L3675 HCPCS code: Shoulder orthosis, vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf
L3675 is the HCPCS Level II code for shoulder orthosis, vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf. The 2026 Medicare DMEPOS fee schedule pays $191.58 to $229.91 depending on the state. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. Medicare volume rose 6% from 2022 to 2024 (915 to 970 services). In 2024, 123 suppliers billed Medicare for L3675 (purchases), serving 960 beneficiaries; Florida, Colorado, California accounted for 73% of services. Its average fee ranks 9 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 | 1999-01-01 |
| Last action effective | 2014-01-01 |
2026 Medicare DMEPOS fee schedule for L3675
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $191.58 | $229.91 | $233.79 | $175.34 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $191.58 | — |
| AL | — | $197.34 | — |
| AR | — | $197.33 | — |
| AZ | — | $191.58 | — |
| CA | — | $191.58 | — |
| CO | — | $198.39 | — |
| CT | — | $191.58 | — |
| DC | — | $191.58 | — |
| DE | — | $191.58 | — |
| FL | — | $197.34 | — |
| GA | — | $197.34 | — |
| HI | — | $191.58 | — |
| IA | — | $195.31 | — |
| ID | — | $191.58 | — |
| IL | — | $196.31 | — |
| IN | — | $196.31 | — |
| KS | — | $195.31 | — |
| KY | — | $197.34 | — |
| LA | — | $197.33 | — |
| MA | — | $191.58 | — |
| MD | — | $191.58 | — |
| ME | — | $191.58 | — |
| MI | — | $196.31 | — |
| MN | — | $196.31 | — |
| MO | — | $195.31 | — |
| MS | — | $197.34 | — |
| MT | — | $198.39 | — |
| NC | — | $197.34 | — |
| ND | — | $198.39 | — |
| NE | — | $195.31 | — |
| NH | — | $191.58 | — |
| NJ | — | $191.58 | — |
| NM | — | $197.33 | — |
| NV | — | $191.58 | — |
| NY | — | $191.58 | — |
| OH | — | $196.31 | — |
| OK | — | $197.33 | — |
| OR | — | $191.58 | — |
| PA | — | $191.58 | — |
| PR | — | $229.91 | — |
| RI | — | $191.58 | — |
| SC | — | $197.34 | — |
| SD | — | $198.39 | — |
| TN | — | $197.34 | — |
| TX | — | $197.33 | — |
| UT | — | $198.39 | — |
| VA | — | $191.58 | — |
| VI | — | $229.91 | — |
| VT | — | $191.58 | — |
| WA | — | $191.58 | — |
| WI | — | $196.31 | — |
| WV | — | $191.58 | — |
| WY | — | $198.39 | — |
How the L3675 fee compares
| Measure | Value |
|---|---|
| Rank among 11 L36 codes (lowest = 1) | 9 |
| Family fee range (average of state fees) | $52.87–$1,315.49 |
| Rural fee uplift | — |
Who bills L3675 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 123 |
| Referring clinicians | 305 |
| Medicare beneficiaries | 960 |
| States with claims | 11 |
| Share of services in top 3 states (Florida, Colorado, California) | 73% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 143 | 906 |
| 2023 | 128 | 940 |
| 2024 | 123 | 960 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for L3675, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 915 | 906 | $167.07 | $127.32 |
| 2023 | 952 | 940 | $181.10 | $136.36 |
| 2024 | 970 | 960 | $186.18 | $139.21 |
States with the most L3675 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Florida | 301 | $141.23 |
| Colorado | 179 | $137.73 |
| California | 138 | $137.82 |
| Texas | 71 | $145.97 |
| New Jersey | 43 | $136.74 |
What changed for L3675
- 2026-01-01: Average state fee rose 2.0%: $192.18 to $196.03
- 1999-01-01: L3675 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 L3675?
L3675 is the HCPCS Level II code for shoulder orthosis, vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf. Short descriptor: "So vest canvas/web pre ots".
How much does Medicare pay for L3675?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $191.58–$229.91. Rural fees can be higher.
Does Medicare cover L3675?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for L3675 change in 2026?
The average non-rural state fee moved from $192.18 in 2025 to $196.03 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
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)
- 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)
- 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 L3675
- Watch L3675 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for L3675
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.