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See a sample rate comparisonHCPCS L3640 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Transfer of an orthosis from one shoe to another, dennis browne splint (Riveton), both shoes
| Key Fact | Detail |
|---|---|
| Service Type | Orthotic Procedures and services Orthosis Transfers |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for L3640 |
National average reimbursement for HCPCS L3640 by major payers:
$44.37
$27.84
$30.56
$61.64
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HCPCS L3640
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$93.01Published rateBacon County Health Services, Inc.
Bacon County Health Services Inc
$26.12Published rateJeremy Kelley
Bama Heart Doc, PC Dba Alabama Heart & Vascular Medicine
$23.20Published rateProfessional Resources Management Of Rabun, LLC, Mountain Lakes Medical Center
$22.73Published rateMiguel A. Arenas, M.D., PC
Miguel A Arenas Md PC
$15.47Published rate
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See a sample payer proposalHCPCS L3640 vs. Other Orthosis Transfers Codes
The HCPCS L3640 code is part of the Orthotic Procedures and services services used for Orthosis Transfers. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS L3640 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| L3630-HCPCS | Low | Transfer of an orthosis from one shoe to another, solid stirrup, new |
| L3640-HCPCS | Low | Transfer of an orthosis from one shoe to another, dennis browne splint (Riveton), both shoes |
| L3649-HCPCS | Moderate | Orthopedic shoe, modification, addition or transfer, not otherwise specified |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L3640. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L3640 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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