Durable Medical Equipment Coding System (DMECS)


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Fee Schedule Category: Prosthetics and Orthotics
Short Description for L3760: EO ADJ JT PREFAB CUSTOM FIT
Long Description for L3760: 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

Rural ZIP Code Checker


Beneficiary State of Residence Modifier Modifier Rural Fee Non-Rural Fee Effective From Effective To
AR $562.31 01/01/2026 03/31/2026
CA $545.90 01/01/2026 03/31/2026
AK $545.90 01/01/2026 03/31/2026
AL $562.35 01/01/2026 03/31/2026
AZ $545.90 01/01/2026 03/31/2026
CO $565.47 01/01/2026 03/31/2026
DE $545.90 01/01/2026 03/31/2026
FL $562.35 01/01/2026 03/31/2026
GA $562.35 01/01/2026 03/31/2026
DC $545.90 01/01/2026 03/31/2026
HI $545.90 01/01/2026 03/31/2026
CT $545.90 01/01/2026 03/31/2026
IA $556.60 01/01/2026 03/31/2026
ID $545.90 01/01/2026 03/31/2026
LA $562.31 01/01/2026 03/31/2026
MA $545.90 01/01/2026 03/31/2026
MD $545.90 01/01/2026 03/31/2026
IL $559.36 01/01/2026 03/31/2026
KY $562.35 01/01/2026 03/31/2026
IN $559.36 01/01/2026 03/31/2026
KS $556.60 01/01/2026 03/31/2026
MT $565.47 01/01/2026 03/31/2026
ME $545.90 01/01/2026 03/31/2026
NC $562.35 01/01/2026 03/31/2026
MS $562.35 01/01/2026 03/31/2026
MO $556.60 01/01/2026 03/31/2026
MI $559.36 01/01/2026 03/31/2026
MN $559.36 01/01/2026 03/31/2026
ND $565.47 01/01/2026 03/31/2026
NY $545.90 01/01/2026 03/31/2026
NV $545.90 01/01/2026 03/31/2026
NE $556.60 01/01/2026 03/31/2026
OH $559.36 01/01/2026 03/31/2026
NH $545.90 01/01/2026 03/31/2026
NJ $545.90 01/01/2026 03/31/2026
NM $562.31 01/01/2026 03/31/2026
PR $655.08 01/01/2026 03/31/2026
OK $562.31 01/01/2026 03/31/2026
SC $562.35 01/01/2026 03/31/2026
SD $565.47 01/01/2026 03/31/2026
PA $545.90 01/01/2026 03/31/2026
OR $545.90 01/01/2026 03/31/2026
RI $545.90 01/01/2026 03/31/2026
TN $562.35 01/01/2026 03/31/2026
VA $545.90 01/01/2026 03/31/2026
WA $545.90 01/01/2026 03/31/2026
TX $562.31 01/01/2026 03/31/2026
VI $655.08 01/01/2026 03/31/2026
VT $545.90 01/01/2026 03/31/2026
UT $565.47 01/01/2026 03/31/2026
WI $559.36 01/01/2026 03/31/2026
WY $565.47 01/01/2026 03/31/2026
WV $545.90 01/01/2026 03/31/2026
Notes:
  1. PDAC provides the CMS quarterly fee schedule amounts directly from the CMS website. If CMS updates the fee schedule within a quarter, DMECS will display the most current fee schedule.
  2. A blank cell in the Rural Fee column designates the Rural Fee is the same as the Non-Rural Fee.
  3. This HCPCS code may be subject to a single payment amount (SPA) under the Medicare DMEPOS Competitive Bidding Program. For information on when the SPA applies, specific rates for the SPA, please check the website for the Competitive Bidding Implementation Contractor (CBIC) at https://www.dmecompetitivebid.com.
  4. This HCPCS code may be subject to an adjusted fee schedule amount in accordance with regulations in CFR 414.210(g). For information on when the adjusted fee schedule applies and specific HCPCS code rates, please check the former CBA ZIP Code File and Former CBA Fee Schedule File on CMS's website at DMEPOS Fee Schedule Files | CMS.