Summary & Overview
HCPCS L3912: Hand Finger Orthosis, Flexion Glove, Prefabricated
HCPCS Level II code L3912 represents a prefabricated hand finger orthosis — a flexion glove with elastic finger control — used to support and control finger flexion in patients with hand motor deficits or contractures. Nationally, this category of durable medical equipment is significant because off-the-shelf orthoses are commonly used in outpatient rehabilitation, home health support, and physician-directed durable medical equipment provisioning.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of the clinical purpose of the device, typical sites of service where it is supplied, and the payer landscape relevant to coverage and billing practice. The publication also summarizes common billing modifiers associated with orthotics and highlights what to expect in claims processing for an off-the-shelf prefabricated flexion glove.
This summary provides benchmarks for utilization and reimbursement structures, notes current policy references where available, and delivers clinical context about indications and common settings for use. Data not available in the input is explicitly identified where applicable.
Billing Code Overview
HCPCS Level II code L3912 describes a hand finger orthosis (HFO), flexion glove with elastic finger control, prefabricated, off-the-shelf. This item is a prefabricated, non-custom orthotic device designed to provide controlled finger flexion and support for the hand and fingers.
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Service type: Durable medical equipment / orthotic device
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Typical site of service: Outpatient clinics, physician offices, rehabilitation and physical/occupational therapy settings, and retail medical supply providers
Clinical & Coding Specifications
Clinical Context
A middle-aged patient presents to an outpatient orthotics clinic with weakness and impaired flexion of the fingers following a distal radius fracture and subsequent immobilization. The treating hand therapist evaluates decreased active flexor excursion, difficulty forming a composite fist, and mild intrinsic tightness causing limited grip. A prefabricated hand finger orthosis (HFO), specifically a flexion glove with elastic finger control, L3912, is selected to assist digital flexion, provide proprioceptive feedback, and facilitate functional gripping during activities of daily living. The orthotist fits an off-the-shelf elastic flexion glove, adjusts strap tension and finger orientation, documents limb laterality using modifier LT or RT, and provides patient education on wear schedule, skin checks, and progressive weaning. Follow-up visits with the occupational therapist occur to monitor fit, function, and modify the device or ordering of a custom orthosis if persistent deformity or functional limitation remains. Typical sites of service include outpatient orthotics/prosthetics clinics, outpatient hospital therapy departments, and physician offices (orthopedics or hand surgery).
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
LT |