L3761 HCPCS code: Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, off-the-shelf
L3761 is the HCPCS Level II code for elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, off-the-shelf. The 2026 Medicare DMEPOS fee schedule pays $545.90 to $655.08 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 rose 56% from 2022 to 2024 (14,111 to 22,066 services). In 2024, 1,240 suppliers billed Medicare for L3761 (purchases), serving 14,991 beneficiaries; California, New York, Florida accounted for 27% of services. Its average fee ranks 5 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 | 2018-01-01 |
| Last action effective | 2018-01-01 |
2026 Medicare DMEPOS fee schedule for L3761
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $545.90 | $655.08 | $666.21 | $499.66 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $545.90 | — |
| AL | — | $562.35 | — |
| AR | — | $562.31 | — |
| AZ | — | $545.90 | — |
| CA | — | $545.90 | — |
| CO | — | $565.47 | — |
| CT | — | $545.90 | — |
| DC | — | $545.90 | — |
| DE | — | $545.90 | — |
| FL | — | $562.35 | — |
| GA | — | $562.35 | — |
| HI | — | $545.90 | — |
| IA | — | $556.60 | — |
| ID | — | $545.90 | — |
| IL | — | $559.36 | — |
| IN | — | $559.36 | — |
| KS | — | $556.60 | — |
| KY | — | $562.35 | — |
| LA | — | $562.31 | — |
| MA | — | $545.90 | — |
| MD | — | $545.90 | — |
| ME | — | $545.90 | — |
| MI | — | $559.36 | — |
| MN | — | $559.36 | — |
| MO | — | $556.60 | — |
| MS | — | $562.35 | — |
| MT | — | $565.47 | — |
| NC | — | $562.35 | — |
| ND | — | $565.47 | — |
| NE | — | $556.60 | — |
| NH | — | $545.90 | — |
| NJ | — | $545.90 | — |
| NM | — | $562.31 | — |
| NV | — | $545.90 | — |
| NY | — | $545.90 | — |
| OH | — | $559.36 | — |
| OK | — | $562.31 | — |
| OR | — | $545.90 | — |
| PA | — | $545.90 | — |
| PR | — | $655.08 | — |
| RI | — | $545.90 | — |
| SC | — | $562.35 | — |
| SD | — | $565.47 | — |
| TN | — | $562.35 | — |
| TX | — | $562.31 | — |
| UT | — | $565.47 | — |
| VA | — | $545.90 | — |
| VI | — | $655.08 | — |
| VT | — | $545.90 | — |
| WA | — | $545.90 | — |
| WI | — | $559.36 | — |
| WV | — | $545.90 | — |
| WY | — | $565.47 | — |
How the L3761 fee compares
| Measure | Value |
|---|---|
| Rank among 12 L37 codes (lowest = 1) | 5 |
| Family fee range (average of state fees) | $119.67–$1,511.09 |
| Rural fee uplift | — |
Who bills L3761 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 1,240 |
| Referring clinicians | 11,856 |
| Medicare beneficiaries | 14,991 |
| States with claims | 51 |
| Share of services in top 3 states (California, New York, Florida) | 27% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 1,004 | 10,545 |
| 2023 | 1,135 | 14,174 |
| 2024 | 1,240 | 14,991 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for L3761, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 14,111 | 10,545 | $474.33 | $369.92 |
| 2023 | 20,860 | 14,174 | $514.05 | $393.03 |
| 2024 | 22,066 | 14,991 | $526.92 | $408.02 |
States with the most L3761 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 2,676 | $404.10 |
| New York | 1,684 | $404.65 |
| Florida | 1,534 | $414.34 |
| Texas | 1,464 | $411.47 |
| Indiana | 943 | $415.32 |
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 L3761
- 2026-01-01: Average state fee rose 2.0%: $547.65 to $558.60
- 2018-01-01: L3761 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 L3761?
L3761 is the HCPCS Level II code for elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, off-the-shelf. Short descriptor: "Eo, adj lock joint prefab ot".
How much does Medicare pay for L3761?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $545.90–$655.08. Rural fees can be higher.
Does Medicare cover L3761?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for L3761 change in 2026?
The average non-rural state fee moved from $547.65 in 2025 to $558.60 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of L3761 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)
- 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)
- 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 L3761
- Watch L3761 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for L3761
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.