includes fitting and adjustment
The following add-on codes may be used for this base code (only code for what you use). Subject to Coverage Criteria:
L3999- Upper limb orthosis, not otherwise specified
L3961-Shoulder elbow wrist hand orthosis, shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment
The following add-on codes may be used for this base code (only code for what you use). Subject to Coverage Criteria:
L3999- Upper limb orthosis, not otherwise specified
L3967-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
The following add-on codes may be used for this base code (only code for what you use). Subject to Coverage Criteria:
L3999- Upper limb orthosis, not otherwise specified
L3971-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
The following add-on codes may be used for this base code (only code for what you use). Subject to Coverage Criteria:
L3999- Upper limb orthosis, not otherwise specified