Durable Medical Equipment Coding System (DMECS)

HCPCS Code L3650 Details

Short Description: SO 8 ABD RESTRAINT PRE OTS

Long Description: SHOULDER ORTHOSIS, FIGURE OF EIGHT DESIGN ABDUCTION RESTRAINER, PREFABRICATED, OFF-THE-SHELF

Additional Search Terminology:

Product and Service Code(s): OR03 : ORTHOSES: OFF-THE-SHELF.

References:

Fee Schedules

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Product Classification

View reviewed products on the DMEPOS Product Classification List for this code

Code History

Effective Date Type Notes
01/01/1986 Added to HCPCS Code Set
10/01/1993 Valid for DME MAC submission
01/01/2001 Long Description Change Old Long Description: - SHOULDER ORTHOSIS, (SO), FIGURE OF "8" DESIGN ABDUCTION RE-STRAINER
01/01/2014 Long Description Change Old Long Description: - SHOULDER ORTHOSIS, FIGURE OF EIGHT DESIGN ABDUCTION RESTRAINER, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT

Crosswalk History

Effective Date From Code To Code Notes

Features and Functions

Features & Functions Images

L3650

Features

  • The device is manufactured in quantity without a specific beneficiary in mind.
  • Meets the DMEPOS Quality Standards (Appendix C) definition of minimal self-adjustment which requires an adjustment the patient, caretaker for the patient, or device supplier can perform without an individual with expertise.
  • Continuous non elastic strap material in a Figure of eight design, which wraps around both shoulders and connects at the posterior anatomical midline.
  • Includes all interface materials and closures.

Functions

  • Supports the clavicle by limiting motion of the shoulder joint complex.

Corresponding prefabricated custom-fit HCPCS Code:

  • None