HCPCS L3933 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 L3933 by major payers:
$186.50
$125.14
$150.03
$181.38
| 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 L3933 | ||||||
United | L3933 | $151.88 | 1801108436 - JOHANNA KAUFMANN | 833599429 - BURD PHYSICAL THERAPY PLLC | NY | Physical Therapist (225100000X) |
United | L3933 | $145.86 | 1881725554 - AARON GREER | 202530369 - (NY) LINDEN OAKS PHYSICAL THERAPY PLLC | NY | Physical Therapist (225100000X) |
United | L3933 | $94.68 | 1003928755 - SHUMAN PHYSICAL THERAPY ASSOCIATES, P.C., LATTIMORE PHYSICAL THERAPY | 161414257 - (NY) SHUMAN PHYSICAL THERAPY ASSOCIATES, PC | NY | Physical Therapist (225100000X) |
United | L3933 | $145.86 | 1003928755 - SHUMAN PHYSICAL THERAPY ASSOCIATES, P.C., LATTIMORE PHYSICAL THERAPY | 161414257 - (NY) SHUMAN PHYSICAL THERAPY ASSOCIATES, PC | NY | Physical Therapist (225100000X) |
United | L3933 | $104.26 | 1306540380 - KARLIE RYAN | 451471722 - (AL) BAMA HEART DOC, PC DBA ALABAMA HEART & VASCULAR MEDICINE | AL | Family Nurse Practitioner (363LF0000X) |
United | L3933 | $104.26 | 1790057420 - BAMA HEART DOC, P.C., ALABAMA HEART AND VASCULAR MEDICINE | 451471722 - (AL) BAMA HEART DOC, PC DBA ALABAMA HEART & VASCULAR MEDICINE | AL | Interventional Cardiology Physician (207RI0011X) |
United | L3933 | $417.67 | 1073502985 - CHU CHEN | 42484572 - (MA) MERRIMACK VALLEY PEDIATRIC ASSOCIATES, INC. | MA | Pediatrics Physician (208000000X) |
United | L3933 | $112.45 | 1427693225 - EMILY HOLLY | 640918012 - (MS) STARKVILLE CLINIC FOR WOMEN | MS | Women's Health Nurse Practitioner (363LW0102X) |
United | L3933 | $417.67 | 1073502985 - CHU CHEN | 42484572 - (MA) MERRIMACK VALLEY PEDIATRIC ASSOCIATES, INC. | MA | Pediatrics Physician (208000000X) |
United | L3933 | $145.86 | 1881725554 - AARON GREER | 202530369 - (NY) LINDEN OAKS PHYSICAL THERAPY PLLC | NY | Physical Therapist (225100000X) |
United | L3933 | $145.86 | 1003928755 - SHUMAN PHYSICAL THERAPY ASSOCIATES, P.C., LATTIMORE PHYSICAL THERAPY | 161414257 - (NY) SHUMAN PHYSICAL THERAPY ASSOCIATES, PC | NY | Physical Therapist (225100000X) |
United | L3933 | $151.88 | 1801108436 - JOHANNA KAUFMANN | 833599429 - BURD PHYSICAL THERAPY PLLC | NY | Physical Therapist (225100000X) |
United | L3933 | $145.86 | 1003928755 - SHUMAN PHYSICAL THERAPY ASSOCIATES, P.C., LATTIMORE PHYSICAL THERAPY | 161414257 - (NY) SHUMAN PHYSICAL THERAPY ASSOCIATES, PC | NY | Physical Therapist (225100000X) |
United | L3933 | $151.88 | 1801108436 - JOHANNA KAUFMANN | 833599429 - BURD PHYSICAL THERAPY PLLC | NY | Physical Therapist (225100000X) |
United | L3933 | $112.45 | 1427693225 - EMILY HOLLY | 640918012 - (MS) STARKVILLE CLINIC FOR WOMEN | MS | Women's Health Nurse Practitioner (363LW0102X) |
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 L3933 vs. Other Additional Miscellaneous Orthotics, Upper Extremities Codes
The HCPCS L3933 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 L3933 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 |
|---|---|---|
| L3931-HCPCS | Low | Wrist hand finger orthosis (WHFO), includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, includes fitting and adjustment |
| L3933-HCPCS | Low | Finger orthosis (FO), without joints, may include soft interface, custom fabricated, includes fitting and adjustment |
| L3935-HCPCS | Low | Finger orthosis (FO), nontorsion joint, may include soft interface, 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 L3933. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L3933 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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