Showing codes L6693 (Upper extremity addition, locking elbow, forearm counterbalance) — L6905 (Hand restoration (casts, shading and measurements included), partial hand, with glove, multiple fingers remaining)

L6693 - Lockingelbow forearm cntrbal
Long description: Upper extremity addition, locking elbow, forearm counterbalance
Code added date: 19990101.
Code effective date: 20000101.
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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L6694 - Elbow socket ins use w/lock
Long description: Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanism
Code added date: 20050101.
Code effective date: 20050101.
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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L6695 - Elbow socket ins use w/o lck
Long description: Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mechanism
Code added date: 20050101.
Code effective date: 20050101.
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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L6696 - Cus elbo skt in for con/atyp
Long description: Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code l6694 or l6695)
Code added date: 20050101.
Code effective date: 20050101.
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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L6697 - Cus elbo skt in not con/atyp
Long description: Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code l6694 or l6695)
Code added date: 20050101.
Code effective date: 20050101.
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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L6698 - Below/above elbow lock mech
Long description: Addition to upper extremity prosthesis, below elbow/above elbow, lock mechanism, excludes socket insert
Code added date: 20050101.
Code effective date: 20050101.
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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L6703 - Term dev, passive hand mitt
Long description: Terminal device, passive hand/mitt, any material, any size
Code added date: 20070101.
Code effective date: 20070101.
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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L6704 - Term dev, sport/rec/work att
Long description: Terminal device, sport/recreational/work attachment, any material, any size
Code added date: 20070101.
Code effective date: 20070101.
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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L6706 - Term dev mech hook vol open
Long description: Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined
Code added date: 20070101.
Code effective date: 20070101.
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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L6707 - Term dev mech hook vol close
Long description: Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined
Code added date: 20070101.
Code effective date: 20070101.
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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L6708 - Term dev mech hand vol open
Long description: Terminal device, hand, mechanical, voluntary opening, any material, any size
Code added date: 20070101.
Code effective date: 20070101.
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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L6709 - Term dev mech hand vol close
Long description: Terminal device, hand, mechanical, voluntary closing, any material, any size
Code added date: 20070101.
Code effective date: 20070101.
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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L6711 - Ped term dev, hook, vol open
Long description: Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined, pediatric
Code added date: 20090101.
Code effective date: 20090101.
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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L6712 - Ped term dev, hook, vol clos
Long description: Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined, pediatric
Code added date: 20090101.
Code effective date: 20090101.
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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L6713 - Ped term dev, hand, vol open
Long description: Terminal device, hand, mechanical, voluntary opening, any material, any size, pediatric
Code added date: 20090101.
Code effective date: 20090101.
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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L6714 - Ped term dev, hand, vol clos
Long description: Terminal device, hand, mechanical, voluntary closing, any material, any size, pediatric
Code added date: 20090101.
Code effective date: 20090101.
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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L6715 - Term device, multi art digit
Long description: Terminal device, multiple articulating digit, includes motor(s), initial issue or replacement
Code added date: 20120101.
Code effective date: 20120101.
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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L6721 - Hook/hand, hvy dty, vol open
Long description: Terminal device, hook or hand, heavy duty, mechanical, voluntary opening, any material, any size, lined or unlined
Code added date: 20090101.
Code effective date: 20090101.
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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L6722 - Hook/hand, hvy dty, vol clos
Long description: Terminal device, hook or hand, heavy duty, mechanical, voluntary closing, any material, any size, lined or unlined
Code added date: 20090101.
Code effective date: 20090101.
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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L6805 - Term dev modifier wrist unit
Long description: Addition to terminal device, modifier wrist unit
Code added date: 19850101.
Code effective date: 20070101.
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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L6810 - Term dev precision pinch dev
Long description: Addition to terminal device, precision pinch device
Code added date: 19880101.
Code effective date: 20070101.
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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L6880 - Elec hand ind art digits
Long description: Electric hand, switch or myoelectric controlled, independently articulating digits, any grasp pattern or combination of grasp patterns, includes motor(s)
Code added date: 20120101.
Code effective date: 20120101.
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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L6881 - Term dev auto grasp feature
Long description: Automatic grasp feature, addition to upper limb electric prosthetic terminal device
Code added date: 20020101.
Code effective date: 20070101.
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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L6882 - Microprocessor control uplmb
Long description: Microprocessor control feature, addition to upper limb prosthetic terminal device
Code added date: 20020101.
Code effective date: 20020101.
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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L6883 - Replc sockt below e/w disa
Long description: Replacement socket, below elbow/wrist disarticulation, molded to patient model, for use with or without external power
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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L6884 - Replc sockt above elbow disa
Long description: Replacement socket, above elbow/elbow disarticulation, molded to patient model, for use with or without external power
Code added date: 20060101.
Code effective date: 20070101.
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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L6885 - Replc sockt shldr dis/interc
Long description: Replacement socket, shoulder disarticulation/interscapular thoracic, molded to patient model, for use with or without external power
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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L6890 - Prefab glove for term device
Long description: Addition to upper extremity prosthesis, glove for terminal device, any material, prefabricated, includes fitting and adjustment
Code added date: 19860101.
Code effective date: 20050101.
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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L6895 - Custom glove for term device
Long description: Addition to upper extremity prosthesis, glove for terminal device, any material, custom fabricated
Code added date: 19860101.
Code effective date: 20050101.
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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L6900 - Hand restorat thumb/1 finger
Long description: Hand restoration (casts, shading and measurements included), partial hand, with glove, thumb or one finger remaining
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).
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L6905 - Hand restoration multiple fi
Long description: Hand restoration (casts, shading and measurements included), partial hand, with glove, multiple fingers remaining
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: C (A code denoting Medicare coverage status).
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