L3762 — Elbow orthosis, rigid, without joints, includes soft interface material, prefabricated, off-the-shelf
HCPCS Level II L-code · short descriptor: “Eo rigid w/o joints pre ots”
- 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.
L3762 Medicare fee schedule (April 2026)
Base (no modifier) Prosthetics & orthotics
Medicare allowable ranges from $117.38 to $129.13 depending on state and rural status.
Former-CBA payment limits: ceiling $143.25 · floor $107.44
| State | Non-rural | Rural |
|---|---|---|
| AK | $117.38 | — |
| AL | $120.93 | — |
| AR | $120.93 | — |
| AZ | $117.38 | — |
| CA | $117.38 | — |
| CO | $121.55 | — |
| CT | $117.38 | — |
| DC | $117.38 | — |
| DE | $117.38 | — |
| FL | $120.93 | — |
| GA | $120.93 | — |
| HI | $117.38 | — |
| IA | $119.69 | — |
| ID | $117.38 | — |
| IL | $120.25 | — |
| IN | $120.25 | — |
| KS | $119.69 | — |
| KY | $120.93 | — |
| LA | $120.93 | — |
| MA | $117.38 | — |
| MD | $117.38 | — |
| ME | $117.38 | — |
| MI | $120.25 | — |
| MN | $120.25 | — |
| MO | $119.69 | — |
| MS | $120.93 | — |
| MT | $121.55 | — |
| NC | $120.93 | — |
| ND | $121.55 | — |
| NE | $119.69 | — |
| NH | $117.38 | — |
| NJ | $117.38 | — |
| NM | $120.93 | — |
| NV | $117.38 | — |
| NY | $117.38 | — |
| OH | $120.25 | — |
| OK | $120.93 | — |
| OR | $117.38 | — |
| PA | $117.38 | — |
| PR | $129.13 | — |
| RI | $117.38 | — |
| SC | $120.93 | — |
| SD | $121.55 | — |
| TN | $120.93 | — |
| TX | $120.93 | — |
| UT | $121.55 | — |
| VA | $117.38 | — |
| VI | $129.13 | — |
| VT | $117.38 | — |
| WA | $117.38 | — |
| WI | $120.25 | — |
| WV | $117.38 | — |
| WY | $121.55 | — |
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
Bill L3762 with confidence
MyMedi-AI scrubs whole claims against NCCI pairs, MUE limits, modifier rules, and PA flags before you submit — built for DME teams, no PHI stored on our servers.
Start free trial Run a CMS-0057-F readiness checkPrefer DIY compliance? Self-audit documentation kits for DME suppliers →