L3807 HCPCS code: Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
L3807 is the HCPCS Level II code for wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise. The 2026 Medicare DMEPOS fee schedule pays $272.97 to $327.59 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 (13,785 to 9,723 services). In 2024, 1,801 suppliers billed Medicare for L3807 (purchases), serving 8,661 beneficiaries; California, Florida, New York accounted for 36% of services. Its average fee ranks 1 of 4 L38 codes (family range $279.30–$505.53).
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 | 2000-01-01 |
| Last action effective | 2014-01-01 |
2026 Medicare DMEPOS fee schedule for L3807
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $272.97 | $327.59 | $333.11 | $249.83 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $272.97 | — |
| AL | — | $281.19 | — |
| AR | — | $281.17 | — |
| AZ | — | $272.97 | — |
| CA | — | $272.97 | — |
| CO | — | $282.70 | — |
| CT | — | $272.97 | — |
| DC | — | $272.97 | — |
| DE | — | $272.97 | — |
| FL | — | $281.19 | — |
| GA | — | $281.19 | — |
| HI | — | $272.97 | — |
| IA | — | $278.25 | — |
| ID | — | $272.97 | — |
| IL | — | $279.67 | — |
| IN | — | $279.67 | — |
| KS | — | $278.25 | — |
| KY | — | $281.19 | — |
| LA | — | $281.17 | — |
| MA | — | $272.97 | — |
| MD | — | $272.97 | — |
| ME | — | $272.97 | — |
| MI | — | $279.67 | — |
| MN | — | $279.67 | — |
| MO | — | $278.25 | — |
| MS | — | $281.19 | — |
| MT | — | $282.70 | — |
| NC | — | $281.19 | — |
| ND | — | $282.70 | — |
| NE | — | $278.25 | — |
| NH | — | $272.97 | — |
| NJ | — | $272.97 | — |
| NM | — | $281.17 | — |
| NV | — | $272.97 | — |
| NY | — | $272.97 | — |
| OH | — | $279.67 | — |
| OK | — | $281.17 | — |
| OR | — | $272.97 | — |
| PA | — | $272.97 | — |
| PR | — | $327.59 | — |
| RI | — | $272.97 | — |
| SC | — | $281.19 | — |
| SD | — | $282.70 | — |
| TN | — | $281.19 | — |
| TX | — | $281.17 | — |
| UT | — | $282.70 | — |
| VA | — | $272.97 | — |
| VI | — | $327.59 | — |
| VT | — | $272.97 | — |
| WA | — | $272.97 | — |
| WI | — | $279.67 | — |
| WV | — | $272.97 | — |
| WY | — | $282.70 | — |
How the L3807 fee compares
| Measure | Value |
|---|---|
| Rank among 4 L38 codes (lowest = 1) | 1 |
| Family fee range (average of state fees) | $279.30–$505.53 |
| Rural fee uplift | — |
Who bills L3807 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 1,801 |
| Referring clinicians | 4,547 |
| Medicare beneficiaries | 8,661 |
| States with claims | 49 |
| Share of services in top 3 states (California, Florida, New York) | 36% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 2,351 | 12,265 |
| 2023 | 2,100 | 10,350 |
| 2024 | 1,801 | 8,661 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for L3807, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 13,785 | 12,265 | $215.94 | $164.51 |
| 2023 | 11,653 | 10,350 | $233.54 | $177.48 |
| 2024 | 9,723 | 8,661 | $240.22 | $182.33 |
States with the most L3807 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 1,630 | $186.26 |
| Florida | 1,082 | $201.91 |
| New York | 815 | $173.71 |
| New Jersey | 489 | $191.64 |
| Texas | 401 | $197.41 |
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 L3807
- 2026-01-01: Average state fee rose 2.0%: $273.83 to $279.30
- 2000-01-01: L3807 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 L3807?
L3807 is the HCPCS Level II code for wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise. Short descriptor: "Whfo w/o joints pre cst".
How much does Medicare pay for L3807?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $272.97–$327.59. Rural fees can be higher.
Does Medicare cover L3807?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for L3807 change in 2026?
The average non-rural state fee moved from $273.83 in 2025 to $279.30 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of L3807 can be billed per day?
2 on DME suppliers; 2 on outpatient hospital claims (NCCI medically unlikely edits).
Related L38 codes
- L3806 — Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, custom fabricated, includes fitting and adjustment ($495.89–$545.49)
- L3808 — Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment ($375.59–$631.45)
- L3809 — Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type ($272.97–$327.59)
- L3891 — Addition to upper extremity joint, wrist or elbow, concentric adjustable torsion style mechanism for custom fabricated orthotics only, each
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 L3807
- Watch L3807 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for L3807
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.