L3677 Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
Short descriptor: So hard plas stabili pre cst
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L3677 is the HCPCS Level II code for Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise (2026). It belongs to Section L — Orthotic & Prosthetic Procedures. Under Medicare, its coverage status is: Special coverage instructions apply. Part B pricing methodology: Not separately priced by Part B.
Classification & CMS Attributes
- Medicare Coverage
- Special coverage instructions apply (code D)
- Part B Pricing
- Not separately priced by Part B (indicator 00)
- Type of Service
- Lump-sum purchase of DME, prosthetics, orthotics
- Effective Date
- 2014-01-01
- 2026 Maintenance
- No change this year
References
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Reference L3677 with the canonical source and edition:
L3677 — Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise. ICD-10 Coding Pro (HCPCS Level II 2026). https://icd10codingpro.com/hcpcs-codes/L3677
Canonical URL: https://icd10codingpro.com/hcpcs-codes/L3677