L3809 HCPCS code: Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type
L3809 is the HCPCS Level II code for wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type. 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 rose 2% from 2022 to 2024 (63,175 to 64,592 services). In 2024, 3,527 suppliers billed Medicare for L3809 (purchases), serving 60,932 beneficiaries; California, Florida, New York accounted for 21% of services. Its average fee ranks 2 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 | 2014-01-01 |
| Last action effective | 2014-01-01 |
2026 Medicare DMEPOS fee schedule for L3809
| 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 L3809 fee compares
| Measure | Value |
|---|---|
| Rank among 4 L38 codes (lowest = 1) | 2 |
| Family fee range (average of state fees) | $279.30–$505.53 |
| Rural fee uplift | — |
Who bills L3809 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 3,527 |
| Referring clinicians | 28,788 |
| Medicare beneficiaries | 60,932 |
| States with claims | 51 |
| Share of services in top 3 states (California, Florida, New York) | 21% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 3,771 | 59,293 |
| 2023 | 3,677 | 60,277 |
| 2024 | 3,527 | 60,932 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for L3809, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 63,175 | 59,293 | $213.35 | $162.51 |
| 2023 | 63,938 | 60,277 | $231.38 | $175.41 |
| 2024 | 64,592 | 60,932 | $238.87 | $181.09 |
States with the most L3809 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 6,439 | $194.38 |
| Florida | 4,142 | $196.13 |
| New York | 3,233 | $184.64 |
| Pennsylvania | 3,112 | $184.95 |
| Texas | 3,038 | $184.58 |
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 L3809
- 2026-01-01: Average state fee rose 2.0%: $273.83 to $279.30
- 2014-01-01: L3809 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 L3809?
L3809 is the HCPCS Level II code for wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type. Short descriptor: "Whfo w/o joints pre ots".
How much does Medicare pay for L3809?
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 L3809?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for L3809 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 L3809 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)
- L3808 — Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment ($375.59–$631.45)
- 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 L3809
- Watch L3809 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for L3809
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.