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L3702 — Elbow orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment

HCPCS Level II L-code · short descriptor: “Eo w/o joints cf”

Code system
HCPCS Level II
Family
L — Orthotics & prosthetics
Medicare coverage status
Carrier judgment — coverage decided by the DME MAC
DMEPOS payment category
Prosthetics & orthotics
Prior authorization
Not on Medicare required-PA list
Status
Active (April 2026 HCPCS)

Prior authorization

Not on the Medicare required-PA list as of the January 13, 2026 update (74 items). Medicare Advantage and commercial plans set their own prior-authorization rules for this code — verify per plan before delivery.

L3702 Medicare fee schedule (April 2026)

Base (no modifier) Prosthetics & orthotics

Medicare allowable ranges from $315.21 to $346.74 depending on state and rural status.

Former-CBA payment limits: ceiling $384.69 · floor $288.51

StateNon-ruralRural
AK$315.21
AL$324.72
AR$324.71
AZ$315.21
CA$315.21
CO$326.50
CT$315.21
DC$315.21
DE$315.21
FL$324.72
GA$324.72
HI$315.21
IA$321.42
ID$315.21
IL$322.97
IN$322.97
KS$321.42
KY$324.72
LA$324.71
MA$315.21
MD$315.21
ME$315.21
MI$322.97
MN$322.97
MO$321.42
MS$324.72
MT$326.50
NC$324.72
ND$326.50
NE$321.42
NH$315.21
NJ$315.21
NM$324.71
NV$315.21
NY$315.21
OH$322.97
OK$324.71
OR$315.21
PA$315.21
PR$346.74
RI$315.21
SC$324.72
SD$326.50
TN$324.72
TX$324.71
UT$326.50
VA$315.21
VI$346.74
VT$315.21
WA$315.21
WI$322.97
WV$315.21
WY$326.50
Amounts are the Medicare DMEPOS fee-schedule allowables effective April 2026. Medicare typically pays 80% of the allowable after the Part B deductible; the patient owes 20%. A 2% sequestration reduction applies to the Medicare share. Former competitive-bidding-area adjustments and non-continental rates can differ — verify with your DME MAC.

Common denial codes to watch

Related L-codes

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