Durable Medical Equipment Coding System (DMECS)

HCPCS Code L3760 Details

Short Description: EO ADJ JT PREFAB CUSTOM FIT

Long Description: ELBOW ORTHOSIS (EO), WITH ADJUSTABLE POSITION LOCKING JOINT(S), PREFABRICATED, ITEM THAT HAS BEEN TRIMMED, BENT, MOLDED, ASSEMBLED, OR OTHERWISE CUSTOMIZED TO FIT A SPECIFIC PATIENT BY AN INDIVIDUAL WITH EXPERTISE

Additional Search Terminology:

Product and Service Code(s): OR02 : ORTHOSES: PREFABRICATED (CUSTOM FITTED).

References:

Fee Schedules

Search available Fee Schedules

Product Classification

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

Code History

Effective Date Type Notes
01/01/2001 Added to HCPCS Code Set
01/01/2001 Valid for DME MAC submission
01/01/2018 Long Description Change Old Long Description: - ELBOW ORTHOSIS, WITH ADJUSTABLE POSITION LOCKING JOINT(S), PREFABRICATED, INCLUDES FITTING AND ADJUSTMENTS, ANY TYPE

Crosswalk History

Effective Date From Code To Code Notes

Features and Functions

Features & Functions Images

Features:

  • The device is manufactured in quantity without a specific beneficiary in mind.
  • Meets the DMEPOS Quality Standards (Appendix C) definition of more than minimal self-adjustment which requires the modification of the device to be fit by an individual with expertise.
  • The device extends to parts of the forearm and the upper arm that includes one or more unicentric or polycentric rigid joint(s).
  • The joints provide adjustable flexion and extension that enables the practitioner to set limits on flexion and extension but allows the beneficiary free motion of the elbow within those limits. The increments of adjustability must be, at a minimum, 15 degrees.
  • Includes all interface materials and closures.

Functions:

  • Provides medial and/or lateral elbow joint support.
  • Provides adjustable elbow joint range of motion positioning.

Corresponding prefabricated off-the-shelf HCPCS code:

  • L3761