3 commercial payer policies list L3999. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.
Free account. Policy pages stay open to everyone.
3 policies from 3 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of L3999 |
|---|---|---|
| Durable Medical Equipment and Orthotics and Prosthetics Guidelines | Not recorded | Covered |
| Policy | Effective | Status of L3999 |
|---|---|---|
| Upper Extremity Myoelectric Orthoses | Oct 1, 2026 | Not covered |
| Policy | Effective | Status of L3999 |
|---|---|---|
| Cigna Medicare Advantage Durable Medical Equipment Code List | Jan 1, 2025 | Prior auth required |