{"id":158004,"date":"2026-07-17T09:25:15","date_gmt":"2026-07-17T09:25:15","guid":{"rendered":"https:\/\/pabau.com\/?p=158004"},"modified":"2026-08-17T11:32:22","modified_gmt":"2026-08-17T11:32:22","slug":"hcpcs-code-l3660","status":"publish","type":"post","link":"https:\/\/pabau.com\/fr\/procedure-codes\/hcpcs-code-l3660\/","title":{"rendered":"HCPCS code L3660: Shoulder orthosis billing guide"},"content":{"rendered":"\n<script type=\"application\/ld+json\">{\"@context\":\"https:\/\/schema.org\",\"@type\":\"MedicalWebPage\",\"headline\":\"HCPCS code L3660: Shoulder orthosis billing guide\",\"description\":\"HCPCS code L3660 covers a shoulder orthosis, figure-of-eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf. Learn Medicare billing, fee schedule, and documentation requirements.\",\"url\":\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-l3660\/\",\"audience\":{\"@type\":\"MedicalAudience\",\"audienceType\":\"Clinician\"},\"reviewedBy\":{\"@type\":\"Person\",\"name\":\"Dr Vanja Kitanova\",\"jobTitle\":\"Medical Reviewer\",\"affiliation\":{\"@type\":\"Organization\",\"name\":\"Pabau\"},\"knowsAbout\":[\"Medical Coding\",\"Clinical Documentation\",\"Healthcare Billing\",\"Clinical Safety\"],\"sameAs\":\"https:\/\/pabau.com\/blog\/author\/vanja\/\"},\"datePublished\":\"2026-07-17\",\"dateModified\":\"2026-07-17\"}<\/script>\n\n\n        <div id=\"key_takeaways\">\n            <div class=\"header\">\n                                    <img decoding=\"async\" src=\"https:\/\/pabau.com\/wp-content\/uploads\/2025\/12\/Key-Takeaways-Icon.svg\" alt=\"Key Takeaways\" height=\"42\" width=\"42\">\n                                <h3>Key Takeaways<\/h3>\n            <\/div>\n            <div class=\"list\">\n                                                            <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>HCPCS code L3660 describes a shoulder orthosis, figure-of-eight design abduction restrainer, canvas and webbing, prefabricated and off-the-shelf<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>L3660 is billed under Medicare Part B as durable medical equipment (DME), and suppliers must hold DMEPOS accreditation<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Common coding errors include missing the KX modifier, using L3660 for custom orthoses, and insufficient medical necessity documentation<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Practice management software like Pabau helps DME suppliers structure orthotic billing records and maintain audit-ready documentation<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<p class=\"wp-block-paragraph\">HCPCS code L3660 is the billing code for a shoulder orthosis, figure-of-eight design abduction restrainer, made of canvas and webbing, prefabricated and dispensed off-the-shelf. It sits in a narrow band of related codes, including L3650, L3670, and L3675, that describe similar-looking devices with different construction, design, or fabrication methods.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This guide covers the code description and qualifying diagnoses, the 2026 fee schedule, documentation requirements, and the modifiers that determine whether your L3660 claim pays or pends.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">HCPCS code L3660: definition and code details<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">HCPCS code L3660 is the correct billing code for a shoulder orthosis (SO), figure-of-eight design abduction restrainer, constructed of canvas and webbing, prefabricated and off-the-shelf. The code sits within the HCPCS Level II L-code range.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Field<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Details<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Code<\/td>\n<td style=\"padding:12px 16px;color:#374151\">L3660<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Full Descriptor<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Shoulder orthosis (SO), figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Code Category<\/td>\n<td style=\"padding:12px 16px;color:#374151\">HCPCS Level II, L-codes (Orthotic Procedures and Devices)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Device Type<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Prefabricated, off-the-shelf (OTS)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Billing Program<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Medicare Part B, DME benefit<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Status (2026)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Active (verify against current CMS HCPCS annual release)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">The device itself wraps around both shoulders in a crossover pattern, applying gentle posterior compression to stabilize the clavicle and acromioclavicular joint. Its canvas-and-webbing construction distinguishes it from rigid or semi-rigid orthoses, which fall under different L-codes.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Because L3660 is classified as prefabricated and off-the-shelf, it does not require individual customization before dispensing. That classification matters for billing: it places L3660 in a separate coverage and modifier category from custom-fabricated shoulder orthoses. The L-code range covers other prefabricated orthoses built the same way.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Medicare coverage and eligibility for shoulder orthosis billing<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">According to the Centers for Medicare and Medicaid Services (<a href=\"https:\/\/www.cms.gov\/medicare\/coding-billing\/healthcare-common-procedure-system\" target=\"_blank\" rel=\"nofollow noopener\">CMS<\/a>), HCPCS code L3660 is covered under Medicare Part B as durable medical equipment when medical necessity is documented. Several eligibility requirements apply before a claim can be submitted.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>DMEPOS accreditation:<\/strong> The supplying entity must hold active accreditation from a CMS-approved DMEPOS accreditation organization. Billing Medicare without this accreditation is a compliance violation, not a minor technicality.<\/li><li><strong>Enrolled DMEPOS supplier number:<\/strong> Suppliers must be enrolled in the Medicare DMEPOS program and submit claims to the applicable DME Medicare Administrative Contractor (DME MAC) for their jurisdiction.<\/li><li><strong>Valid physician order:<\/strong> A written order from the treating physician or qualified non-physician practitioner is required before dispensing the orthosis. The order must specify the device and the clinical indication.<\/li><li><strong>Medical necessity:<\/strong> The beneficiary&rsquo;s medical record must support the need for a shoulder orthosis. General orthopedic complaints without a documented diagnosis and functional limitation are not sufficient.<\/li><li><strong>Beneficiary Medicare Part B enrollment:<\/strong> The patient must be enrolled in Medicare Part B and meet applicable cost-sharing (typically 20% after the Part B deductible).<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Prior authorization requirements for L3660 vary by DME MAC jurisdiction and individual payer policy. Providers should confirm requirements with their applicable DME MAC before dispensing high-volume orders.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Qualifying ICD-10 diagnosis codes for L3660<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Medical necessity for HCPCS code L3660 must be supported by a diagnosis that clinically justifies use of a figure-of-eight shoulder abduction restrainer. Clavicle fractures and AC joint separations are common in sports medicine and orthopedic practices, and both are frequently billed with L3660.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The following ICD-10-CM codes are commonly accepted, though coverage ultimately depends on the applicable Local Coverage Determination (LCD) from the DME MAC. Always cross-reference the current LCD before submitting a claim.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">ICD-10-CM Code<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Description<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Clinical Context<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S42.002A<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Fracture of unspecified part of left clavicle, initial encounter for closed fracture<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Primary indication; figure-of-eight brace immobilizes the clavicle<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S43.102A<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Unspecified dislocation of left acromioclavicular joint, initial encounter<\/td>\n<td style=\"padding:12px 16px;color:#374151\">AC joint separation with instability requiring abduction restraint<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">M25.311<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Other instability of right shoulder<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Glenohumeral instability managed conservatively<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">M25.312<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Other instability of left shoulder<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Left-sided glenohumeral instability<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S43.004A<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Unspecified dislocation of right shoulder joint, initial encounter<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Acute shoulder dislocation with post-reduction stabilization need<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">Listing a diagnosis is necessary but not sufficient. The clinical record must also document the functional limitation the diagnosis causes and why a shoulder orthosis is the appropriate intervention.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Vague notes like \u00ab\u00a0shoulder pain, orthosis dispensed\u00a0\u00bb will not satisfy a DME MAC audit. Structured medical records management that capture clinical justification at the point of care reduce denial risk significantly.<\/p>\n\n\n        <div id=\"pro_tip\">\n            <div class=\"img\">\n                <svg width=\"42\" height=\"42\" viewBox=\"0 0 42 42\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M12.6383 19.5238C12.6632 21.2071 12.8734 22.9926 12.0685 24.5523C11.0341 26.8917 8.45076 28.169 7.56292 30.5918C6.63082 33.1061 7.19505 36.185 9.31371 37.9786C10.929 39.5678 13.4183 39.9873 15.6061 39.5463C17.4592 39.073 19.1049 37.8388 19.9706 36.1608C20.781 34.7141 20.7866 32.9904 20.5293 31.3985C20.1006 29.3092 18.3775 27.8705 16.9807 26.362C14.8814 24.1005 14.6684 20.6854 15.595 17.8915C16.4331 15.4768 19.0026 14.2344 20.0425 11.9461C20.7202 10.6769 20.7506 9.20327 20.6068 7.81304C20.1864 5.40098 18.3139 3.23631 15.8716 2.56674C13.9742 2.03969 11.8224 2.30052 10.1739 3.37614C8.70522 4.34688 7.5878 5.86618 7.28356 7.58178C6.76081 9.82981 7.53525 12.2822 9.20307 13.9118C10.7658 15.4741 12.4806 17.2273 12.6383 19.5238Z\"\n                        fill=\"#2BADD4\" \/>\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M22.7048 19.8387C22.6822 22.3279 24.4507 24.6234 26.7493 25.4682C28.0531 25.961 29.4725 25.9183 30.7989 25.5487C32.0575 24.9955 33.301 24.2237 34.0069 23.0092C34.8384 21.5811 35.2982 19.8286 34.7832 18.2094C34.3611 16.2507 32.8739 14.6541 31.0275 13.9426C28.6736 12.9595 25.8073 13.7942 24.1719 15.7001C23.2022 16.8366 22.6143 18.3326 22.7048 19.8387Z\"\n                        fill=\"#2BADD4\" \/>\n                <\/svg>\n            <\/div>\n            <div class=\"text\">\n                <h3>Pro Tip<\/h3>\n                <p>Check the applicable DME MAC&rsquo;s LCD before dispensing. Not every ICD-10 code associated with shoulder pathology will satisfy medical necessity criteria for L3660. The LCD lists acceptable diagnoses specifically, and billing an unlisted code without documentation of an exceptional circumstance is a common audit trigger.<\/p>\n            <\/div>\n        <\/div>\n    \n\n\n<p class=\"wp-block-paragraph\">Practices fitting orthotics alongside manual therapy often run the whole caseload in <a href=\"https:\/\/pabau.com\/industry\/osteopathy-practice-software\/\">osteopathy practice software<\/a>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">2026 Medicare fee schedule for HCPCS code L3660<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">CMS publishes annual DMEPOS fee schedules that set the Medicare allowable amounts for HCPCS code L3660. The fee schedule amounts are region-specific.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The exact 2026 figures for your jurisdiction must be pulled directly from the CMS <a href=\"https:\/\/www.cms.gov\/medicare\/physician-fee-schedule\/search\/overview\" target=\"_blank\" rel=\"nofollow noopener\">fee schedule lookup tool<\/a>. Publishing specific dollar amounts here would risk inaccuracy as rates change annually and vary by geographic area.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Key points about DMEPOS reimbursement for L3660:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>Competitive bidding areas (CBAs):<\/strong> In CBAs, the payment amount is determined by the competitive bid contract price, not the national fee schedule, the same rule that applies to other DME categories such as wheelchairs billed under K0001. If your area is subject to competitive bidding, bid pricing applies.<\/li><li><strong>Non-competitive bid areas:<\/strong> The national DMEPOS fee schedule applies. Medicare pays 80% of the allowable after the Part B deductible. The beneficiary is responsible for the remaining 20%.<\/li><li><strong>Annual updates:<\/strong> CMS updates the DMEPOS fee schedule each January. Verify the current rate using the CMS fee schedule lookup before quoting reimbursement amounts to patients or internal teams.<\/li><li><strong>Assignment:<\/strong> Participating suppliers accept assignment and may not charge the beneficiary more than the Medicare allowable. Non-participating suppliers may charge up to 115% of the allowable (the limiting charge).<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">L3660 documentation requirements<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Documentation failures are the leading cause of L3660 claim denials and post-payment audit recoveries. The DME MAC expects a complete paper trail that independently supports the medical necessity decision, the dispensing event, and the supplier&rsquo;s compliance with coverage criteria. Maintaining structured patient compliance records as part of each DME encounter makes audit response faster and less stressful.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Required documentation elements for L3660 claims include:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>Written physician order:<\/strong> Must include patient name, date, diagnosis, item ordered (referencing the figure-of-eight shoulder orthosis), physician signature, and date of signature. A verbal order must be confirmed in writing within the timeframe required by the applicable LCD.<\/li><li><strong>Clinical notes supporting medical necessity:<\/strong> Office notes, operative reports, or imaging reports documenting the diagnosis, functional limitation, and the treating physician&rsquo;s clinical rationale for the orthosis.<\/li><li><strong>Product description on file:<\/strong> The supplier must retain documentation confirming that the dispensed item meets the L3660 descriptor. Canvas-and-webbing construction, prefabricated design, and off-the-shelf status must all be verifiable.<\/li><li><strong>Proof of delivery:<\/strong> A delivery receipt or dispensing record signed by the beneficiary (or authorized representative), including date of delivery, item description, and quantity.<\/li><li><strong>KX modifier support:<\/strong> If the KX modifier is appended (confirming medical necessity documentation is on file), the complete supporting documentation must be available for review if the claim is selected for audit.<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Using digital forms for dispensing records and delivery receipts creates timestamped, tamper-evident entries that hold up better in DME MAC audit reviews than handwritten or scanned paper records.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/billing_codes\/hcpcs-code-l3660\/digital-forms.webp\" alt=\"Digital forms\"\/><figcaption class=\"wp-element-caption\"><em>Digital forms<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n\n\n<h2 class=\"wp-block-heading\">How to bill HCPCS code L3660<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Billing HCPCS code L3660 correctly requires using the right claim form, modifiers, and submission pathway. Errors at any step can trigger an automatic denial or a prepayment review. Here is the standard billing workflow for DME suppliers submitting L3660 to Medicare.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">L3660 covers only the device itself, not the fitting or management encounter. A separately billed fitting or management service uses CPT code 97763 instead.<\/p>\n\n\n\n<ol class=\"wp-block-list\"><li><strong>Confirm DMEPOS enrollment and accreditation are current<\/strong> before submitting. Lapses in accreditation make all claims for the affected period non-payable.<\/li><li><strong>Obtain a valid written physician order<\/strong> that meets the requirements above. Do not dispense before the order is received.<\/li><li><strong>Verify medical necessity documentation<\/strong> is complete in the patient record. If the KX modifier applies, ensure the supporting documentation is on file.<\/li><li><strong>Select the correct claim form:<\/strong> CMS-1500 for paper claims or the 837P electronic transaction standard for electronic submission. DME suppliers submit to their regional DME MAC.<\/li><li><strong>Complete the claim fields:<\/strong> Enter L3660 in the procedure code field. Set the place of service code appropriate to where the orthosis was dispensed (typically 12 for home delivery or 11 for supplier premises).<\/li><li><strong>Append the correct modifier:<\/strong> Use KX when documentation confirms LCD criteria are met. Use GY when the item is not covered by Medicare and the patient has been informed. Use GA when a patient has signed an Advance Beneficiary Notice of Noncoverage (ABN).<\/li><li><strong>Submit to the DME MAC<\/strong> for your jurisdiction. Noridian Healthcare Solutions serves Jurisdiction A and D. CGS Administrators serves Jurisdiction B and C.<\/li><\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">Integrated claims management software can link the physician order, clinical notes, and delivery record to the claim before submission, reducing the manual verification step that most DME billing teams flag as their biggest time drain.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Solid EHR integration ensures that modifiers and diagnosis codes flow from the clinical record to the claim without re-entry errors.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/billing_codes\/hcpcs-code-l3660\/track-claims-from-start-to-finish.webp\" alt=\"Track claims from start to Finish\"\/><figcaption class=\"wp-element-caption\"><em>Track claims from start to Finish<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n\n        <div id=\"book_a_demo\">\n            <div class=\"left-side\">\n                <div class=\"logo\">\n                    <img decoding=\"async\"\n                        src=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/01\/Logo.svg\"\n                        alt=\"Logo\"\n                        loading=\"lazy\"\n                    \/>\n                <\/div>\n\n                <h3 class=\"heading\">\n                    Streamline your DME billing documentation                <\/h3>\n\n                <p class=\"description\">\n                    Pabau connects clinical records, physician orders, and claim submissions in one platform. Reduce denials, maintain audit-ready documentation, and bill orthotic codes accurately without chasing paper.                <\/p>\n\n                <div class=\"button-group\">\n                    <a href=\"\/book-demo\/\" class=\"btn btn-scale-effect btn-cta-color btn-md\">\n                        <span class=\"btn-text\">Book a demo<\/span>\n                        <div class=\"btn-icon btn-icon-right\" aria-hidden=\"true\">\n                            <svg\n                                width=\"14\"\n                                height=\"12\"\n                                viewBox=\"0 0 14 12\"\n                                fill=\"none\"\n                                xmlns=\"http:\/\/www.w3.org\/2000\/svg\"\n                            >\n                                <path\n                                    d=\"M0.75 4.77295C0.335786 4.77295 0 5.10874 0 5.52295C0 5.93716 0.335786 6.27295 0.75 6.27295V5.52295V4.77295ZM13.2803 6.05328C13.5732 5.76039 13.5732 5.28551 13.2803 4.99262L8.50736 0.219648C8.21447 -0.073245 7.73959 -0.073245 7.4467 0.219648C7.15381 0.512542 7.15381 0.987415 7.4467 1.28031L11.6893 5.52295L7.4467 9.76559C7.15381 10.0585 7.15381 10.5334 7.4467 10.8263C7.73959 11.1191 8.21447 11.1191 8.50736 10.8263L13.2803 6.05328ZM0.75 5.52295V6.27295L12.75 6.27295V5.52295V4.77295L0.75 4.77295V5.52295Z\"\n                                    fill=\"currentColor\"\n                                ><\/path>\n                            <\/svg>\n                        <\/div>\n                    <\/a>\n                <\/div>\n            <\/div>\n\n            <div class=\"right-side\">\n                <img decoding=\"async\"\n                    src=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/01\/Home-Page-Concept-4.webp\"\n                    alt=\"Pabau practice management platform\"\n                    loading=\"lazy\"\n                \/>\n            <\/div>\n        <\/div>\n        \n\n\n<h2 class=\"wp-block-heading\">Related shoulder orthosis HCPCS codes: L3650, L3660, L3670, L3675, L3677<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Choosing HCPCS code L3660 over an adjacent code is a clinical and billing accuracy decision, not an arbitrary one. The table below shows the key distinctions between the most commonly confused shoulder orthosis L-codes. Billing the wrong code, even with clean documentation, results in an automatic denial and potential overpayment recovery if caught on audit.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Code<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Full Descriptor (Abbreviated)<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Device Type<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Key Billing Distinction<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">L3650<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Shoulder orthosis (SO), figure of eight design abduction restrainer, prefabricated, off-the-shelf<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Prefabricated, off-the-shelf (OTS)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Same figure-of-eight design and OTS status as L3660, but L3650&rsquo;s descriptor doesn&rsquo;t specify canvas-and-webbing construction. Confirm the dispensed device&rsquo;s material before choosing between the two.<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">L3660<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Shoulder orthosis (SO), figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Prefabricated, off-the-shelf<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Use when the dispensed device is canvas-and-webbing construction, figure-of-eight design, prefabricated, and off-the-shelf<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">L3670<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Shoulder orthosis (SO), acromio\/clavicular (canvas and webbing type), prefabricated, off-the-shelf<\/td>\n<td style=\"padding:12px 16px;color:#374151\">AC-type, prefabricated, off-the-shelf<\/td>\n<td style=\"padding:12px 16px;color:#374151\">An entirely different device type: an acromioclavicular (AC) orthosis, not a figure-of-eight restrainer, and not custom-fabricated. Don&rsquo;t confuse it with L3660.<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">L3675<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Shoulder orthosis (SO), vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Vest-type, prefabricated OTS<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Design distinction: a vest-type abduction restrainer, not a figure-of-eight design, even though both use canvas-webbing-type material<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">L3677<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Shoulder orthosis (SO), 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<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Prefabricated, customized at fitting<\/td>\n<td style=\"padding:12px 16px;color:#374151\">A jointless shoulder-joint-design orthosis that a fitter trims, bends, or molds to the patient. It&rsquo;s not off-the-shelf in the L3660 sense, and it&rsquo;s not a figure-of-eight restrainer<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">The L3650 vs. L3660 distinction is the most commonly misapplied. Both codes describe a prefabricated, off-the-shelf figure-of-eight abduction restrainer. L3660 specifies canvas-and-webbing construction. L3650&rsquo;s descriptor does not name a material, so confirm the dispensed device&rsquo;s construction before choosing between the two, rather than assuming canvas and webbing by default.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-l3670\/\">L3670<\/a> causes a different kind of confusion. The code names an acromio\/clavicular (AC-type) orthosis, a different device family entirely, rather than a custom-fabricated figure-of-eight device. If a supplier dispenses a custom-fabricated figure-of-eight restrainer, the correct code is L3671, not L3670.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Reviewing your practice management software workflows to flag which code was selected and what device was supplied helps catch these mismatches before claim submission.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Common billing errors and compliance considerations<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">L3660 claims generate a predictable pattern of denials. Understanding these errors before submission is cheaper than appealing them after. Coders and suppliers who bill orthotic devices regularly should also review physiotherapy compliance requirements for broader documentation context.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>Using L3660 for a custom-fabricated orthosis:<\/strong> L3671 is the correct code when a figure-of-eight abduction restrainer is custom-fabricated to the patient. L3670 is a different device (an AC-type orthosis), not the custom-fabricated version of L3660. Billing the prefabricated off-the-shelf code for a custom device misrepresents the item supplied and triggers automatic audit review.<\/li><li><strong>Missing the KX modifier:<\/strong> When medical necessity documentation meets LCD criteria, the KX modifier must be appended. Omitting it signals to the DME MAC that documentation may be incomplete, often triggering a development request or outright denial.<\/li><li><strong>Insufficient medical necessity documentation:<\/strong> A diagnosis code alone does not establish medical necessity. The clinical record must document functional limitation and the clinical rationale for this specific device type.<\/li><li><strong>Wrong place-of-service code:<\/strong> Shoulder orthoses dispensed in a physician office, home, or supplier location each carry different POS codes. Mismatches between the POS code and the actual delivery location are a basic edit that DME MACs check automatically.<\/li><li><strong>Billing L3660 when L3650 applies:<\/strong> Both codes describe a prefabricated, off-the-shelf figure-of-eight abduction restrainer, but L3660 specifies canvas-and-webbing construction while L3650 does not. Confirm the dispensed device\u2019s actual material before selecting the code.<\/li><li><strong>Supplier accreditation lapse:<\/strong> Any lapse in DMEPOS accreditation makes all claims submitted during that period non-payable. Tracking accreditation renewal dates in a HIPAA-compliant practice management system prevents this avoidable error.<\/li><\/ul>\n\n\n        <div id=\"pro_tip\">\n            <div class=\"img\">\n                <svg width=\"42\" height=\"42\" viewBox=\"0 0 42 42\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M12.6383 19.5238C12.6632 21.2071 12.8734 22.9926 12.0685 24.5523C11.0341 26.8917 8.45076 28.169 7.56292 30.5918C6.63082 33.1061 7.19505 36.185 9.31371 37.9786C10.929 39.5678 13.4183 39.9873 15.6061 39.5463C17.4592 39.073 19.1049 37.8388 19.9706 36.1608C20.781 34.7141 20.7866 32.9904 20.5293 31.3985C20.1006 29.3092 18.3775 27.8705 16.9807 26.362C14.8814 24.1005 14.6684 20.6854 15.595 17.8915C16.4331 15.4768 19.0026 14.2344 20.0425 11.9461C20.7202 10.6769 20.7506 9.20327 20.6068 7.81304C20.1864 5.40098 18.3139 3.23631 15.8716 2.56674C13.9742 2.03969 11.8224 2.30052 10.1739 3.37614C8.70522 4.34688 7.5878 5.86618 7.28356 7.58178C6.76081 9.82981 7.53525 12.2822 9.20307 13.9118C10.7658 15.4741 12.4806 17.2273 12.6383 19.5238Z\"\n                        fill=\"#2BADD4\" \/>\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M22.7048 19.8387C22.6822 22.3279 24.4507 24.6234 26.7493 25.4682C28.0531 25.961 29.4725 25.9183 30.7989 25.5487C32.0575 24.9955 33.301 24.2237 34.0069 23.0092C34.8384 21.5811 35.2982 19.8286 34.7832 18.2094C34.3611 16.2507 32.8739 14.6541 31.0275 13.9426C28.6736 12.9595 25.8073 13.7942 24.1719 15.7001C23.2022 16.8366 22.6143 18.3326 22.7048 19.8387Z\"\n                        fill=\"#2BADD4\" \/>\n                <\/svg>\n            <\/div>\n            <div class=\"text\">\n                <h3>Pro Tip<\/h3>\n                <p>Audit your L3660 claims quarterly. Pull all submitted claims, confirm the KX modifier is present where documentation supports it, and verify that the dispensed product&rsquo;s material (canvas and webbing, not elastic) is documented in the patient file. A 30-minute internal review cycle catches most denial patterns before a DME MAC identifies them first.<\/p>\n            <\/div>\n        <\/div>\n    \n\n\n<h2 class=\"wp-block-heading\">Getting L3660 billing right<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Billing HCPCS code L3660 accurately comes down to three disciplines: choosing the right L-code for the device actually dispensed, documenting medical necessity in a way that would survive a DME MAC audit, and appending the correct modifiers at claim submission. Suppliers who treat these as connected workflow steps, rather than isolated coding decisions, see fewer denials and lower audit exposure.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Pabau&rsquo;s claims management software connects clinical documentation, physician orders, and billing records in one structured workflow, so the information a DME MAC asks for in an audit is already organized and retrievable. To see how Pabau supports compliant orthotic billing documentation, <a href=\"https:\/\/pabau.com\/book-demo\/\">book a demo<\/a>.<\/p>\n\n\n        <div id=\"expert_picks\">\n            <div class=\"header\">\n                                    <img decoding=\"async\" src=\"https:\/\/pabau.com\/wp-content\/uploads\/2025\/11\/Expert-Picks.svg\" alt=\"Continue your research\" height=\"42\" width=\"42\">\n                                <h3>Continue your research<\/h3>\n            <\/div>\n            <div class=\"content\">\n                                                            <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Billing other prefabricated braces alongside L3660?<\/strong> <a href=\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-l2050\/\" rel=\"noopener\">HCPCS code L2050<\/a> covers hip-knee-ankle-foot orthosis billing, with the same off-the-shelf versus custom-fabricated distinctions.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Documenting a musculoskeletal diagnosis to support medical necessity?<\/strong> <a href=\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-m609\/\" rel=\"noopener\">ICD-10 code M60.9<\/a> explains how myositis is coded when it is the underlying indication.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Billing DME beyond orthoses?<\/strong> <a href=\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-e0745\/\" rel=\"noopener\">HCPCS code E0745<\/a> covers neuromuscular stimulator billing under the same DME benefit as L3660.<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<h2 class=\"wp-block-heading\">Related HCPCS codes<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-l3908\/\">HCPCS code L3908 \u2014 Wrist Hand Orthosis<\/a><\/li>\n\n\n<li><a href=\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-l3761\/\">HCPCS code L3761 \u2014 Elbow Orthosis<\/a><\/li>\n\n\n<li><a href=\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-l3762\/\">HCPCS Code L3762 \u2014 Rigid elbow orthosis<\/a><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Frequently Asked Questions<\/h2>\n\n\n\n<div class=\"schema-faq wp-block-yoast-faq-block\"><div class=\"schema-faq-section\" id=\"faq-question-1784274875065\"><h3 class=\"schema-faq-question\">What is HCPCS code L3660 used for?<\/h3> <p class=\"schema-faq-answer\">HCPCS code L3660 is used to bill for a shoulder orthosis, figure-of-eight design abduction restrainer, made of canvas and webbing, that is prefabricated and dispensed off-the-shelf. It is billed under Medicare Part B as durable medical equipment by enrolled DMEPOS suppliers.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1784274875066\"><h3 class=\"schema-faq-question\">What is the difference between L3650, L3660, and L3670?<\/h3> <p class=\"schema-faq-answer\">L3650 and L3660 both describe a prefabricated, off-the-shelf figure-of-eight abduction restrainer. L3660 specifies canvas-and-webbing construction, while L3650&rsquo;s descriptor doesn&rsquo;t name a material. L3670 is a different device altogether, an acromio\/clavicular (AC-type) orthosis, not a custom-fabricated figure-of-eight restrainer. The custom-fabricated figure-of-eight device is billed under L3671. Confirm the dispensed device&rsquo;s exact design and construction before selecting a code.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1784274875067\"><h3 class=\"schema-faq-question\">What diagnoses support medical necessity for L3660?<\/h3> <p class=\"schema-faq-answer\">Commonly accepted diagnoses include clavicle fractures (such as S42.002A), acromioclavicular joint dislocation (S43.102A), and glenohumeral instability (M25.311, M25.312). The clinical record must document the specific diagnosis, the functional limitation it causes, and the rationale for the figure-of-eight orthosis. Always verify accepted diagnoses against the applicable DME MAC LCD before submitting.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1784274875068\"><h3 class=\"schema-faq-question\">Is HCPCS code L3660 covered under Medicare Part B?<\/h3> <p class=\"schema-faq-answer\">Yes, L3660 is covered under Medicare Part B as a durable medical equipment (DME) benefit when medical necessity is documented. The supplier must be an enrolled and accredited DMEPOS supplier, the claim must be submitted to the appropriate DME MAC, and the KX modifier must be appended when documentation confirms LCD criteria are met.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1784274875069\"><h3 class=\"schema-faq-question\">What documentation is required to bill L3660?<\/h3> <p class=\"schema-faq-answer\">Required documentation includes a written physician order specifying the device and diagnosis, clinical notes documenting medical necessity and functional limitation, a product description confirming the dispensed item meets the L3660 descriptor (canvas and webbing, prefabricated, off-the-shelf), and a signed proof of delivery. KX modifier claims must have all supporting documentation on file for audit review.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1784274875070\"><h3 class=\"schema-faq-question\">Can a figure-of-eight shoulder brace be billed under L3660?<\/h3> <p class=\"schema-faq-answer\">Yes, if the brace is made of canvas and webbing, is prefabricated, and is dispensed off-the-shelf, L3660 is the correct HCPCS code. If the device is a vest-type restrainer rather than a figure-of-eight design, L3675 applies instead. If the device is custom-fabricated to the patient rather than off-the-shelf, L3671 is the correct code.<\/p> <\/div> <\/div>\n\n","protected":false},"excerpt":{"rendered":"<p>HCPCS code L3660 is the billing code for a shoulder orthosis, figure-of-eight design abduction restrainer, made of canvas and webbing, prefabricated and dispensed off-the-shelf. It sits in a narrow band of related codes, including L3650, L3670, and L3675, that describe similar-looking devices with different construction, design, or fabrication methods. This guide covers the code description [&hellip;]<\/p>\n","protected":false},"author":77,"featured_media":158001,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_yoast_wpseo_linkdex":"88","_yoast_wpseo_content_score":"30","_yoast_wpseo_is_cornerstone":"","_yoast_wpseo_keywordsynonyms":"[\"\",\"\",\"\",\"\",\"\",\"\"]","_yoast_wpseo_focuskw_text_input":"","_seo_original_html":"","footnotes":""},"categories":[1433,1548],"tags":[],"class_list":["post-158004","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-billing-codes","category-hcpcs"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.2 (Yoast SEO v28.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>HCPCS code L3660: Shoulder orthosis billing guide<\/title>\n<meta name=\"description\" content=\"L3660 covers a canvas-and-webbing, off-the-shelf figure-of-eight shoulder restrainer billed under Medicare Part B.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/pabau.com\/fr\/procedure-codes\/hcpcs-code-l3660\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"HCPCS code L3660: Shoulder orthosis billing guide\" \/>\n<meta property=\"og:description\" content=\"L3660 covers a canvas-and-webbing, off-the-shelf figure-of-eight shoulder restrainer billed under Medicare Part B.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/pabau.com\/fr\/procedure-codes\/hcpcs-code-l3660\/\" \/>\n<meta property=\"og:site_name\" content=\"Pabau\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/Pabau\/\" \/>\n<meta property=\"article:published_time\" content=\"2026-07-17T09:25:15+00:00\" \/>\n<meta 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Outside of work, she's usually chasing her border collie around muddy fields or hunting down the best flat white in town.","url":"https:\/\/pabau.com\/fr\/blog\/author\/katy-piper\/"},{"@type":"Question","@id":"https:\/\/pabau.com\/fr\/procedure-codes\/hcpcs-code-l3660\/#faq-question-1784274875065","position":1,"url":"https:\/\/pabau.com\/fr\/procedure-codes\/hcpcs-code-l3660\/#faq-question-1784274875065","name":"What is HCPCS code L3660 used for?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"HCPCS code L3660 is used to bill for a shoulder orthosis, figure-of-eight design abduction restrainer, made of canvas and webbing, that is prefabricated and dispensed off-the-shelf. It is billed under Medicare Part B as durable medical equipment by enrolled DMEPOS suppliers.","inLanguage":"fr-FR"},"inLanguage":"fr-FR"},{"@type":"Question","@id":"https:\/\/pabau.com\/fr\/procedure-codes\/hcpcs-code-l3660\/#faq-question-1784274875066","position":2,"url":"https:\/\/pabau.com\/fr\/procedure-codes\/hcpcs-code-l3660\/#faq-question-1784274875066","name":"What is the difference between L3650, L3660, and L3670?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"L3650 and L3660 both describe a prefabricated, off-the-shelf figure-of-eight abduction restrainer. L3660 specifies canvas-and-webbing construction, while L3650's descriptor doesn't name a material. L3670 is a different device altogether, an acromio\/clavicular (AC-type) orthosis, not a custom-fabricated figure-of-eight restrainer. The custom-fabricated figure-of-eight device is billed under L3671. Confirm the dispensed device's exact design and construction before selecting a code.","inLanguage":"fr-FR"},"inLanguage":"fr-FR"},{"@type":"Question","@id":"https:\/\/pabau.com\/fr\/procedure-codes\/hcpcs-code-l3660\/#faq-question-1784274875067","position":3,"url":"https:\/\/pabau.com\/fr\/procedure-codes\/hcpcs-code-l3660\/#faq-question-1784274875067","name":"What diagnoses support medical necessity for L3660?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Commonly accepted diagnoses include clavicle fractures (such as S42.002A), acromioclavicular joint dislocation (S43.102A), and glenohumeral instability (M25.311, M25.312). The clinical record must document the specific diagnosis, the functional limitation it causes, and the rationale for the figure-of-eight orthosis. Always verify accepted diagnoses against the applicable DME MAC LCD before submitting.","inLanguage":"fr-FR"},"inLanguage":"fr-FR"},{"@type":"Question","@id":"https:\/\/pabau.com\/fr\/procedure-codes\/hcpcs-code-l3660\/#faq-question-1784274875068","position":4,"url":"https:\/\/pabau.com\/fr\/procedure-codes\/hcpcs-code-l3660\/#faq-question-1784274875068","name":"Is HCPCS code L3660 covered under Medicare Part B?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Yes, L3660 is covered under Medicare Part B as a durable medical equipment (DME) benefit when medical necessity is documented. The supplier must be an enrolled and accredited DMEPOS supplier, the claim must be submitted to the appropriate DME MAC, and the KX modifier must be appended when documentation confirms LCD criteria are met.","inLanguage":"fr-FR"},"inLanguage":"fr-FR"},{"@type":"Question","@id":"https:\/\/pabau.com\/fr\/procedure-codes\/hcpcs-code-l3660\/#faq-question-1784274875069","position":5,"url":"https:\/\/pabau.com\/fr\/procedure-codes\/hcpcs-code-l3660\/#faq-question-1784274875069","name":"What documentation is required to bill L3660?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Required documentation includes a written physician order specifying the device and diagnosis, clinical notes documenting medical necessity and functional limitation, a product description confirming the dispensed item meets the L3660 descriptor (canvas and webbing, prefabricated, off-the-shelf), and a signed proof of delivery. KX modifier claims must have all supporting documentation on file for audit review.","inLanguage":"fr-FR"},"inLanguage":"fr-FR"},{"@type":"Question","@id":"https:\/\/pabau.com\/fr\/procedure-codes\/hcpcs-code-l3660\/#faq-question-1784274875070","position":6,"url":"https:\/\/pabau.com\/fr\/procedure-codes\/hcpcs-code-l3660\/#faq-question-1784274875070","name":"Can a figure-of-eight shoulder brace be billed under L3660?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Yes, if the brace is made of canvas and webbing, is prefabricated, and is dispensed off-the-shelf, L3660 is the correct HCPCS code. If the device is a vest-type restrainer rather than a figure-of-eight design, L3675 applies instead. If the device is custom-fabricated to the patient rather than off-the-shelf, L3671 is the correct code.","inLanguage":"fr-FR"},"inLanguage":"fr-FR"}]}},"yoast":{"focus_keyword":"HCPCS code L3660","seo_title":"HCPCS code L3660: Shoulder orthosis billing guide","meta_description":"L3660 covers a canvas-and-webbing, off-the-shelf figure-of-eight shoulder restrainer billed under Medicare Part B.","content_score":"30","is_cornerstone":"","related_keyphrases":[{"keyword":"shoulder orthosis hcpcs code","score":72},{"keyword":"L3660 fee schedule","score":61},{"keyword":"L3660 documentation requirements","score":61},{"keyword":"figure of eight shoulder orthosis hcpcs","score":72},{"keyword":"DME billing codes","score":61}]},"_links":{"self":[{"href":"https:\/\/pabau.com\/fr\/wp-json\/wp\/v2\/posts\/158004","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pabau.com\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/pabau.com\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/pabau.com\/fr\/wp-json\/wp\/v2\/users\/77"}],"replies":[{"embeddable":true,"href":"https:\/\/pabau.com\/fr\/wp-json\/wp\/v2\/comments?post=158004"}],"version-history":[{"count":5,"href":"https:\/\/pabau.com\/fr\/wp-json\/wp\/v2\/posts\/158004\/revisions"}],"predecessor-version":[{"id":181382,"href":"https:\/\/pabau.com\/fr\/wp-json\/wp\/v2\/posts\/158004\/revisions\/181382"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pabau.com\/fr\/wp-json\/wp\/v2\/media\/158001"}],"wp:attachment":[{"href":"https:\/\/pabau.com\/fr\/wp-json\/wp\/v2\/media?parent=158004"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pabau.com\/fr\/wp-json\/wp\/v2\/categories?post=158004"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pabau.com\/fr\/wp-json\/wp\/v2\/tags?post=158004"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}