HCPCS Level II L3730: Elbow Orthosis, Custom Double Upright

HCPCS Level II code L3730 describes a custom-fabricated elbow orthosis with double uprights and forearm/arm cuffs that provides extension and flexion assist; service type is a custom-fabricated durable medical equipment orthosis and the typical site of service is outpatient clinic, orthotics/prosthetics supplier, or ambulatory surgical/rehab setting where custom DME fitting and adjustments occur.

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HCPCS Level II L3730: Elbow Orthosis, Custom Double Upright

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Clinical & Coding Specifications

Clinical Context

A 45-year-old manual laborer presents to orthotics clinic four weeks after a distal biceps tendon repair with persistent elbow extension weakness and significant functional limitation. The treating orthopedic surgeon documents limited active elbow extension and prescribes a custom-fabricated elbow orthosis with double uprights, forearm and arm cuffs, and extension/flexion assist to protect the repair while permitting controlled range-of-motion and progressive strengthening. The orthotist performs a detailed evaluation, takes measurements and a plaster or digital cast, selects appropriate assistive spring or elastic tensioning components, and fabricates the device to fit the patient’s anatomy.

The clinical workflow includes: initial surgeon referral with documented diagnosis and treatment goals; orthotist evaluation and measurement; custom fabrication session; device delivery and fitting with documented patient education, adjustment of assistive tension, and written instructions for wear schedule; follow-up visits for tension adjustments, skin checks, and documentation of functional progress. Durable medical equipment ordering, preauthorization if required by the payer, and billing using HCPCS Level II code L3730 occur during the delivery encounter.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`97001`	Physical performance test or measurement (e.g., musculoskeletal, functional capacity)	May be used pre- and post-delivery to document baseline and progress in elbow function when assessing need for or effectiveness of `L3730`.
`97065`	Application of a modality to 1 or more areas; mechanical traction (manual not separately listed), biofeedback not applicable	Data not available in the input.
`97760`	Orthotic management and training, upper extremity, initial encounter	Used by therapists to document patient training in use, donning/doffing, and safety with the custom elbow orthosis.
`99213`	Office or other outpatient visit for evaluation and management of an established patient, moderate complexity	Typical for orthotist or physician follow-up visits related to fitting, adjustments, and ongoing care.
`99070`	Supplies and materials provided by the physician over and above those usually included with the service	May be used when additional non-coded components or materials are furnished at time of orthosis delivery.

Related Modifiers

5 rows

Modifier	Description	When to Use
59	Modifier 59 indicates a distinct procedural service when two procedures that are not normally billed together are clinically and procedurally separate. The CPT definition (as reiterated by CMS)…	- Use modifier -59 to report a distinct procedural service when documentation supports that the procedure reported is not normally billed together with another service on the same day because of a…
78	CPT modifier -78 indicates an unplanned, related return to the operating or procedure room by the same provider during the global postoperative period. It is appended when treatment for a…	- Use modifier -78 when an unplanned, related complication during the original procedure’s global postoperative period requires the patient to return to a formal operating or procedure room and the…
22	Modifier –22 (Increased Procedural Services) is used when a reported procedure is substantially more extensive than normally required. The CPT Manual and CMS state it may be appended only when the…	- When to use: Append modifier -22 to a procedural CPT code when the service performed is substantially more extensive than the usual service described by that code — i.e., the procedure required…
52	Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…	- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
53	Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…	- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
225100000X	Physical Therapist	Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who…
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…
261QR0400X	Rehabilitation Clinic/Center	Ambulatory Health Care Facilities · Clinic/Center
207K00000X	Allergy & Immunology Physician	An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Select…
332800000X	Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy	An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal…
1223E0200X	Endodontics	The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study…
2083P0901X	Public Health & General Preventive Medicine Physician	Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined popu…
246ZB0301X	Biomedical Engineer	None

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 performance test or measurement (e.g., musculoskeletal, functional capacity)	May be used pre- and post-delivery to document baseline and progress in elbow function when assessing need for or effectiveness of `L3730`.
`97065`	Application of a modality to 1 or more areas; mechanical traction (manual not separately listed), biofeedback not applicable	Data not available in the input.
`97760`	Orthotic management and training, upper extremity, initial encounter	Used by therapists to document patient training in use, donning/doffing, and safety with the custom elbow orthosis.
`99213`	Office or other outpatient visit for evaluation and management of an established patient, moderate complexity	Typical for orthotist or physician follow-up visits related to fitting, adjustments, and ongoing care.
`99070`	Supplies and materials provided by the physician over and above those usually included with the service	May be used when additional non-coded components or materials are furnished at time of orthosis delivery.

Related Modifiers

5 rows

Modifier	Description	When to Use
59	Modifier 59 indicates a distinct procedural service when two procedures that are not normally billed together are clinically and procedurally separate. The CPT definition (as reiterated by CMS)…	- Use modifier -59 to report a distinct procedural service when documentation supports that the procedure reported is not normally billed together with another service on the same day because of a…
78	CPT modifier -78 indicates an unplanned, related return to the operating or procedure room by the same provider during the global postoperative period. It is appended when treatment for a…	- Use modifier -78 when an unplanned, related complication during the original procedure’s global postoperative period requires the patient to return to a formal operating or procedure room and the…
22	Modifier –22 (Increased Procedural Services) is used when a reported procedure is substantially more extensive than normally required. The CPT Manual and CMS state it may be appended only when the…	- When to use: Append modifier -22 to a procedural CPT code when the service performed is substantially more extensive than the usual service described by that code — i.e., the procedure required…
52	Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…	- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
53	Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…	- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
225100000X	Physical Therapist	Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who…
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…
261QR0400X	Rehabilitation Clinic/Center	Ambulatory Health Care Facilities · Clinic/Center
207K00000X	Allergy & Immunology Physician	An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Select…
332800000X	Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy	An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal…
1223E0200X	Endodontics	The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study…
2083P0901X	Public Health & General Preventive Medicine Physician	Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined popu…
246ZB0301X	Biomedical Engineer	None

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 L3730: Elbow Orthosis, Custom Double Upright

Sign up for hcpcs L3730 policy alerts

OpenPayer

HCPCS Level II L3730: Elbow Orthosis, Custom Double Upright

Sign up for hcpcs L3730 policy alerts

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 L3730: Elbow Orthosis, Custom Double Upright

Sign up for hcpcs L3730 policy alerts

HCPCS Level II L3730: Elbow Orthosis, Custom Double Upright

Sign up for hcpcs L3730 policy alerts

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

What does HCPCS L3730 represent and where is it typically provided?

Which modifiers are relevant when billing L3730 and when should they be used?

What clinical and documentation workflow is described for provision of a custom L3730 orthosis?

What related CPT codes are commonly used alongside L3730 during care and billing?

Which payers are covered in the summary and how do payer rules affect L3730 claims?

References

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

What does HCPCS L3730 represent and where is it typically provided?

Which modifiers are relevant when billing L3730 and when should they be used?

What clinical and documentation workflow is described for provision of a custom L3730 orthosis?

What related CPT codes are commonly used alongside L3730 during care and billing?

Which payers are covered in the summary and how do payer rules affect L3730 claims?

References