HCPCS L3924 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Orthotic Procedures and services • Additional Miscellaneous Orthotics, Upper Extremities |
| Complexity Level | Low |
National average reimbursement for HCPCS L3924 by major payers:
$80.52
$57.33
$67.00
$125.71
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for HCPCS L3924 | ||||||
United | L3924 | $86.31 | 1023053063 - VONDA WRIGHT | 810820816 - HUGHSTON ORTHOPAEDIC SOUTHEAST PC | GA | Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X) |
United | L3924 | $47.84 | 1285908269 - FRANCIS WODIE | 650237108 | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | L3924 | $74.61 | 1659396315 - VASILIOS SPYROPOULOS | 310945970 - (OH) GENTLE FOOT CARE INC | PA | Podiatrist (213E00000X) |
United | L3924 | $48.79 | 1558397745 - KAMI LALJI | 800460828 - (FL) KAMI LALJI DPMPA | FL | Podiatrist (213E00000X) |
United | L3924 | $47.84 | 1114065646 - THEODORE SPINKS | 593425191 - (FL) PEDIATRIC PHYSICIANS SERVICES INC | FL | Neurological Surgery Physician (207T00000X) |
United | L3924 | $47.84 | 1902895881 - MIKHAIL BURAKOVSKIY | 991347816 - (FL) ONE STOP FOOT AND ANKLE CARE LLC | WA | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | L3924 | $47.84 | 1205051745 - DALE R. MONAST | 461919327 - (FL) DALE R. MONAST, D. P. M. , P.L.L.C. | FL | Podiatrist (213E00000X) |
United | L3924 | $48.79 | 1326026865 - DEAN DORFMAN | 650129875 - (FL) DEERFIELD FAMILY FOOTCARE | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | L3924 | $47.84 | 1427541937 - JOSEPH WOLF | 341633020 - (OH) PODIATRIC ASSOCIATES OF NORTHWEST OHIO, INC. | OH | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | L3924 | $45.70 | 1356621130 - JOHNATHAN THOMPSON | 844133541 - (MS) MITIAS ORTHOPAEDICS PLLC | FL | Orthopaedic Trauma Physician (207XX0801X) |
United | L3924 | $47.84 | 1174588032 - JASON HANFT | 650809693 - (FL) THE FOOT ANKLE INSTITUTE OF SOUTH FLORIDA INC | FL | Foot Surgery Podiatrist (213ES0131X) |
United | L3924 | $47.84 | 1518306497 - EDISON VALLE-GILER | 920934394 - (FL) NAPLES NEURO CARE LLC | FL | Neurological Surgery Physician (207T00000X) |
United | L3924 | $63.79 | 1306878806 - JAMES BAUMGARTNER | 362193608 - SHRINERS HOSPITALS FOR CHILDREN | FL | Neurological Surgery Physician (207T00000X) |
United | L3924 | $47.84 | 1154717312 - ENDRI AFESLLARI | 592035990 - (FL) ROBERT J VALINS DPM PA | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | L3924 | $47.84 | 1245763895 - SOUTHWEST FOOT & ANKLE LLC | 821115736 - (FL) SOUTHWEST FOOT ANKLE LLC | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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HCPCS L3924 vs. Other Additional Miscellaneous Orthotics, Upper Extremities Codes
The HCPCS L3924 code is part of the Orthotic Procedures and services services used for Additional Miscellaneous Orthotics, Upper Extremities. 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 L3924 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 |
|---|---|---|
| L3923-HCPCS | Low | Hand finger orthosis (HFO), 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 |
| L3924-HCPCS | Low | Hand finger orthosis (HFO), without joints, may include soft interface, straps, prefabricated, off-the-shelf |
| L3925-HCPCS | Low | Finger orthosis (FO), proximal interphalangeal (PIP)/distal interphalangeal (DIP), non torsion joint/spring, extension/flexion, may include soft interface material, prefabricated, off-the-shelf |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L3924. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L3924 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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