HCPCS Range Elbow Orthotics

• 1 Elbow orthosis (EO), with adjustable position locking joint(s), prefabricated, item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise ( L3760 )

• 2 Elbow orthosis (EO), without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ( L3702 )

• 3 Elbow orthosis (EO), elastic with metal joints, prefabricated, off-the-shelf ( L3710 )

• 4 Elbow orthosis (EO), double upright with forearm/arm cuffs, free motion, custom-fabricated ( L3720 )

• 5 Elbow orthosis (EO), double upright with forearm/arm cuffs, extension/ flexion assist, custom-fabricated ( L3730 )

• 6 Elbow orthosis (EO), double upright with forearm/arm cuffs, adjustable position lock with active control, custom-fabricated ( L3740 )

• 7 Elbow orthosis (EO), rigid, without joints, includes soft interface material, prefabricated, off-the-shelf ( L3762 )

• 8 Elbow orthosis (EO), with adjustable position locking joint(s), prefabricated, off-the-shelf ( L3761 )