L3730 HCPCS code: Elbow orthosis, double upright with forearm/arm cuffs, extension/ flexion assist, custom fabricated
L3730 is the HCPCS Level II code for elbow orthosis, double upright with forearm/arm cuffs, extension/ flexion assist, custom fabricated. The 2026 Medicare DMEPOS fee schedule pays $449.85 to $1,645.42 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 2 per day on DME suppliers. Medicare volume fell 29% from 2022 to 2024 (52 to 37 services). In 2024, 24 suppliers billed Medicare for L3730 (purchases), serving 32 beneficiaries. Its average fee ranks 9 of 12 L37 codes (family range $119.67–$1,511.09).
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 | 1982-01-01 |
| Last action effective | 2001-01-01 |
2026 Medicare DMEPOS fee schedule for L3730
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $449.85 | $1,645.42 | $1,351.54 | $1,013.66 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $1,538.79 | — |
| AL | — | $1,070.75 | — |
| AR | — | $1,247.88 | — |
| AZ | — | $1,351.54 | — |
| CA | — | $1,351.54 | — |
| CO | — | $1,013.66 | — |
| CT | — | $1,351.54 | — |
| DC | — | $1,013.66 | — |
| DE | — | $1,013.66 | — |
| FL | — | $1,070.75 | — |
| GA | — | $1,070.75 | — |
| HI | — | $1,645.42 | — |
| IA | — | $1,207.08 | — |
| ID | — | $1,181.94 | — |
| IL | — | $1,013.66 | — |
| IN | — | $1,013.66 | — |
| KS | — | $1,207.08 | — |
| KY | — | $1,070.75 | — |
| LA | — | $1,247.88 | — |
| MA | — | $1,351.54 | — |
| MD | — | $1,013.66 | — |
| ME | — | $1,351.54 | — |
| MI | — | $1,013.66 | — |
| MN | — | $1,013.66 | — |
| MO | — | $1,207.08 | — |
| MS | — | $1,070.75 | — |
| MT | — | $1,013.66 | — |
| NC | — | $1,070.75 | — |
| ND | — | $1,013.66 | — |
| NE | — | $1,207.08 | — |
| NH | — | $1,351.54 | — |
| NJ | — | $1,321.98 | — |
| NM | — | $1,247.88 | — |
| NV | — | $1,351.54 | — |
| NY | — | $1,321.98 | — |
| OH | — | $1,013.66 | — |
| OK | — | $1,247.88 | — |
| OR | — | $1,181.94 | — |
| PA | — | $1,013.66 | — |
| PR | — | $449.85 | — |
| RI | — | $1,351.54 | — |
| SC | — | $1,070.75 | — |
| SD | — | $1,013.66 | — |
| TN | — | $1,070.75 | — |
| TX | — | $1,247.88 | — |
| UT | — | $1,013.66 | — |
| VA | — | $1,013.66 | — |
| VI | — | $1,321.98 | — |
| VT | — | $1,351.54 | — |
| WA | — | $1,181.94 | — |
| WI | — | $1,013.66 | — |
| WV | — | $1,013.66 | — |
| WY | — | $1,013.66 | — |
How the L3730 fee compares
| Measure | Value |
|---|---|
| Rank among 12 L37 codes (lowest = 1) | 9 |
| Family fee range (average of state fees) | $119.67–$1,511.09 |
| Rural fee uplift | — |
Who bills L3730 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 24 |
| Referring clinicians | 30 |
| Medicare beneficiaries | 32 |
| States with claims | 0 |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 35 | 50 |
| 2023 | 26 | 38 |
| 2024 | 24 | 32 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for L3730, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 52 | 50 | $977.37 | $767.74 |
| 2023 | 45 | 38 | $1,078.80 | $833.97 |
| 2024 | 37 | 32 | $1,162.88 | $888.66 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 2 | Anatomic Consideration |
| outpatient hospital claims | 2 | Anatomic Consideration |
What changed for L3730
- 2026-01-01: Average state fee rose 2.0%: $1,131.87 to $1,154.51
- 1982-01-01: L3730 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 L3730?
L3730 is the HCPCS Level II code for elbow orthosis, double upright with forearm/arm cuffs, extension/ flexion assist, custom fabricated. Short descriptor: "Forearm/arm cuffs ext/flex a".
How much does Medicare pay for L3730?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $449.85–$1,645.42. Rural fees can be higher.
Does Medicare cover L3730?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for L3730 change in 2026?
The average non-rural state fee moved from $1,131.87 in 2025 to $1,154.51 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of L3730 can be billed per day?
2 on DME suppliers; 2 on outpatient hospital claims (NCCI medically unlikely edits).
Related L37 codes
- L3702 — Elbow orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ($315.21–$346.74)
- L3710 — Elbow orthosis, elastic with metal joints, prefabricated, off-the-shelf ($51.03–$175.72)
- L3720 — Elbow orthosis, double upright with forearm/arm cuffs, free motion, custom fabricated ($388.46–$1,525.63)
- L3740 — Elbow orthosis, double upright with forearm/arm cuffs, adjustable position lock with active control, custom fabricated ($1,201.78–$2,473.70)
- L3760 — 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 ($545.90–$655.08)
- L3761 — Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, off-the-shelf ($545.90–$655.08)
- L3762 — Elbow orthosis, rigid, without joints, includes soft interface material, prefabricated, off-the-shelf ($117.38–$129.13)
- L3763 — Elbow wrist hand orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ($437.71–$968.06)
- L3764 — Elbow wrist hand orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment ($654.99–$1,110.75)
- L3765 — Elbow wrist hand finger orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment ($1,399.76–$1,539.74)
- L3766 — Elbow wrist hand finger orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment ($1,482.24–$1,630.52)
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 L3730
- Watch L3730 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for L3730
Sources: CMS HCPCS Level II release October 2026; 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.