HCPCS Code L3650: Shoulder Orthosis (SO), Figure-of-Eight Design Abduction Restrainer

Read our guide on HCPCS code L3650 to learn how to document, bill, and meet Medicare coverage rules for figure-of-eight shoulder braces.

Use Code

Frequently asked questions

L3650 identifies a prefabricated, off-the-shelf figure-of-eight shoulder orthosis that functions as an abduction restrainer to immobilize and support the shoulder after injury or surgery.

Yes. Medicare covers L3650 under DMEPOS when medical necessity and documentation criteria are met.

Billing requires accurate coding for a prefabricated shoulder orthosis, proper documentation of medical necessity, adherence to the five-year RUL, and correct use of RT/LT modifiers. Payment is subject to the Medicare DMEPOS fee schedule, and prior authorization is not required under Medicare FFS.