L3765 HCPCS code: Elbow wrist hand finger orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment
L3765 is the HCPCS Level II code for elbow wrist hand finger orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment. The 2026 Medicare DMEPOS fee schedule pays $1,399.76 to $1,539.74 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. Its average fee ranks 11 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 | 2006-01-01 |
| Last action effective | 2006-01-01 |
2026 Medicare DMEPOS fee schedule for L3765
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $1,399.76 | $1,539.74 | $1,708.21 | $1,281.16 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $1,399.76 | — |
| AL | — | $1,441.90 | — |
| AR | — | $1,441.77 | — |
| AZ | — | $1,399.76 | — |
| CA | — | $1,399.76 | — |
| CO | — | $1,449.89 | — |
| CT | — | $1,399.76 | — |
| DC | — | $1,399.76 | — |
| DE | — | $1,399.76 | — |
| FL | — | $1,441.90 | — |
| GA | — | $1,441.90 | — |
| HI | — | $1,399.76 | — |
| IA | — | $1,427.11 | — |
| ID | — | $1,399.76 | — |
| IL | — | $1,434.15 | — |
| IN | — | $1,434.15 | — |
| KS | — | $1,427.11 | — |
| KY | — | $1,441.90 | — |
| LA | — | $1,441.77 | — |
| MA | — | $1,399.76 | — |
| MD | — | $1,399.76 | — |
| ME | — | $1,399.76 | — |
| MI | — | $1,434.15 | — |
| MN | — | $1,434.15 | — |
| MO | — | $1,427.11 | — |
| MS | — | $1,441.90 | — |
| MT | — | $1,449.89 | — |
| NC | — | $1,441.90 | — |
| ND | — | $1,449.89 | — |
| NE | — | $1,427.11 | — |
| NH | — | $1,399.76 | — |
| NJ | — | $1,399.76 | — |
| NM | — | $1,441.77 | — |
| NV | — | $1,399.76 | — |
| NY | — | $1,399.76 | — |
| OH | — | $1,434.15 | — |
| OK | — | $1,441.77 | — |
| OR | — | $1,399.76 | — |
| PA | — | $1,399.76 | — |
| PR | — | $1,539.74 | — |
| RI | — | $1,399.76 | — |
| SC | — | $1,441.90 | — |
| SD | — | $1,449.89 | — |
| TN | — | $1,441.90 | — |
| TX | — | $1,441.77 | — |
| UT | — | $1,449.89 | — |
| VA | — | $1,399.76 | — |
| VI | — | $1,539.74 | — |
| VT | — | $1,399.76 | — |
| WA | — | $1,399.76 | — |
| WI | — | $1,434.15 | — |
| WV | — | $1,399.76 | — |
| WY | — | $1,449.89 | — |
How the L3765 fee compares
| Measure | Value |
|---|---|
| Rank among 12 L37 codes (lowest = 1) | 11 |
| Family fee range (average of state fees) | $119.67–$1,511.09 |
| Rural fee uplift | — |
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 L3765
- 2026-01-01: Average state fee rose 2.0%: $1,399.02 to $1,427.00
- 2006-01-01: L3765 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 L3765?
L3765 is the HCPCS Level II code for elbow wrist hand finger orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment. Short descriptor: "Ewhfo rigid w/o jnts cf".
How much does Medicare pay for L3765?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $1,399.76–$1,539.74. Rural fees can be higher.
Does Medicare cover L3765?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for L3765 change in 2026?
The average non-rural state fee moved from $1,399.02 in 2025 to $1,427.00 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of L3765 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)
- 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)
- 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)
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Next steps
- Run a reimbursement report for a device billed under L3765
- Watch L3765 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for L3765
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.