HCPCS Code Details - L3995

HCPCS Level II Code
Orthotic and Prosthetic Procedures, Devices
HCPCS Code L3995
Description

Long description:
Addition to upper extremity orthosis, sock, fracture or equal, each

Short description:
Sock fracture or equal each

HCPCS Modifier1
HCPCS Pricing indicator 38 - Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)
Multiple pricing indicator A - Not applicable as HCPCS priced under one methodology
Coverage code C - Carrier judgment
BETOS2 code D1F - Prosthetic/Orthotic devices
HCPCS Action code N - No maintenance for this code
Type of service P - Lump sum purchase of DME, prosthetics, orthotics
Effective date Effective Jan 01, 1996
Date added Added Jan 01, 1989
HCPCS Coding Procedures

HCPCS Modifiers

In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.

Example: E0260-NU - Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
NU” identifies the hospital bed as new equipment

See also

  • HCPCS L3984 · Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment

  • HCPCS L3891 · Addition to upper extremity joint, wrist or elbow, concentric adjustable torsion style mechanism for custom fabricated orthotics only, each

  • HCPCS L6611 · Addition to upper extremity prosthesis, external powered, additional switch, any type

  • HCPCS L6694 · Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanism

  • HCPCS L6695 · Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mechanism

  • HCPCS L6696 · Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code l6694 or l6695)

  • HCPCS L6697 · Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code l6694 or l6695)

  • HCPCS L6698 · Addition to upper extremity prosthesis, below elbow/above elbow, lock mechanism, excludes socket insert

  • HCPCS L6890 · Addition to upper extremity prosthesis, glove for terminal device, any material, prefabricated, includes fitting and adjustment

  • HCPCS L6895 · Addition to upper extremity prosthesis, glove for terminal device, any material, custom fabricated

  • HCPCS L7400 · Addition to upper extremity prosthesis, below elbow/wrist disarticulation, ultralight material (titanium, carbon fiber or equal)

  • HCPCS L3999 · Upper limb orthosis, not otherwise specified


1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”