L3929 — Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
HCPCS Level II L-code · short descriptor: “Hfo nontorsion jnts pre cst”
- 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.
L3929 Medicare fee schedule (April 2026)
Base (no modifier) Prosthetics & orthotics
Medicare allowable ranges from $87.90 to $130.03 depending on state and rural status.
Former-CBA payment limits: ceiling $117.20 · floor $87.90
| State | Non-rural | Rural |
|---|---|---|
| AK | $121.55 | — |
| AL | $94.67 | — |
| AR | $103.43 | — |
| AZ | $117.20 | — |
| CA | $117.20 | — |
| CO | $87.90 | — |
| CT | $87.90 | — |
| DC | $100.12 | — |
| DE | $100.12 | — |
| FL | $94.67 | — |
| GA | $94.67 | — |
| HI | $130.03 | — |
| IA | $113.29 | — |
| ID | $106.50 | — |
| IL | $102.16 | — |
| IN | $102.16 | — |
| KS | $113.29 | — |
| KY | $94.67 | — |
| LA | $103.43 | — |
| MA | $87.90 | — |
| MD | $100.12 | — |
| ME | $87.90 | — |
| MI | $102.16 | — |
| MN | $102.16 | — |
| MO | $113.29 | — |
| MS | $94.67 | — |
| MT | $87.90 | — |
| NC | $94.67 | — |
| ND | $87.90 | — |
| NE | $113.29 | — |
| NH | $87.90 | — |
| NJ | $87.90 | — |
| NM | $103.43 | — |
| NV | $117.20 | — |
| NY | $87.90 | — |
| OH | $102.16 | — |
| OK | $103.43 | — |
| OR | $106.50 | — |
| PA | $100.12 | — |
| PR | $90.49 | — |
| RI | $87.90 | — |
| SC | $94.67 | — |
| SD | $87.90 | — |
| TN | $94.67 | — |
| TX | $103.43 | — |
| UT | $87.90 | — |
| VA | $100.12 | — |
| VI | $87.90 | — |
| VT | $87.90 | — |
| WA | $106.50 | — |
| WI | $102.16 | — |
| WV | $100.12 | — |
| WY | $87.90 | — |
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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