Durable Medical Equipment Coding System (DMECS)

HCPCS Code L3960 Details

Short Description: Sewho airplan desig abdu pos

Long Description: SHOULDER ELBOW WRIST HAND ORTHOSIS, ABDUCTION POSITIONING, AIRPLANE DESIGN, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT

Additional Search Terminology:

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

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-ELBOW-WRIST-HAND ORTHOSIS, (SEHWO), ABDUCTION POSITIONING, AIRPLANE DESIGN

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.
  • Adjustable rigid chest and pelvic frames or panels that supports shoulder and arm components.
  • Shoulder position is capable of 90 degrees abduction from torso.
  • Includes all interface materials and closures.

Functions:

  • Immobilizes the shoulder, elbow, wrist, and hand.
  • Provides 90 degrees of shoulder abduction.
  • May provide adjustable shoulder, elbow, wrist joint range of motion positioning.

Corresponding Prefabricated off-the-shelf HCPCS code:

  • None