HCPCS Service Codes - Lump sum purchase of DME, prosthetics, orthotics

HCPCS Codes for Lump sum purchase of DME, prosthetics, orthotics

• L6350

  Interscapular thoracic, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm

• L6360

  Interscapular thoracic, passive restoration (complete prosthesis)

• L6370

  Interscapular thoracic, passive restoration (shoulder cap only)

• L6380

  Immediate post surgical or early fitting, application of initial rigid dressing, including fitting alignment and suspension of components, and one cast change, wrist disarticulation or below elbow

• L6382

  Immediate post surgical or early fitting, application of initial rigid dressing including fitting alignment and suspension of components, and one cast change, elbow disarticulation or above elbow

• L6384

  Immediate post surgical or early fitting, application of initial rigid dressing including fitting alignment and suspension of components, and one cast change, shoulder disarticulation or interscapular thoracic

• L6386

  Immediate post surgical or early fitting, each additional cast change and realignment

• L6388

  Immediate post surgical or early fitting, application of rigid dressing only

• L6400

  Below elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping

• L6450

  Elbow disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping

• L6500

  Above elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping

• L6550

  Shoulder disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping

• L6570

  Interscapular thoracic, molded socket, endoskeletal system, including soft prosthetic tissue shaping

• L6580

  Preparatory, wrist disarticulation or below elbow, single wall plastic socket, friction wrist, flexible elbow hinges, figure of eight harness, humeral cuff, bowden cable control, usmc or equal pylon, no cover, molded to patient model

• L6582

  Preparatory, wrist disarticulation or below elbow, single wall socket, friction wrist, flexible elbow hinges, figure of eight harness, humeral cuff, bowden cable control, usmc or equal pylon, no cover, direct formed

• L6584

  Preparatory, elbow disarticulation or above elbow, single wall plastic socket, friction wrist, locking elbow, figure of eight harness, fair lead cable control, usmc or equal pylon, no cover, molded to patient model

• L6586

  Preparatory, elbow disarticulation or above elbow, single wall socket, friction wrist, locking elbow, figure of eight harness, fair lead cable control, usmc or equal pylon, no cover, direct formed

• L6588

  Preparatory, shoulder disarticulation or interscapular thoracic, single wall plastic socket, shoulder joint, locking elbow, friction wrist, chest strap, fair lead cable control, usmc or equal pylon, no cover, molded to patient model

• L6590

  Preparatory, shoulder disarticulation or interscapular thoracic, single wall socket, shoulder joint, locking elbow, friction wrist, chest strap, fair lead cable control, usmc or equal pylon, no cover, direct formed

• L6600

  Upper extremity additions, polycentric hinge, pair

• L6605

  Upper extremity additions, single pivot hinge, pair

• L6610

  Upper extremity additions, flexible metal hinge, pair

• L6611

  Addition to upper extremity prosthesis, external powered, additional switch, any type

• L6615

  Upper extremity addition, disconnect locking wrist unit

• L6616

  Upper extremity addition, additional disconnect insert for locking wrist unit, each

• L6620

  Upper extremity addition, flexion/extension wrist unit, with or without friction

• L6621

  Upper extremity prosthesis addition, flexion/extension wrist with or without friction, for use with external powered terminal device

• L6623

  Upper extremity addition, spring assisted rotational wrist unit with latch release

• L6624

  Upper extremity addition, flexion/extension and rotation wrist unit

• L6625

  Upper extremity addition, rotation wrist unit with cable lock

• L6628

  Upper extremity addition, quick disconnect hook adapter, otto bock or equal

• L6629

  Upper extremity addition, quick disconnect lamination collar with coupling piece, otto bock or equal

• L6630

  Upper extremity addition, stainless steel, any wrist

• L6632

  Upper extremity addition, latex suspension sleeve, each

• L6635

  Upper extremity addition, lift assist for elbow

• L6637

  Upper extremity addition, nudge control elbow lock

• L6638

  Upper extremity addition to prosthesis, electric locking feature, only for use with manually powered elbow

• L6640

  Upper extremity additions, shoulder abduction joint, pair

• L6641

  Upper extremity addition, excursion amplifier, pulley type

• L6642

  Upper extremity addition, excursion amplifier, lever type

• L6645

  Upper extremity addition, shoulder flexion-abduction joint, each

• L6646

  Upper extremity addition, shoulder joint, multipositional locking, flexion, adjustable abduction friction control, for use with body powered or external powered system

• L6647

  Upper extremity addition, shoulder lock mechanism, body powered actuator

• L6648

  Upper extremity addition, shoulder lock mechanism, external powered actuator

• L6650

  Upper extremity addition, shoulder universal joint, each

• L6655

  Upper extremity addition, standard control cable, extra

• L6660

  Upper extremity addition, heavy duty control cable

• L6665

  Upper extremity addition, teflon, or equal, cable lining

• L6670

  Upper extremity addition, hook to hand, cable adapter

• L6672

  Upper extremity addition, harness, chest or shoulder, saddle type