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L3965 - Arm supp att to wc rancho ty

Navigation: HCPCS Codes > Codes with Prefix: L3
Field Value
HCPCS Code: L3965
Long Description: Shoulder elbow orthosis, mobile arm support attached to wheelchair, balanced, adjustable rancho type, prefabricated, includes fitting and adjustment
Short Description: Arm supp att to wc rancho ty
Pricing Indicator 1: 32 (Inexpensive & routinely purchased DME (price subject to floors and ceilings))
Multiple Pricing Code: A (Not applicable as HCPCS priced under one methodology)
Statute Number:
Cross Reference Code 1: E2627
Coverage Code: C (Carrier judgment)
ASC Payment Group Code:
Processing Note Number:
Berenson-Eggers Type of Service (BETOS) Code: D1D (Wheelchairs)
Type of Service Code 1: A (Used durable medical equipment (DME))
Type of Service Code 2: P (Lump sum purchase of DME, prosthetics, orthotics)
Type of Service Code 3: R (Rental of DME)
Anesthesia Base Unit Quality: 0
Code Added: 01-01-1984
Action Effective Date: 01-01-2012
Termination Date: 31-12-2011
Action Code: N (No maintenance for this code)