HCPCS Level II · Orthotic and prosthetic procedures and devices
L3677Shoulder 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
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Source: CMS HCPCS quarterly update, October 2026. Page updated September 29, 2026.
About L3677
L3677 is an HCPCS Level II code in the L series (orthotic and prosthetic procedures and devices), describing 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.
It was added to HCPCS effective 01/01/2002, and its current record took effect 01/01/2014.
Its Medicare coverage code is "D", meaning special Medicare coverage instructions apply.
Details
- Short description
- So hard plas stabili pre cst
- Date added
- 01/01/2002
- Action effective
- 01/01/2014
- BETOS
- Z2
Related L36xx codes
- L3600Transfer of an orthosis from one shoe to another, caliper plate, existing
- L3610Transfer of an orthosis from one shoe to another, caliper plate, new
- L3620Transfer of an orthosis from one shoe to another, solid stirrup, existing
- L3630Transfer of an orthosis from one shoe to another, solid stirrup, new
- L3640Transfer of an orthosis from one shoe to another, dennis browne splint (riveton), both shoes
- L3649Orthopedic shoe, modification, addition or transfer, not otherwise specified
- L3650Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf
- L3660Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf
- L3670Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf
- L3671Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment
- L3674Shoulder 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
- L3675Shoulder orthosis, vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf
Common questions about L3677
Is HCPCS L3677 still valid?
- Yes. L3677 is active in the CMS October 2026 HCPCS file.
Does Medicare cover L3677?
- Its coverage code is "D": special Medicare coverage instructions apply. Check the local coverage determination for your region.