HCPCS Level II L3671: Shoulder Orthosis, Jointless, Custom Fabricated

HCPCS Level II code L3671 describes a shoulder orthosis, shoulder joint design, without joints, which may include a soft interface and straps, is custom fabricated, and includes fitting and adjustment; the service is custom orthotic fabrication and fitting typically provided in outpatient orthopedic clinics, durable medical equipment centers, or rehabilitation clinics to support and immobilize the shoulder after injury or surgery.

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HCPCS Level II L3671: Shoulder Orthosis, Jointless, Custom Fabricated

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Get alerted when payer policies referencing L3671 are released or updated.

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Clinical & Coding Specifications

Clinical Context

A 62-year-old male patient presents to an outpatient orthotics clinic after surgical repair of a massive rotator cuff tear and concurrent subacromial decompression. Postoperative orders from the orthopedic surgeon indicate immobilization and support of the shoulder to limit motion and protect the repair while allowing wound checks and dressing changes. The orthotist evaluates the patient, documents shoulder range of motion, pain level, skin integrity, and shoulder girth, and measures for a custom-fabricated shoulder orthosis. The device provided is a custom fabricated, shoulder joint design without mechanical joints, with soft interface and adjustable straps; fitting and adjustment are performed in clinic. Billing uses HCPCS Level II code L3671 for the custom shoulder orthosis. Typical workflow: preauthorization if required by the payor, patient measurement and device fabrication, in-person fitting and adjustments, documentation of medical necessity tied to the operative diagnosis and mobility restriction, and delivery with patient education. Typical sites of service include outpatient orthotics/prosthetics clinics, hospital outpatient departments, and ambulatory surgery centers for same-day fittings when ordered postoperatively. Common clinical indications include postoperative rotator cuff repair, shoulder instability requiring immobilization, proximal humerus fracture post-reduction, and severe adhesive capsulitis when rigid immobilization is indicated.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`97001`	Physical therapy evaluation (low complexity)	Initial PT evaluation that may document need for a shoulder orthosis and functional limitations prior to fitting
`97760`	Orthotic management and training, upper extremity, initial encounter	Provides professional time for training the patient in use and care of the shoulder orthosis during fitting
`99070`	Supplies and materials provided by the physician over and above those usually included with the service	May be used by some providers when additional supplies for fitting or padding are supplied
`99080`	Special reports by physician or other qualified health care professional (used for medical record requests)	Used when payors require additional documentation for prior authorization or appeals
`A9270`	Non-covered item or service (used for reporting when payor denies coverage)	Used in billing when the orthosis is provided but the payor classifies the item as non-covered

Related Modifiers

5 rows

Modifier	Description	When to Use
55	Modifier –55 indicates the billing provider furnished only postoperative management for a procedure that has a global surgical period. According to AAPC, this modifier is appended to the same CPT…	- Use modifier -55 when billing the same CPT surgical code that has a 10- or 90-day global period and you, as a provider other than the original surgeon, furnished ONLY postoperative management (no…
63	Modifier‑63 is appended to surgical CPT codes (20000–69990) when a procedure is performed on a neonate or infant weighing ≤ 4 kg (about 8.8 lbs). The AMA/AAPC definition specifies this use and notes…	- Use modifier -63 only for surgical procedures in the CPT 20000–69990 series performed on a neonate or infant who weighs ≤ 4 kg at the time of the procedure; it indicates increased complexity due to…
[object Object]
77	Modifier 77 indicates that a previously performed procedure or service was legitimately repeated by a different physician or other qualified health care professional. The AMA’s CPT definition…	- Use modifier 77 when a basic procedure or service already performed is repeated by a different physician or other qualified health care professional (for example, a second provider independently…
76	Modifier -76, Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional, is appended when the same provider performs an identical, medically necessary procedure or…	- Use modifier -76 when the same physician or other qualified health care professional performs an identical procedure or service a second (or subsequent) time on the same date of service and the…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
207L00000X	Anesthesiology Physician	An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an opera…
207K00000X	Allergy & Immunology Physician	An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Select…
208800000X	Urology Physician	A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has compreh…
363A00000X	Physician Assistant	A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and…
3416L0300X	Land Ambulance	Transportation Services · Ambulance
102X00000X	Poetry Therapist	A medical or mental health professional who has attained credentials after satisfactorily completing a poetry therapy training program approved by the…
2472D0500X	Darkroom Technician	None
347D00000X	Train	An organization or business licensed to provide passenger train service, including light rail, subway, and traditional services.

HCPCS L0112: Cranial Cervical Orthosis, Congenital Torticollis Type

HCPCS-L0113-CRANIAL-CERVICAL-ORTHOSIS-TORTICOLLIS

HCPCS Level II L0113: Prefabricated Cranial Cervical Orthosis for Torticollis

HCPCS-L0130-CERVICAL-FLEXIBLE-THERMOPLASTIC-COLLAR-MOLDED-TO-PATIENT

HCPCS Level II L0130: Cervical Flexible Thermoplastic Collar, Molded to Patient

HCPCS-L0140-CERVICAL-SEMI-RIGID-ADJUSTABLE-PLASTIC-COLLAR

HCPCS Level II L0140: Cervical Semi-Rigid Adjustable Plastic Collar

HCPCS-L0150-CERVICAL-SEMI-RIGID-ADJUSTABLE-CHIN-CUP

HCPCS Level II L0150: Cervical Semi-Rigid Adjustable Chin Cup

HCPCS-L0160-CERVICAL-SEMI-RIGID-OCCIPITAL-MANDIBULAR-SUPPORT

HCPCS Level II L0160: Cervical Semi-Rigid Occipital/Mandibular Support

HCPCS-L0170-CERVICAL-COLLAR-MOLDED-TO-PATIENT-MODEL

HCPCS Level II L0170: Cervical Collar, Custom-Molded

HCPCS-L0172-CERVICAL-COLLAR-SEMI-RIGID-THERMOPLASTIC-FOAM

HCPCS L0172: Cervical Collar, Semi-Rigid Prefabricated

HCPCS-L0174-CERVICAL-COLLAR-SEMI-RIGID-THORACIC-EXTENSION

HCPCS L0174: Cervical Collar, Semi-Rigid Thermoplastic with Thoracic Extension

HCPCS-L0180-CERVICAL-MULTIPLE-POST-COLLAR-OCCIPITAL-MANDIBULAR-ADJUSTABLE

HCPCS Level II L0180: Cervical Orthosis with Occipital/Mandibular Supports

Showing 1–10 of 466

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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Clinical & Coding Specifications

Clinical Context

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`97001`	Physical therapy evaluation (low complexity)	Initial PT evaluation that may document need for a shoulder orthosis and functional limitations prior to fitting
`97760`	Orthotic management and training, upper extremity, initial encounter	Provides professional time for training the patient in use and care of the shoulder orthosis during fitting
`99070`	Supplies and materials provided by the physician over and above those usually included with the service	May be used by some providers when additional supplies for fitting or padding are supplied
`99080`	Special reports by physician or other qualified health care professional (used for medical record requests)	Used when payors require additional documentation for prior authorization or appeals
`A9270`	Non-covered item or service (used for reporting when payor denies coverage)	Used in billing when the orthosis is provided but the payor classifies the item as non-covered

Related Modifiers

5 rows

Modifier	Description	When to Use
55	Modifier –55 indicates the billing provider furnished only postoperative management for a procedure that has a global surgical period. According to AAPC, this modifier is appended to the same CPT…	- Use modifier -55 when billing the same CPT surgical code that has a 10- or 90-day global period and you, as a provider other than the original surgeon, furnished ONLY postoperative management (no…
63	Modifier‑63 is appended to surgical CPT codes (20000–69990) when a procedure is performed on a neonate or infant weighing ≤ 4 kg (about 8.8 lbs). The AMA/AAPC definition specifies this use and notes…	- Use modifier -63 only for surgical procedures in the CPT 20000–69990 series performed on a neonate or infant who weighs ≤ 4 kg at the time of the procedure; it indicates increased complexity due to…
[object Object]
77	Modifier 77 indicates that a previously performed procedure or service was legitimately repeated by a different physician or other qualified health care professional. The AMA’s CPT definition…	- Use modifier 77 when a basic procedure or service already performed is repeated by a different physician or other qualified health care professional (for example, a second provider independently…
76	Modifier -76, Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional, is appended when the same provider performs an identical, medically necessary procedure or…	- Use modifier -76 when the same physician or other qualified health care professional performs an identical procedure or service a second (or subsequent) time on the same date of service and the…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
207L00000X	Anesthesiology Physician	An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an opera…
207K00000X	Allergy & Immunology Physician	An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Select…
208800000X	Urology Physician	A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has compreh…
363A00000X	Physician Assistant	A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and…
3416L0300X	Land Ambulance	Transportation Services · Ambulance
102X00000X	Poetry Therapist	A medical or mental health professional who has attained credentials after satisfactorily completing a poetry therapy training program approved by the…
2472D0500X	Darkroom Technician	None
347D00000X	Train	An organization or business licensed to provide passenger train service, including light rail, subway, and traditional services.

HCPCS L0112: Cranial Cervical Orthosis, Congenital Torticollis Type

HCPCS-L0113-CRANIAL-CERVICAL-ORTHOSIS-TORTICOLLIS

HCPCS Level II L0113: Prefabricated Cranial Cervical Orthosis for Torticollis

HCPCS-L0130-CERVICAL-FLEXIBLE-THERMOPLASTIC-COLLAR-MOLDED-TO-PATIENT

HCPCS Level II L0130: Cervical Flexible Thermoplastic Collar, Molded to Patient

HCPCS-L0140-CERVICAL-SEMI-RIGID-ADJUSTABLE-PLASTIC-COLLAR

HCPCS Level II L0140: Cervical Semi-Rigid Adjustable Plastic Collar

HCPCS-L0150-CERVICAL-SEMI-RIGID-ADJUSTABLE-CHIN-CUP

HCPCS Level II L0150: Cervical Semi-Rigid Adjustable Chin Cup

HCPCS-L0160-CERVICAL-SEMI-RIGID-OCCIPITAL-MANDIBULAR-SUPPORT

HCPCS Level II L0160: Cervical Semi-Rigid Occipital/Mandibular Support

HCPCS-L0170-CERVICAL-COLLAR-MOLDED-TO-PATIENT-MODEL

HCPCS Level II L0170: Cervical Collar, Custom-Molded

HCPCS-L0172-CERVICAL-COLLAR-SEMI-RIGID-THERMOPLASTIC-FOAM

HCPCS L0172: Cervical Collar, Semi-Rigid Prefabricated

HCPCS-L0174-CERVICAL-COLLAR-SEMI-RIGID-THORACIC-EXTENSION

HCPCS L0174: Cervical Collar, Semi-Rigid Thermoplastic with Thoracic Extension

HCPCS-L0180-CERVICAL-MULTIPLE-POST-COLLAR-OCCIPITAL-MANDIBULAR-ADJUSTABLE

HCPCS Level II L0180: Cervical Orthosis with Occipital/Mandibular Supports

Showing 1–10 of 466

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

OpenPayer

HCPCS Level II L3671: Shoulder Orthosis, Jointless, Custom Fabricated

Sign up for hcpcs L3671 policy alerts

OpenPayer

HCPCS Level II L3671: Shoulder Orthosis, Jointless, Custom Fabricated

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Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

References

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

References

HCPCS Level II L3671: Shoulder Orthosis, Jointless, Custom Fabricated

Sign up for hcpcs L3671 policy alerts

HCPCS Level II L3671: Shoulder Orthosis, Jointless, Custom Fabricated

Sign up for hcpcs L3671 policy alerts

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

What does HCPCS code L3671 represent and when is it used?

What clinical situations in the page content justify use of L3671?

Which modifiers may be appropriate when billing L3671?

What related CPT/HCPCS codes should be considered alongside L3671 for evaluation, training, or documentation?

Where is L3671 typically supplied and what is the usual workflow described?

References

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

What does HCPCS code L3671 represent and when is it used?

What clinical situations in the page content justify use of L3671?

Which modifiers may be appropriate when billing L3671?

What related CPT/HCPCS codes should be considered alongside L3671 for evaluation, training, or documentation?

Where is L3671 typically supplied and what is the usual workflow described?

References