HCPCS Range Fracture, Addition, and Unspecified Orthotics, Upper Extremities

• 1 Upper extremity fracture orthosis, humeral, prefabricated, includes fitting and adjustment ( L3980 )

• 2 Upper extremity fracture orthosis, radius/ulnar, prefabricated, includes fitting and adjustment ( L3982 )

• 3 Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment ( L3984 )

• 4 Addition to upper extremity orthosis, sock, fracture or equal, each ( L3995 )

• 5 Upper limb orthosis, not otherwise specified ( L3999 )

• 6 Upper extremity fracture orthosis, humeral, prefabricated, includes shoulder cap design, with or without joints, forearm section, may include soft interface, straps, includes fitting and adjustments ( L3981 )