L3675 — Shoulder orthosis, vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf
L3675 is a HCPCS Level II code for shoulder orthosis, vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf. It belongs to the Orthotic and Prosthetic Procedures and Devices section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Carrier judgment
Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
The CMS record for L3675
- Long descriptor
- Shoulder orthosis, vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf
- Short descriptor
- So vest canvas/web pre ots
- Added
- January 1, 1999
- BETOS
- D1F
- Pricing indicator
- 38 — DMEPOS
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Orthotics, prosthetics, prosthetic devices and vision services. Price subject to floors and ceilings.
Codes adjacent to L3675
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If L3675 is not quite right, the correct code is very often within a few positions of it.
- L3630Transfer of an orthosis from one shoe to another, solid stirrup, new
- L3640Transfer of an orthosis from one shoe to another, dennis browne splint (riveton), both shoes
- L3649Orthopedic shoe, modification, addition or transfer, not otherwise specified
- L3650Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf
- L3660Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf
- L3670Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf
- L3671Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment
- L3674Shoulder orthosis, abduction positioning (airplane design), thoracic component and support bar, with or without nontorsion joint/turnbuckle, may include soft interface, straps, custom fabricated, includes fitting and adjustment
- L3677Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
- L3678Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, prefabricated, off-the-shelf
- L3702Elbow orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment
- L3710Elbow orthosis, elastic with metal joints, prefabricated, off-the-shelf
- L3720Elbow orthosis, double upright with forearm/arm cuffs, free motion, custom fabricated
- L3730Elbow orthosis, double upright with forearm/arm cuffs, extension/ flexion assist, custom fabricated
- L3740Elbow orthosis, double upright with forearm/arm cuffs, adjustable position lock with active control, custom fabricated
- L3760Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
Questions about L3675
What is HCPCS code L3675?
L3675 is a HCPCS Level II code for shoulder orthosis, vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf. It sits in the Orthotic and Prosthetic Procedures and Devices section.
Does Medicare cover L3675?
The CMS HCPCS file marks L3675 as "Carrier judgment". Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.