L3674 HCPCS code: 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
L3674 is the HCPCS Level II code for 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. The 2026 Medicare DMEPOS fee schedule pays $1,290.37 to $1,419.42 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. In 2022, 6 suppliers billed Medicare for L3674 (purchases), serving 19 beneficiaries. Its average fee ranks 11 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 | 2011-01-01 |
| Last action effective | 2011-01-01 |
2026 Medicare DMEPOS fee schedule for L3674
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $1,290.37 | $1,419.42 | $1,574.72 | $1,181.04 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $1,290.37 | — |
| AL | — | $1,329.23 | — |
| AR | — | $1,329.12 | — |
| AZ | — | $1,290.37 | — |
| CA | — | $1,290.37 | — |
| CO | — | $1,336.60 | — |
| CT | — | $1,290.37 | — |
| DC | — | $1,290.37 | — |
| DE | — | $1,290.37 | — |
| FL | — | $1,329.23 | — |
| GA | — | $1,329.23 | — |
| HI | — | $1,290.37 | — |
| IA | — | $1,315.60 | — |
| ID | — | $1,290.37 | — |
| IL | — | $1,322.06 | — |
| IN | — | $1,322.06 | — |
| KS | — | $1,315.60 | — |
| KY | — | $1,329.23 | — |
| LA | — | $1,329.12 | — |
| MA | — | $1,290.37 | — |
| MD | — | $1,290.37 | — |
| ME | — | $1,290.37 | — |
| MI | — | $1,322.06 | — |
| MN | — | $1,322.06 | — |
| MO | — | $1,315.60 | — |
| MS | — | $1,329.23 | — |
| MT | — | $1,336.60 | — |
| NC | — | $1,329.23 | — |
| ND | — | $1,336.60 | — |
| NE | — | $1,315.60 | — |
| NH | — | $1,290.37 | — |
| NJ | — | $1,290.37 | — |
| NM | — | $1,329.12 | — |
| NV | — | $1,290.37 | — |
| NY | — | $1,290.37 | — |
| OH | — | $1,322.06 | — |
| OK | — | $1,329.12 | — |
| OR | — | $1,290.37 | — |
| PA | — | $1,290.37 | — |
| PR | — | $1,419.42 | — |
| RI | — | $1,290.37 | — |
| SC | — | $1,329.23 | — |
| SD | — | $1,336.60 | — |
| TN | — | $1,329.23 | — |
| TX | — | $1,329.12 | — |
| UT | — | $1,336.60 | — |
| VA | — | $1,290.37 | — |
| VI | — | $1,419.42 | — |
| VT | — | $1,290.37 | — |
| WA | — | $1,290.37 | — |
| WI | — | $1,322.06 | — |
| WV | — | $1,290.37 | — |
| WY | — | $1,336.60 | — |
How the L3674 fee compares
| Measure | Value |
|---|---|
| Rank among 11 L36 codes (lowest = 1) | 11 |
| Family fee range (average of state fees) | $52.87–$1,315.49 |
| Rural fee uplift | — |
Who bills L3674 (2022)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 6 |
| Referring clinicians | 12 |
| Medicare beneficiaries | 19 |
| States with claims | 0 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for L3674, 2022–2022
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 19 | 19 | $593.09 | $465.52 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | Clinical: Data |
| outpatient hospital claims | 1 | Clinical: Data |
What changed for L3674
- 2026-01-01: Average state fee rose 2.0%: $1,289.69 to $1,315.49
- 2011-01-01: L3674 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 L3674?
L3674 is the HCPCS Level II code for 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. Short descriptor: "So airplane w/wo joint cf".
How much does Medicare pay for L3674?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $1,290.37–$1,419.42. Rural fees can be higher.
Does Medicare cover L3674?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for L3674 change in 2026?
The average non-rural state fee moved from $1,289.69 in 2025 to $1,315.49 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of L3674 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)
- L3671 — Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ($983.68–$1,082.00)
- 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
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Next steps
- Run a reimbursement report for a device billed under L3674
- Watch L3674 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for L3674
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.