Wrist Hand Orthosis

HCPCS L3916 is a prefabricated, off-the-shelf wrist hand orthosis (WHO) that holds the wrist in a stable, neutral position. It reduces strain on the tendons and nerves of the wrist and hand, which can ease pain, numbness and swelling. We size it to your hand and show you how to wear it day and night if your doctor recommends it.

Used for: Carpal tunnel, Wrist sprain, Tendonitis

Medicare
Medicaid
Commercial plans
No-Fault
Workers' Comp
Other major insurances

Check coverage for this item Call (917) 300-2692

Medicare coverage requirements

Medicare requirements

Medicare braces (orthotics) benefit and the DME MAC Standard Documentation Requirements. There is no separate code-specific LCD for wrist hand orthoses, so the brace must be reasonable and necessary for your condition.

Covered when ordered for

The brace is ordered to support, protect or limit motion of an injured, weak or diseased wrist and hand
Your medical record supports why this brace is medically necessary for you

Doctor's note should include

The diagnosis (for example carpal tunnel syndrome, wrist sprain, tendonitis or arthritis) and which side
Symptoms and exam findings such as pain, numbness, weakness, swelling or limited motion
How the condition limits daily activities like gripping, typing, lifting or self-care
Treatments already tried, when relevant, and why the brace is needed now

Prior authorization

New York is in phase 1 of new Medicare rules for L3916. Starting October 28, 2026, it requires prior authorization, a face-to-face visit with the treating practitioner within 6 months before the written order, and a written order before delivery.