L3891 HCPCS code: Addition to upper extremity joint, wrist or elbow, concentric adjustable torsion style mechanism for custom fabricated orthotics only, each
L3891 is the HCPCS Level II code for addition to upper extremity joint, wrist or elbow, concentric adjustable torsion style mechanism for custom fabricated orthotics only, each. Its Medicare coverage code is I (Not payable by Medicare): Medicare does not pay separately under this code; another code applies.
Code details
| Field | Value |
|---|---|
| Section | L codes — Orthotic and prosthetic procedures and devices |
| Coverage code | I — Not payable by Medicare |
| Pricing indicator | 00 — Not separately priced by Medicare |
| BETOS category | D1F — Prosthetic and orthotic devices |
| Added | 2010-01-01 |
| Last action effective | 2010-01-01 |
Related codes Medicare does pay
Medicare does not pay under L3891. These codes in the same L38 family carry a current DMEPOS fee:
- 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
- L3809 — Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type: $272.97–$327.59
What changed for L3891
- 2010-01-01: L3891 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 L3891?
L3891 is the HCPCS Level II code for addition to upper extremity joint, wrist or elbow, concentric adjustable torsion style mechanism for custom fabricated orthotics only, each. Short descriptor: "Torsion mechanism wrist/elbo".
Does Medicare cover L3891?
Coverage code I — Not payable by Medicare. Medicare does not pay separately under this code; another code applies.
Which related codes does Medicare pay instead of L3891?
Codes in the same L38 family with a DMEPOS fee include L3806 ($495.89–$545.49), L3807 ($272.97–$327.59), L3808 ($375.59–$631.45). Check the item matches the code's descriptor before billing.
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)
- L3809 — Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type ($272.97–$327.59)
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Next steps
- Run a reimbursement report for a device billed under L3891
- Watch L3891 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for L3891
Sources: CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule; 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.