HCPCS L6965 Code. Shldr disartic myoelectronic


Table of content for "Shldr disartic myoelectronic" (HCPCS L6965)

General information on the “L6965” code

HCPCS Code: L6965
Long Description: Shoulder disarticulation, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device
Short Description: Shldr disartic myoelectronic

Original information is taken from L6965 page

Pricing indicators

Pricing Indicator Code 1: 38 – Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings) . Durable Medical Equipment, Prosthetics, Orthotics, Supplies And Surgical Dressings
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology

Certification and additional reference information

Coverage

Coverage: C – Carrier judgment

Type of service


Berenson-Eggers Type of Service (BETOS): D1F – Prosthetic/Orthotic devices
Type Of Service 1: P – Lump sum purchase of DME, prosthetics, orthotics

Misc information

Anesthesia Base Unit Quantity: 0
Code Added Date: 19880101
Code Effective Date: 19960101
Action Code: N – No maintenance for this code