L3671 HCPCS code: Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment
L3671 is the HCPCS Level II code for shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment. The 2026 Medicare DMEPOS fee schedule pays $983.68 to $1,082.00 depending on the state. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. The NCCI unit limit is 1 per day on DME suppliers. Its average fee ranks 10 of 11 L36 codes (family range $52.87–$1,315.49).
Code details
| Field | Value |
|---|---|
| Section | L codes — Orthotic and prosthetic procedures and devices |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 38 — DMEPOS: orthotics, prosthetics, prosthetic devices and vision services |
| BETOS category | D1F — Prosthetic and orthotic devices |
| Added | 2006-01-01 |
| Last action effective | 2011-01-01 |
2026 Medicare DMEPOS fee schedule for L3671
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $983.68 | $1,082.00 | $1,200.40 | $900.30 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $983.68 | — |
| AL | — | $1,013.24 | — |
| AR | — | $1,013.18 | — |
| AZ | — | $983.68 | — |
| CA | — | $983.68 | — |
| CO | — | $1,018.84 | — |
| CT | — | $983.68 | — |
| DC | — | $983.68 | — |
| DE | — | $983.68 | — |
| FL | — | $1,013.24 | — |
| GA | — | $1,013.24 | — |
| HI | — | $983.68 | — |
| IA | — | $1,002.83 | — |
| ID | — | $983.68 | — |
| IL | — | $1,007.79 | — |
| IN | — | $1,007.79 | — |
| KS | — | $1,002.83 | — |
| KY | — | $1,013.24 | — |
| LA | — | $1,013.18 | — |
| MA | — | $983.68 | — |
| MD | — | $983.68 | — |
| ME | — | $983.68 | — |
| MI | — | $1,007.79 | — |
| MN | — | $1,007.79 | — |
| MO | — | $1,002.83 | — |
| MS | — | $1,013.24 | — |
| MT | — | $1,018.84 | — |
| NC | — | $1,013.24 | — |
| ND | — | $1,018.84 | — |
| NE | — | $1,002.83 | — |
| NH | — | $983.68 | — |
| NJ | — | $983.68 | — |
| NM | — | $1,013.18 | — |
| NV | — | $983.68 | — |
| NY | — | $983.68 | — |
| OH | — | $1,007.79 | — |
| OK | — | $1,013.18 | — |
| OR | — | $983.68 | — |
| PA | — | $983.68 | — |
| PR | — | $1,082.00 | — |
| RI | — | $983.68 | — |
| SC | — | $1,013.24 | — |
| SD | — | $1,018.84 | — |
| TN | — | $1,013.24 | — |
| TX | — | $1,013.18 | — |
| UT | — | $1,018.84 | — |
| VA | — | $983.68 | — |
| VI | — | $1,082.00 | — |
| VT | — | $983.68 | — |
| WA | — | $983.68 | — |
| WI | — | $1,007.79 | — |
| WV | — | $983.68 | — |
| WY | — | $1,018.84 | — |
How the L3671 fee compares
| Measure | Value |
|---|---|
| Rank among 11 L36 codes (lowest = 1) | 10 |
| Family fee range (average of state fees) | $52.87–$1,315.49 |
| Rural fee uplift | — |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | Nature of Equipment |
| outpatient hospital claims | 1 | Nature of Equipment |
What changed for L3671
- 2026-01-01: Average state fee rose 2.0%: $983.13 to $1,002.79
- 2006-01-01: L3671 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code L3671?
L3671 is the HCPCS Level II code for shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment. Short descriptor: "So cap design w/o jnts cf".
How much does Medicare pay for L3671?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $983.68–$1,082.00. Rural fees can be higher.
Does Medicare cover L3671?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for L3671 change in 2026?
The average non-rural state fee moved from $983.13 in 2025 to $1,002.79 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of L3671 can be billed per day?
1 on DME suppliers; 1 on outpatient hospital claims (NCCI medically unlikely edits).
Related L36 codes
- L3600 — Transfer of an orthosis from one shoe to another, caliper plate, existing ($91.55–$100.71)
- L3610 — Transfer of an orthosis from one shoe to another, caliper plate, new ($120.51–$132.57)
- L3620 — Transfer of an orthosis from one shoe to another, solid stirrup, existing ($91.55–$100.71)
- L3630 — Transfer of an orthosis from one shoe to another, solid stirrup, new ($120.51–$132.57)
- L3640 — Transfer of an orthosis from one shoe to another, dennis browne splint (riveton), both shoes ($51.86–$57.05)
- L3649 — Orthopedic shoe, modification, addition or transfer, not otherwise specified
- L3650 — Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf ($66.69–$105.67)
- L3660 — Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf ($112.56–$154.10)
- L3670 — Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf ($127.15–$215.52)
- L3674 — Shoulder orthosis, abduction positioning (airplane design), thoracic component and support bar, with or without nontorsion joint/turnbuckle, may include soft interface, straps, custom fabricated, includes fitting and adjustment ($1,290.37–$1,419.42)
- L3675 — Shoulder orthosis, vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf ($191.58–$229.91)
- L3677 — Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
Building a device that would bill under a code like this? Caduvo matches a device description to HCPCS/CPT codes, Medicare coverage and payment, and the FDA pathway in one report.
Next steps
- Run a reimbursement report for a device billed under L3671
- Watch L3671 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for L3671
Sources: CMS HCPCS Level II release October 2025; CMS DMEPOS fee schedule 2026; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.