Durable Medical Equipment Coding System (DMECS)

HCPCS Code L3916 Details

Short Description: Who nontorsion jnts pre ots

Long Description: WRIST HAND ORTHOSIS, INCLUDES ONE OR MORE NONTORSION JOINT(S), ELASTIC BANDS, TURNBUCKLES, MAY INCLUDE SOFT INTERFACE, STRAPS, PREFABRICATED, OFF-THE-SHELF

Additional Search Terminology: HAND; FINGER

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:10/01/1993 - 12/31/2007 - WRIST HAND FINGER ORTHOSIS, WRIST EXTENSION COCK-UP, WITH OUTRIGGER
12/31/2007 Terminated from HCPCS Code Set
01/01/2014 Added to HCPCS Code Set
01/01/2014 Valid for DME MAC submission

Crosswalk History

Effective Date From Code To Code Notes
01/01/2008 L3916 L3931

Features and Functions

Features & Functions Images

L3916

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.
  • Rigid or semi-rigid palmar or dorsal shell that extends from the forearm to the wrist and hand.
  • Includes one or more supportive non-torsion joints [turnbuckles, rubber bands spring(s) or equal].
  • Includes all interface materials and closures.

Functions

  • Supports or immobilizes the wrist and hand with one or more supportive non-torsion joints [turnbuckles, rubber bands, spring(s) or equal].

Corresponding prefabricated custom fitted HCPCS code:

  • L3915