Durable Medical Equipment Coding System (DMECS)

HCPCS Code L3761 Details

Short Description: Eo, adj lock joint prefab ot

Long Description: ELBOW ORTHOSIS (EO), WITH ADJUSTABLE POSITION LOCKING JOINT(S), PREFABRICATED, OFF-THE-SHELF

Additional Search Terminology: ELBOW

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
01/01/2018 Added to HCPCS Code Set
01/01/2018 Added to HCPCS Code Set Added by Noridian 21 Nov 2017 18:39:13 GMT
01/01/2018 Valid for DME MAC submission

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 minimal self-adjustment which requires an adjustment the patient, caretaker for the patient, or device supplier can perform without 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 custom-fit HCPCS code:

  • L3760