HCPCS Code L3761: Elbow Orthosis (EO), with Adjustable Position Locking Joint(s)

HCPCS code L3761 is used for billing a prefabricated, off-the-shelf elbow orthosis with adjustable locking joints. It supports or immobilizes the elbow joint and allows for controlled movement during recovery or rehabilitation following injury or surgery.

Yes. Medicare covers L3761 when the device is medically necessary and documentation supports the clinical need under the Braces (Orthotics) benefit. The orthosis must meet the off-the-shelf criteria and align with the patient’s diagnosis and treatment plan.

Documentation must include a detailed physician’s order, supporting medical notes describing the patient’s condition and need for the device, and confirmation that the orthosis is prefabricated and off-the-shelf. All documentation must comply with CMS and DME MAC medical necessity standards and be retained for verification and audit purposes.