Showing codes L6630 (Upper extremity addition, stainless steel, any wrist) — L6692 (Upper extremity addition, silicone gel insert or equal, each)
L6630 - Stainless steel any wrist
Long description: Upper extremity addition, stainless steel, any wrist
Code added date: 19860101.
Code effective date: 19860101.
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).
HTML
PDF
L6632 - Latex suspension sleeve each
Long description: Upper extremity addition, latex suspension sleeve, each
Code added date: 19880101.
Code effective date: 19880101.
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).
HTML
PDF
L6635 - Lift assist for elbow
Long description: Upper extremity addition, lift assist for elbow
Code added date: 19860101.
Code effective date: 19860101.
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).
HTML
PDF
L6637 - Nudge control elbow lock
Long description: Upper extremity addition, nudge control elbow lock
Code added date: 19880101.
Code effective date: 19880101.
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).
HTML
PDF
L6638 - Elec lock on manual pw elbow
Long description: Upper extremity addition to prosthesis, electric locking feature, only for use with manually powered elbow
Code added date: 20030101.
Code effective date: 20030101.
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).
HTML
PDF
L6640 - Shoulder abduction joint pai
Long description: Upper extremity additions, shoulder abduction joint, pair
Code added date: 19820101.
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: C (A code denoting Medicare coverage status).
HTML
PDF
L6641 - Excursion amplifier pulley t
Long description: Upper extremity addition, excursion amplifier, pulley type
Code added date: 19880101.
Code effective date: 19880101.
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).
HTML
PDF
L6642 - Excursion amplifier lever ty
Long description: Upper extremity addition, excursion amplifier, lever type
Code added date: 19880101.
Code effective date: 19880101.
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).
HTML
PDF
L6645 - Shoulder flexion-abduction j
Long description: Upper extremity addition, shoulder flexion-abduction joint, each
Code added date: 19860101.
Code effective date: 19860101.
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).
HTML
PDF
L6646 - Multipo locking shoulder jnt
Long description: Upper extremity addition, shoulder joint, multipositional locking, flexion, adjustable abduction friction control, for use with body powered or external powered system
Code added date: 20030101.
Code effective date: 20030101.
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).
HTML
PDF
L6647 - Shoulder lock actuator
Long description: Upper extremity addition, shoulder lock mechanism, body powered actuator
Code added date: 20030101.
Code effective date: 20030101.
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).
HTML
PDF
L6648 - Ext pwrd shlder lock/unlock
Long description: Upper extremity addition, shoulder lock mechanism, external powered actuator
Code added date: 20030101.
Code effective date: 20030101.
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).
HTML
PDF
L6650 - Shoulder universal joint
Long description: Upper extremity addition, shoulder universal joint, each
Code added date: 19860101.
Code effective date: 19860101.
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).
HTML
PDF
L6655 - Standard control cable extra
Long description: Upper extremity addition, standard control cable, extra
Code added date: 19860101.
Code effective date: 19860101.
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).
HTML
PDF
L6660 - Heavy duty control cable
Long description: Upper extremity addition, heavy duty control cable
Code added date: 19860101.
Code effective date: 19860101.
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).
HTML
PDF
L6665 - Teflon or equal cable lining
Long description: Upper extremity addition, teflon, or equal, cable lining
Code added date: 19860101.
Code effective date: 19860101.
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).
HTML
PDF
L6670 - Hook to hand cable adapter
Long description: Upper extremity addition, hook to hand, cable adapter
Code added date: 19860101.
Code effective date: 19860101.
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).
HTML
PDF
L6672 - Harness chest/shlder saddle
Long description: Upper extremity addition, harness, chest or shoulder, saddle type
Code added date: 19860101.
Code effective date: 19860101.
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).
HTML
PDF
L6675 - Harness figure of 8 sing con
Long description: Upper extremity addition, harness, (e.g., figure of eight type), single cable design
Code added date: 19860101.
Code effective date: 20040101.
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).
HTML
PDF
L6676 - Harness figure of 8 dual con
Long description: Upper extremity addition, harness, (e.g., figure of eight type), dual cable design
Code added date: 19860101.
Code effective date: 20040101.
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).
HTML
PDF
L6677 - Ue triple control harness
Long description: Upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow
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).
HTML
PDF
L6680 - Test sock wrist disart/bel e
Long description: Upper extremity addition, test socket, wrist disarticulation or below elbow
Code added date: 19860101.
Code effective date: 19860101.
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).
HTML
PDF
L6682 - Test sock elbw disart/above
Long description: Upper extremity addition, test socket, elbow disarticulation or above elbow
Code added date: 19860101.
Code effective date: 19860101.
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).
HTML
PDF
L6684 - Test socket shldr disart/tho
Long description: Upper extremity addition, test socket, shoulder disarticulation or interscapular thoracic
Code added date: 19860101.
Code effective date: 19860101.
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).
HTML
PDF
L6686 - Suction socket
Long description: Upper extremity addition, suction socket
Code added date: 19880101.
Code effective date: 19880101.
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).
HTML
PDF
L6687 - Frame typ socket bel elbow/w
Long description: Upper extremity addition, frame type socket, below elbow or wrist disarticulation
Code added date: 19880101.
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: C (A code denoting Medicare coverage status).
HTML
PDF
L6688 - Frame typ sock above elb/dis
Long description: Upper extremity addition, frame type socket, above elbow or elbow disarticulation
Code added date: 19880101.
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: C (A code denoting Medicare coverage status).
HTML
PDF
L6689 - Frame typ socket shoulder di
Long description: Upper extremity addition, frame type socket, shoulder disarticulation
Code added date: 19880101.
Code effective date: 19880101.
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).
HTML
PDF
L6690 - Frame typ sock interscap-tho
Long description: Upper extremity addition, frame type socket, interscapular-thoracic
Code added date: 19880101.
Code effective date: 19880101.
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).
HTML
PDF
L6691 - Removable insert each
Long description: Upper extremity addition, removable insert, each
Code added date: 19880101.
Code effective date: 19880101.
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).
HTML
PDF
L6692 - Silicone gel insert or equal
Long description: Upper extremity addition, silicone gel insert or equal, each
Code added date: 19890101.
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: C (A code denoting Medicare coverage status).
HTML
PDF