HCPCS Level II · Orthotic and prosthetic procedures and devices
L3904Wrist hand finger orthosis, external powered, electric, custom fabricated
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Source: CMS HCPCS quarterly update, October 2026. Page updated September 29, 2026.
About L3904
L3904 is an HCPCS Level II code in the L series (orthotic and prosthetic procedures and devices), describing wrist hand finger orthosis, external powered, electric, custom fabricated.
It was added to HCPCS effective 01/01/1982, and its current record took effect 01/01/2001.
Its Medicare coverage code is "C", meaning coverage is left to the Medicare contractor's judgment.
Details
- Short description
- Whfo electric custom fitted
- Date added
- 01/01/1982
- Action effective
- 01/01/2001
- BETOS
- D1F
Related L39xx codes
- L3900Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, wrist or finger driven, custom fabricated
- L3901Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, cable driven, custom fabricated
- L3905Wrist hand orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment
- L3906Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment
- L3908Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf
- L3912Hand finger orthosis (hfo), flexion glove with elastic finger control, prefabricated, off-the-shelf
- L3913Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment
- L3915Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, 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
- L3916Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf
- L3917Hand orthosis, metacarpal fracture orthosis, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
- L3918Hand orthosis, metacarpal fracture orthosis, prefabricated, off-the-shelf
- L3919Hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment
Common questions about L3904
Is HCPCS L3904 still valid?
- Yes. L3904 is active in the CMS October 2026 HCPCS file.
Does Medicare cover L3904?
- Its coverage code is "C": coverage is left to the Medicare contractor's judgment. Check the local coverage determination for your region.