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

HCPCS Service Code P for Lump sum purchase of DME, prosthetics, orthotics.

HCPCS Type of Service (TOS) code is an indicator that the contractor places on Form CMS-1500. The indicator is mainly used for data purposes, however in some instances, it affects payment. All HCPCS codes have a corresponding TOS indicator.

Below are all available HCPCS TOS codes. Find an HCPCS code based on the type of service.

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

  • L6675

    Upper extremity addition, harness, (e.g., figure of eight type), single cable design

  • L6676

    Upper extremity addition, harness, (e.g., figure of eight type), dual cable design

  • L6677

    Upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow

  • L6680

    Upper extremity addition, test socket, wrist disarticulation or below elbow

  • L6682

    Upper extremity addition, test socket, elbow disarticulation or above elbow

  • L6684

    Upper extremity addition, test socket, shoulder disarticulation or interscapular thoracic

  • L6686

    Upper extremity addition, suction socket

  • L6687

    Upper extremity addition, frame type socket, below elbow or wrist disarticulation

  • L6688

    Upper extremity addition, frame type socket, above elbow or elbow disarticulation

  • L6689

    Upper extremity addition, frame type socket, shoulder disarticulation

  • L6690

    Upper extremity addition, frame type socket, interscapular-thoracic

  • L6691

    Upper extremity addition, removable insert, each

  • L6692

    Upper extremity addition, silicone gel insert or equal, with or without locking mechanism, each

  • L6693

    Upper extremity addition, locking elbow, forearm counterbalance

  • L6694

    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

  • L6695

    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

  • L6696

    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)

  • L6697

    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)

  • L6698

    Addition to upper extremity prosthesis, lock mechanism, excludes socket insert

  • L6700

    Upper extremity addition, external powered feature, myoelectronic control module, additional emg inputs, pattern-recognition decoding intent movement

  • L6703

    Terminal device, passive hand/mitt, any material, any size

  • L6704

    Terminal device, sport/recreational/work attachment, any material, any size

  • L6706

    Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined

  • L6707

    Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined

  • L6708

    Terminal device, hand, mechanical, voluntary opening, any material, any size

  • L6709

    Terminal device, hand, mechanical, voluntary closing, any material, any size

  • L6711

    Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined, pediatric

  • L6712

    Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined, pediatric

  • L6713

    Terminal device, hand, mechanical, voluntary opening, any material, any size, pediatric

  • L6714

    Terminal device, hand, mechanical, voluntary closing, any material, any size, pediatric

  • L6715

    Terminal device, multiple articulating digit, includes motor(s), initial issue or replacement

  • L6721

    Terminal device, hook or hand, heavy duty, mechanical, voluntary opening, any material, any size, lined or unlined

  • L6722

    Terminal device, hook or hand, heavy duty, mechanical, voluntary closing, any material, any size, lined or unlined

  • L6805

    Addition to terminal device, modifier wrist unit

  • L6810

    Addition to terminal device, precision pinch device

  • L6880

    Electric hand, switch or myoelectric controlled, independently articulating digits, any grasp pattern or combination of grasp patterns, includes motor(s)

  • L6881

    Automatic grasp feature, addition to upper limb electric prosthetic terminal device

  • L6882

    Microprocessor control feature, addition to upper limb prosthetic terminal device

  • L6883

    Replacement socket, below elbow/wrist disarticulation, molded to patient model, for use with or without external power

  • L6884

    Replacement socket, above elbow/elbow disarticulation, molded to patient model, for use with or without external power

  • L6885

    Replacement socket, shoulder disarticulation/interscapular thoracic, molded to patient model, for use with or without external power

  • L6890

    Addition to upper extremity prosthesis, glove for terminal device, any material, prefabricated, includes fitting and adjustment

  • L6895

    Addition to upper extremity prosthesis, glove for terminal device, any material, custom fabricated

  • L6900

    Hand restoration (casts, shading and measurements included), partial hand, with glove, thumb or one finger remaining

  • L6905

    Hand restoration (casts, shading and measurements included), partial hand, with glove, multiple fingers remaining

  • L6910

    Hand restoration (casts, shading and measurements included), partial hand, with glove, no fingers remaining

  • L6915

    Hand restoration (shading, and measurements included), replacement glove for above

  • L6920

    Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, otto bock or equal, switch, cables, two batteries and one charger, switch control of terminal device

  • L6925

    Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device

  • L6930

    Below elbow, external power, self-suspended inner socket, removable forearm shell, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device