Dynamic List Information
Dynamic List Data
HCPCS Code
L3977
On Master List?
Yes
Prior Authorization Required?
No
F2F and Written Order Prior to Delivery?
No
Description: Shoulder elbow wrist hand finger orthosis, shoulder cap design, includes one or more non-torsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment