Showing codes L7404 (Addition to upper extremity prosthesis, above elbow disarticulation, acrylic material) — L8049 (Repair or modification of maxillofacial prosthesis, labor component, 15 minute increments, provided by a non-physician)

L7404 - Add ue prost a/e acrylic
Long description: Addition to upper extremity prosthesis, above elbow disarticulation, acrylic material
Code added date: 20060101.
Code effective date: 20060101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L7405 - Add ue prost s/d acrylic
Long description: Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, acrylic material
Code added date: 20060101.
Code effective date: 20060101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L7499 - Upper extremity prosthes nos
Long description: Upper extremity prosthesis, not otherwise specified
Code added date: 19850101.
Code effective date: 19980101.
Pricing Indicator Code(s): 46 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L7510 - Prosthetic device repair rep
Long description: Repair of prosthetic device, repair or replace minor parts
Code added date: 19850101.
Code effective date: 20030101.
Pricing Indicator Code(s): 46 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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L7520 - Repair prosthesis per 15 min
Long description: Repair prosthetic device, labor component, per 15 minutes
Code added date: 19970101.
Code effective date: 20000101.
Pricing Indicator Code(s): 46 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L7600 - Prosthetic donning sleeve
Long description: Prosthetic donning sleeve, any material, each
Code added date: 20060101.
Code effective date: 20060101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: S (A code denoting Medicare coverage status).
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L7700 - Pros soc insert gasket/seal
Long description: Gasket or seal, for use with prosthetic socket insert, any type, each
Code added date: 20180101.
Code effective date: 20180101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L7900 - Male vacuum erection system
Long description: Male vacuum erection system
Code added date: 19970101.
Code effective date: 20160101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: S (A code denoting Medicare coverage status).
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L7902 - Tension ring, vac erect dev
Long description: Tension ring, for vacuum erection device, any type, replacement only, each
Code added date: 20130101.
Code effective date: 20160101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: S (A code denoting Medicare coverage status).
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L8000 - Mastectomy bra
Long description: Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type
Code added date: 19860101.
Code effective date: 20130101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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L8001 - Breast prosthesis bra & form
Long description: Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral, any size, any type
Code added date: 20020101.
Code effective date: 20130101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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L8002 - Brst prsth bra & bilat form
Long description: Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral, any size, any type
Code added date: 20020101.
Code effective date: 20130101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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L8010 - Mastectomy sleeve
Long description: Breast prosthesis, mastectomy sleeve
Code added date: 19860101.
Code effective date: 20050401.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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L8015 - Ext breastprosthesis garment
Long description: External breast prosthesis garment, with mastectomy form, post mastectomy
Code added date: 19990101.
Code effective date: 19990101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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L8020 - Mastectomy form
Long description: Breast prosthesis, mastectomy form
Code added date: 19860101.
Code effective date: 19960101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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L8030 - Breast prosthes w/o adhesive
Long description: Breast prosthesis, silicone or equal, without integral adhesive
Code added date: 19890101.
Code effective date: 20100101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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L8031 - Breast prosthesis w adhesive
Long description: Breast prosthesis, silicone or equal, with integral adhesive
Code added date: 20100101.
Code effective date: 20100101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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L8032 - Reusable nipple prosthesis
Long description: Nipple prosthesis, prefabricated, reusable, any type, each
Code added date: 20100101.
Code effective date: 20200101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L8033 - Nipple prosthesis custom, ea
Long description: Nipple prosthesis, custom fabricated, reusable, any material, any type, each
Code added date: 20200101.
Code effective date: 20200101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L8035 - Custom breast prosthesis
Long description: Custom breast prosthesis, post mastectomy, molded to patient model
Code added date: 19990101.
Code effective date: 19990101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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L8039 - Breast prosthesis nos
Long description: Breast prosthesis, not otherwise specified
Code added date: 19980101.
Code effective date: 19980101.
Pricing Indicator Code(s): 46 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L8040 - Nasal prosthesis
Long description: Nasal prosthesis, provided by a non-physician
Code added date: 20010101.
Code effective date: 20010101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L8041 - Midfacial prosthesis
Long description: Midfacial prosthesis, provided by a non-physician
Code added date: 20010101.
Code effective date: 20010101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L8042 - Orbital prosthesis
Long description: Orbital prosthesis, provided by a non-physician
Code added date: 20010101.
Code effective date: 20010101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L8043 - Upper facial prosthesis
Long description: Upper facial prosthesis, provided by a non-physician
Code added date: 20010101.
Code effective date: 20010101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L8044 - Hemi-facial prosthesis
Long description: Hemi-facial prosthesis, provided by a non-physician
Code added date: 20010101.
Code effective date: 20010101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L8045 - Auricular prosthesis
Long description: Auricular prosthesis, provided by a non-physician
Code added date: 20010101.
Code effective date: 20010101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L8046 - Partial facial prosthesis
Long description: Partial facial prosthesis, provided by a non-physician
Code added date: 20010101.
Code effective date: 20010101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L8047 - Nasal septal prosthesis
Long description: Nasal septal prosthesis, provided by a non-physician
Code added date: 20010101.
Code effective date: 20010101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L8048 - Unspec maxillofacial prosth
Long description: Unspecified maxillofacial prosthesis, by report, provided by a non-physician
Code added date: 20010101.
Code effective date: 20010101.
Pricing Indicator Code(s): 46 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L8049 - Repair maxillofacial prosth
Long description: Repair or modification of maxillofacial prosthesis, labor component, 15 minute increments, provided by a non-physician
Code added date: 20010101.
Code effective date: 20010101.
Pricing Indicator Code(s): 46 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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