L3808 HCPCS code: Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment
L3808 is the HCPCS Level II code for wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment. The 2026 Medicare DMEPOS fee schedule pays $375.59 to $631.45 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 (15,119 to 12,038 services). In 2024, 1,419 suppliers billed Medicare for L3808 (purchases), serving 11,566 beneficiaries; Florida, New York, Illinois accounted for 22% of services. Its average fee ranks 3 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 | 2007-01-01 |
| Last action effective | 2007-01-01 |
2026 Medicare DMEPOS fee schedule for L3808
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $375.59 | $631.45 | $496.49 | $372.36 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $590.55 | — |
| AL | — | $375.59 | — |
| AR | — | $375.75 | — |
| AZ | — | $496.49 | — |
| CA | — | $496.49 | — |
| CO | — | $410.35 | — |
| CT | — | $461.17 | — |
| DC | — | $408.22 | — |
| DE | — | $408.22 | — |
| FL | — | $375.59 | — |
| GA | — | $375.59 | — |
| HI | — | $631.45 | — |
| IA | — | $382.44 | — |
| ID | — | $393.37 | — |
| IL | — | $398.43 | — |
| IN | — | $398.43 | — |
| KS | — | $382.44 | — |
| KY | — | $375.59 | — |
| LA | — | $375.75 | — |
| MA | — | $461.17 | — |
| MD | — | $408.22 | — |
| ME | — | $461.17 | — |
| MI | — | $398.43 | — |
| MN | — | $398.43 | — |
| MO | — | $382.44 | — |
| MS | — | $375.59 | — |
| MT | — | $410.35 | — |
| NC | — | $375.59 | — |
| ND | — | $410.35 | — |
| NE | — | $382.44 | — |
| NH | — | $461.17 | — |
| NJ | — | $442.95 | — |
| NM | — | $375.75 | — |
| NV | — | $496.49 | — |
| NY | — | $442.95 | — |
| OH | — | $398.43 | — |
| OK | — | $375.75 | — |
| OR | — | $393.37 | — |
| PA | — | $408.22 | — |
| PR | — | $479.22 | — |
| RI | — | $461.17 | — |
| SC | — | $375.59 | — |
| SD | — | $410.35 | — |
| TN | — | $375.59 | — |
| TX | — | $375.75 | — |
| UT | — | $410.35 | — |
| VA | — | $408.22 | — |
| VI | — | $442.96 | — |
| VT | — | $461.17 | — |
| WA | — | $393.37 | — |
| WI | — | $398.43 | — |
| WV | — | $408.22 | — |
| WY | — | $410.35 | — |
How the L3808 fee compares
| Measure | Value |
|---|---|
| Rank among 4 L38 codes (lowest = 1) | 3 |
| Family fee range (average of state fees) | $279.30–$505.53 |
| Rural fee uplift | — |
Who bills L3808 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 1,419 |
| Referring clinicians | 3,143 |
| Medicare beneficiaries | 11,566 |
| States with claims | 47 |
| Share of services in top 3 states (Florida, New York, Illinois) | 22% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 1,580 | 14,437 |
| 2023 | 1,515 | 13,105 |
| 2024 | 1,419 | 11,566 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for L3808, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 15,119 | 14,437 | $338.10 | $261.13 |
| 2023 | 13,658 | 13,105 | $364.99 | $280.33 |
| 2024 | 12,038 | 11,566 | $381.60 | $294.24 |
States with the most L3808 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Florida | 1,026 | $275.08 |
| New York | 871 | $323.14 |
| Illinois | 802 | $292.63 |
| California | 560 | $351.61 |
| Virginia | 546 | $294.51 |
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 L3808
- 2026-01-01: Average state fee rose 2.0%: $410.32 to $418.53
- 2007-01-01: L3808 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 L3808?
L3808 is the HCPCS Level II code for wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment. Short descriptor: "Whfo, rigid w/o joints".
How much does Medicare pay for L3808?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $375.59–$631.45. Rural fees can be higher.
Does Medicare cover L3808?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for L3808 change in 2026?
The average non-rural state fee moved from $410.32 in 2025 to $418.53 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of L3808 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)
- L3807 — 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 ($272.97–$327.59)
- 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 L3808
- Watch L3808 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for L3808
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.