L3740 HCPCS code: Elbow orthosis, double upright with forearm/arm cuffs, adjustable position lock with active control, custom fabricated
L3740 is the HCPCS Level II code for elbow orthosis, double upright with forearm/arm cuffs, adjustable position lock with active control, custom fabricated. The 2026 Medicare DMEPOS fee schedule pays $1,201.78 to $2,473.70 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 20% from 2022 to 2024 (86 to 69 services). In 2024, 51 suppliers billed Medicare for L3740 (purchases), serving 63 beneficiaries. Its average fee ranks 10 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 L3740
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $1,201.78 | $2,473.70 | $1,602.37 | $1,201.78 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $2,313.40 | — |
| AL | — | $1,203.36 | — |
| AR | — | $1,602.37 | — |
| AZ | — | $1,602.37 | — |
| CA | — | $1,602.37 | — |
| CO | — | $1,201.78 | — |
| CT | — | $1,602.37 | — |
| DC | — | $1,201.78 | — |
| DE | — | $1,201.78 | — |
| FL | — | $1,203.36 | — |
| GA | — | $1,203.36 | — |
| HI | — | $2,473.70 | — |
| IA | — | $1,276.75 | — |
| ID | — | $1,206.53 | — |
| IL | — | $1,201.78 | — |
| IN | — | $1,201.78 | — |
| KS | — | $1,276.75 | — |
| KY | — | $1,203.36 | — |
| LA | — | $1,602.37 | — |
| MA | — | $1,602.37 | — |
| MD | — | $1,201.78 | — |
| ME | — | $1,602.37 | — |
| MI | — | $1,201.78 | — |
| MN | — | $1,201.78 | — |
| MO | — | $1,276.75 | — |
| MS | — | $1,203.36 | — |
| MT | — | $1,201.78 | — |
| NC | — | $1,203.36 | — |
| ND | — | $1,201.78 | — |
| NE | — | $1,276.75 | — |
| NH | — | $1,602.37 | — |
| NJ | — | $1,482.59 | — |
| NM | — | $1,602.37 | — |
| NV | — | $1,602.37 | — |
| NY | — | $1,482.59 | — |
| OH | — | $1,201.78 | — |
| OK | — | $1,602.37 | — |
| OR | — | $1,206.53 | — |
| PA | — | $1,201.78 | — |
| PR | — | $1,237.32 | — |
| RI | — | $1,602.37 | — |
| SC | — | $1,203.36 | — |
| SD | — | $1,201.78 | — |
| TN | — | $1,203.36 | — |
| TX | — | $1,602.37 | — |
| UT | — | $1,201.78 | — |
| VA | — | $1,201.78 | — |
| VI | — | $1,482.59 | — |
| VT | — | $1,602.37 | — |
| WA | — | $1,206.53 | — |
| WI | — | $1,201.78 | — |
| WV | — | $1,201.78 | — |
| WY | — | $1,201.78 | — |
How the L3740 fee compares
| Measure | Value |
|---|---|
| Rank among 12 L37 codes (lowest = 1) | 10 |
| Family fee range (average of state fees) | $119.67–$1,511.09 |
| Rural fee uplift | — |
Who bills L3740 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 51 |
| Referring clinicians | 59 |
| Medicare beneficiaries | 63 |
| States with claims | 1 |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 58 | 78 |
| 2023 | 53 | 65 |
| 2024 | 51 | 63 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for L3740, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 86 | 78 | $1,103.00 | $857.69 |
| 2023 | 75 | 65 | $1,186.09 | $925.17 |
| 2024 | 69 | 63 | $1,303.53 | $1,017.50 |
States with the most L3740 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 11 | $1,201.03 |
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 L3740
- 2026-01-01: Average state fee rose 2.0%: $1,348.33 to $1,375.30
- 1982-01-01: L3740 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 L3740?
L3740 is the HCPCS Level II code for elbow orthosis, double upright with forearm/arm cuffs, adjustable position lock with active control, custom fabricated. Short descriptor: "Cuffs adj lock w/ active con".
How much does Medicare pay for L3740?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $1,201.78–$2,473.70. Rural fees can be higher.
Does Medicare cover L3740?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for L3740 change in 2026?
The average non-rural state fee moved from $1,348.33 in 2025 to $1,375.30 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of L3740 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)
- L3730 — Elbow orthosis, double upright with forearm/arm cuffs, extension/ flexion assist, custom fabricated ($449.85–$1,645.42)
- 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 L3740
- Watch L3740 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for L3740
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.