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L3935 — Finger orthosis, nontorsion joint, may include soft interface, custom fabricated, includes fitting and adjustment

HCPCS Level II L-code · short descriptor: “Fo nontorsion joint 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
Face-to-face & WOPD
Not on the required 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.

Order readiness — what the written order must contain

Every Medicare DMEPOS claim needs a Standard Written Order with all six elements (42 CFR 410.38(d)):

  • Beneficiary name or Medicare Beneficiary Identifier (MBI) (42 CFR 410.38(d)(1)(i)(A))
  • General description of the item (42 CFR 410.38(d)(1)(i)(B))
  • Quantity to be dispensed, if applicable (42 CFR 410.38(d)(1)(i)(C))
  • Order date (42 CFR 410.38(d)(1)(i)(D))
  • Treating practitioner name or NPI (42 CFR 410.38(d)(1)(i)(E))
  • Treating practitioner signature (42 CFR 410.38(d)(1)(i)(F))

Not on the F2F/WOPD list (April 13, 2026 update — 83 items). The standard written order must reach the supplier before claim submission.

Blank requirements checklist only — MyMedi-AI never collects or stores completed orders.

L3935 Medicare fee schedule (April 2026)

Base (no modifier) Prosthetics & orthotics

Medicare allowable ranges from $241.15 to $265.27 depending on state and rural status.

Former-CBA payment limits: ceiling $294.32 · floor $220.74

StateNon-ruralRural
AK$241.15
AL$248.47
AR$248.46
AZ$241.15
CA$241.15
CO$249.87
CT$241.15
DC$241.15
DE$241.15
FL$248.47
GA$248.47
HI$241.15
IA$245.89
ID$241.15
IL$247.07
IN$247.07
KS$245.89
KY$248.47
LA$248.46
MA$241.15
MD$241.15
ME$241.15
MI$247.07
MN$247.07
MO$245.89
MS$248.47
MT$249.87
NC$248.47
ND$249.87
NE$245.89
NH$241.15
NJ$241.15
NM$248.46
NV$241.15
NY$241.15
OH$247.07
OK$248.46
OR$241.15
PA$241.15
PR$265.27
RI$241.15
SC$248.47
SD$249.87
TN$248.47
TX$248.46
UT$249.87
VA$241.15
VI$265.27
VT$241.15
WA$241.15
WI$247.07
WV$241.15
WY$249.87
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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