L3678 HCPCS code: Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, prefabricated, off-the-shelf
L3678 is the HCPCS Level II code for shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, prefabricated, off-the-shelf. In 2022 Medicare paid an average of $181.88 per service for L3678 across 51 services. 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, 12 suppliers billed Medicare for L3678 (purchases), serving 48 beneficiaries.
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 | 2014-01-01 |
| Last action effective | 2014-01-01 |
Who bills L3678 (2022)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 12 |
| Referring clinicians | 26 |
| Medicare beneficiaries | 48 |
| States with claims | 2 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for L3678, 2022–2022
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 51 | 48 | $235.46 | $181.88 |
States with the most L3678 services (2022)
| State | Services | Avg. paid |
|---|---|---|
| North Dakota | 29 | $53.09 |
| Florida | 12 | $500.70 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | Code Descriptor / CPT Instruction |
| outpatient hospital claims | 1 | Code Descriptor / CPT Instruction |
What changed for L3678
- 2014-01-01: L3678 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 L3678?
L3678 is the HCPCS Level II code for shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, prefabricated, off-the-shelf. Short descriptor: "So hard plas stabili pre ots".
How much does Medicare pay for L3678?
In 2022, the average Medicare payment was $181.88 per service (average allowed $235.46).
Does Medicare cover L3678?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
How many units of L3678 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)
- 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)
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 L3678
- Watch L3678 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for L3678
Sources: CMS HCPCS Level II release October 2025; CMS DMEPOS fee schedule; 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.