HCPCS L3808: WHFO, Rigid, No Joints, Custom Fabricated

HCPCS L3808: WHFO, Rigid, No Joints, Custom Fabricated

Obtain a list of the documentation and billing requirements needed to properly use and bill for HCPCS code L3808 from our short guide.

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Frequently asked questions

L3808 is a custom-fabricated code. This means the orthosis is individually made from raw materials for a specific patient, unlike custom-fitted (L3807) or off-the-shelf (L3809) devices, which are prefabricated.

Yes, L3808 is covered under the Medicare braces benefit if it is determined to be medically necessary and all applicable DMEPOS and Local Coverage Determination (LCD) requirements are met. Coverage is dependent on the specific diagnosis and functional deficit.

For Medicare, the reasonable useful lifetime for upper limb orthoses is typically five years. A replacement can only be billed after this period, or earlier if documentation supports an irreparable change in the patient's condition or the orthosis is lost or irreparably damaged.

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