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See a sample rate comparisonHCPCS L3765 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Elbow wrist hand finger orthosis (EWHFO), rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment
| Key Fact | Detail |
|---|---|
| Service Type | Orthotic Procedures and services Elbow-wrist-hand Orthotics |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for L3765 |
National average reimbursement for HCPCS L3765 by major payers:
$1,160.61
$751.72
$814.70
$1,143.28
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HCPCS L3765
5 of 25 sample ratesHigher to lower in this preview
Jennifer Wilkins
Blue Ridge Orthopaedic Associates, P.C.
$1,421.26Published rateMark Mckinley
Orthovirginia, Inc.
$1,106.82Published rateKathryn Bragg
Coastal Virginia Spine And Pain Center, LLC
$684.64Published rateRachel Adams
Mary Washington Healthcare Physicians
$684.64Published rateResults Rehab & Fitness, Inc
Results Rehab & Fitness, Inc.
$568.96Published rate
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See a sample payer proposalHCPCS L3765 vs. Other Elbow-wrist-hand Orthotics Codes
The HCPCS L3765 code is part of the Orthotic Procedures and services services used for Elbow-wrist-hand Orthotics. 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 L3765 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 |
|---|---|---|
| L3764-HCPCS | Moderate | Elbow wrist hand orthosis (EWHO), includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment |
| L3765-HCPCS | High | Elbow wrist hand finger orthosis (EWHFO), rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment |
| L3766-HCPCS | High | Elbow wrist hand finger orthosis (EWHFO), includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L3765. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L3765 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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