L3710-Elbow orthosis, elastic with metal joints, prefabricated, off-the-shelf
We do not suggest billing add-on codes with the base code above.
L3720-Elbow orthosis, double upright with forearm/arm cuffs, free motion, custom fabricated
The following add-on codes may be used for this base code (only code for what you use). Subject to Coverage Criteria:
L3891- Addition to upper extremity joint, wrist or elbow, concentric adjustable torsion style mechanism for custom fabricated orthotics only, each
L3956- Addition of joint to upper extremity orthosis, any material; per joint
L3995- Addition to upper extremity orthosis, sock, fracture or equal, each
L3999- Upper limb orthosis, not otherwise specified
L3730-Elbow orthosis, double upright with forearm/arm cuffs, extension/ flexion assist, custom fabricated
The following add-on codes may be used for this base code (only code for what you use). Subject to Coverage Criteria:
L3891- Addition to upper extremity joint, wrist or elbow, concentric adjustable torsion style mechanism for custom fabricated orthotics only, each
L3956- Addition of joint to upper extremity orthosis, any material; per joint
L3995- Addition to upper extremity orthosis, sock, fracture or equal, each
L3999- Upper limb orthosis, not otherwise specified
L3740-Elbow orthosis, double upright with forearm/arm cuffs, adjustable position lock with active control, custom fabricated
The following add-on codes may be used for this base code (only code for what you use). Subject to Coverage Criteria:
L3891- Addition to upper extremity joint, wrist or elbow, concentric adjustable torsion style mechanism for custom fabricated orthotics only, each
L3956- Addition of joint to upper extremity orthosis, any material; per joint
L3995- Addition to upper extremity orthosis, sock, fracture or equal, each
L3999- Upper limb orthosis, not otherwise specified
L3760-Elbow orthosis, with adjustable position locking joint(s), prefabricated, includes fitting and adjustments, any type
We do not suggest billing add-on codes with the base code above.