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L3677 - So hard plas stabili pre cst

Navigation: HCPCS Codes > Codes with Prefix: L3
Field Value
HCPCS Code: L3677
Long Description: 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 Description: So hard plas stabili pre cst
Pricing Indicator 1: 00 (Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.))
Multiple Pricing Code: 9 (Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is 99))
MCM Reference Section Number 1: 2130
Statute Number:
Coverage Code: D (Special coverage instructions apply)
ASC Payment Group Code:
Processing Note Number:
Berenson-Eggers Type of Service (BETOS) Code: Z2 (Undefined codes)
Type of Service Code 1: P (Lump sum purchase of DME, prosthetics, orthotics)
Anesthesia Base Unit Quality: 0
Code Added: 01-01-2002
Action Effective Date: 01-01-2014
Action Code: C (Change in long description of procedure or modifier code)