Shoulder immobilizer HCPCS code
A shoulder immobilizer is usually billed under HCPCS code L3650 (Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf); related codes are L3660, L3670, L3671, L3674, L3675. The 2026 Medicare DMEPOS fee schedule pays $66.69 to $105.67 for L3650, depending on the state. Medicare paid for 3,486 L3650 services from 527 suppliers in 2024.
HCPCS codes for shoulder immobilizer
| Code | Description | Medicare coverage | DMEPOS fee (state range) | Medicare services |
|---|---|---|---|---|
| L3650 | Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf | Carrier judgment | $66.69–$105.67 | 3,486 (2024) |
| L3660 | Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf | Carrier judgment | $112.56–$154.10 | 52,038 (2024) |
| L3670 | Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf | Carrier judgment | $127.15–$215.52 | 113,391 (2024) |
| L3671 | Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment | Carrier judgment | $983.68–$1,082.00 | 656 (2024) |
| L3674 | Shoulder orthosis, abduction positioning (airplane design), thoracic component and support bar, with or without nontorsion joint/turnbuckle, may include soft interface, straps, custom fabricated, includes fitting and adjustment | Carrier judgment | $1,290.37–$1,419.42 | — |
| L3675 | Shoulder orthosis, vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf | Carrier judgment | $191.58–$229.91 | 970 (2024) |
| L3677 | Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | Special coverage instructions apply | — | — |
| L3678 | Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, prefabricated, off-the-shelf | Carrier judgment | — | — |
Supplies and accessories
| Code | Description | Medicare coverage | DMEPOS fee (state range) | Medicare services |
|---|---|---|---|---|
| A4565 | Slings | Carrier judgment | $10.98 | 18,220 (2024) |
Medicare revenue estimate for L3650
Units per month × state fee = monthly Medicare revenue. At 10 units a month, L3650 pays $1,056.70 in HI and $666.90 in CO, before the 20% patient coinsurance.
Frequently asked questions
What is the HCPCS code for a shoulder immobilizer?
L3650: Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf. Other shoulder immobilizer codes: L3660 (So 8 ab rstr can/web pre ots); L3670 (So acro/clav can web pre ots); L3671 (So cap design w/o jnts cf); L3674 (So airplane w/wo joint cf); L3675 (So vest canvas/web pre ots).
Does Medicare cover a shoulder immobilizer?
By HCPCS coverage code — L3650: Carrier judgment; L3660: Carrier judgment; L3670: Carrier judgment; L3671: Carrier judgment; L3674: Carrier judgment; L3675: Carrier judgment.
How much does Medicare pay for a shoulder immobilizer?
Under the 2026 DMEPOS fee schedule (non-rural state fees): L3650 $66.69 to $105.67; L3660 $112.56 to $154.10; L3670 $127.15 to $215.52; L3671 $983.68 to $1,082.00; L3674 $1,290.37 to $1,419.42.
Which supplies and accessories are billed with a shoulder immobilizer?
A4565 (Slings).
Next steps
- Run a reimbursement report for a device billed under L3650
- Watch L3650 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for L3650
Part of Orthotic braces.
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Sources: CMS HCPCS Level II; CMS DMEPOS fee schedule 2026; CMS Medicare utilization; CMS Medicare Coverage Database. Fees are Medicare allowables (non-rural, by state), not commercial rates. Code choice depends on the exact item; check the descriptor. Not billing or legal advice.