Dynamic List Information
Dynamic List Data
HCPCS Code
L3674
On Master List?
Yes
Prior Authorization Required?
No
F2F and Written Order Prior to Delivery?
No
Description: Shoulder orthosis, abduction positioning (airplane design), thoracic component and support bar, with or without non-torsion joint/turnbuckle, may include soft interface, straps, custom fabricated, includes fitting and adjustment