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    v1.0.28
    OpenPayerBilling CodesOrthotic Procedures and servicesHCPCS hcpcs-l3908-wrist-extension-cock-up-orthosis-prefab
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    HCPCS L3908: Wrist-Hand Orthosis, Wrist Extension Control Cock-Up

    HCPCS Level II code L3908 describes a prefabricated, off-the-shelf wrist-hand orthosis designed as a wrist extension control cock-up; the service is durable medical equipment for immobilization and support of the wrist/hand and is typically provided in outpatient clinics, orthotics/supply shops, or home health settings where off-the-shelf orthoses are fitted and dispensed.

    For related coverage guidance, see recent payer policy updates: Interferential Stimulation Devices (for home use), Durable Medical Equipment (DME): Tumor Treating Fields (Alternating Electric Field Therapy) Medical Guideline, Durable Medical Equipment (DME): Bone Growth Stimulators Medical Guideline.

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    Clinical & Coding Specifications

    Clinical Context

    A 52-year-old right-hand dominant patient presents to an outpatient orthopedic or hand therapy clinic with wrist pain, decreased wrist extension control, and weakness following a distal radius fracture treated conservatively six weeks ago. The treating clinician (orthopedic surgeon, physiatrist, or certified hand therapist) assesses range of motion, edema, and functional limitations for activities of daily living such as dressing and grooming. A prefabricated, off-the-shelf wrist-hand orthosis (Wrist extension control cock-up) is selected to support the wrist in slight extension, limit wrist flexion, reduce pain, and facilitate early functional use while swelling decreases. The orthosis is provided in clinic, fit to the patient, and instructions for wear, skin checks, and a follow-up appointment for reassessment are documented. The device is billed using L3908 for the non-molded, prefabricated cock-up orthosis. Typical sites of service include outpatient clinic, outpatient rehabilitation facility, and durable medical equipment providers. Common payors include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, BUCA, and Medicare, which require documentation of medical necessity and fitting when applicable.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    97110Therapeutic exercises to develop strength and endurance, range of motion and flexibilityOften performed before or after orthosis provision to improve wrist and hand function and justify medical necessity
    97112Neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and proprioceptionUsed in conjunction with orthosis use to retrain wrist control and functional movement patterns
    97760Orthotic management and training, upper extremity, initial orthosisUsed for professional services involving fitting and training for a prefabricated wrist-hand orthosis on the initial encounter
    97761Orthotic management and training, subsequent encounterUsed for follow-up orthotic adjustment and continued training after initial fitting
    99213Office or other outpatient visit for the evaluation and management of an established patientCommon visit code for assessment, documentation of medical necessity, and prescription of the orthosis

    Related Modifiers

    5 rows

    ModifierDescriptionWhen to Use
    59Modifier 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…
    52Modifier ‑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…
    53Modifier 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…
    63Modifier‑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…
    66Modifier 66 (Surgical Team) is used when three or more surgeons act as primary surgeons on a single, highly complex procedure. The AMA defines it for use when a surgical team — often composed of…- Use modifier 66 when three or more surgeons act as primary surgeons working collaboratively as a surgical team on a single, highly complex or difficult procedure (for example organ…

    Related Provider Taxonomies

    8 rows

    Taxonomy CodeSpecialtyNotes
    208100000XPhysical Medicine & Rehabilitation PhysicianPhysical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and…
    3336C0003XCommunity/Retail PharmacyA pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance wit…
    229N00000XAnaplastologistAn anaplastologist is a professional who creates prostheses for the face and body. Patients treated include those missing anatomy due to cancer, trau…
    163WN0003XLow-Risk Neonatal Registered NurseNursing Service Providers · Registered Nurse
    2080P0008XPediatric Neurodevelopmental Disabilities PhysicianA pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina …
    207RH0003XHematology & Oncology PhysicianAn internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy t…
    111NR0200XRadiology ChiropractorChiropractic radiology is a referral specialty that provides consultation services at the request of other qualified doctors. Chiropractic radiologist…
    224ZE0001XEnvironmental Modification Occupational Therapy AssistantOccupational therapy assistants provide environmental modifications under the supervision of an occupational therapist. OTAs develop and implement an…

    Related ICD-10-CM Codes

    23 rows

    ICD-10-CM CodeDescription
    G56.01Carpal tunnel syndrome, right upper limb
    G56.02Carpal tunnel syndrome, left upper limb
    G56.03Carpal tunnel syndrome, bilateral upper limbs
    G56.22Lesion of ulnar nerve, left upper limb
    M05.841Other rheumatoid arthritis with rheumatoid factor of right hand
    M06.841Other specified rheumatoid arthritis, right hand
    M08.041Unspecified juvenile rheumatoid arthritis, right hand
    M19.041Primary osteoarthritis, right hand
    M24.231Disorder of ligament, right wrist
    M25.531Pain in right wrist

    Showing 1–10 of 23

    Related Payer Policy Updates

    Specialty: Durable Medical Equipment (DME)1 / 3

    5 rows

    PolicyPayerEffective Date
    Interferential Stimulation Devices (for home use)Moda Health2026-10-01
    Durable Medical Equipment (DME): Tumor Treating Fields (Alternating Electric Field Therapy) Medical GuidelineWPS Health Insurance2026-10-01
    Durable Medical Equipment (DME): Bone Growth Stimulators Medical GuidelineWPS Health Insurance2026-10-01
    General Durable Medical Equipment (DME) Medical GuidelineWPS Health Insurance2026-10-01
    Prior Authorization for Durable Medical Equipment (DME)Blue Cross Blue Shield - Rhode Island2026-10-01

    Related Codes

    HCPCS-L0112-CRANIAL-CERVICAL-ORTHOSIS-CONGENITAL-TORTICOLLIS-CUSTOM

    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

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    Frequently Asked Questions

    References

    1. 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. 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. 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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