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

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

• L6935

  Below elbow, 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

• L6940

  Elbow disarticulation, external power, molded inner socket, removable humeral shell, outside locking hinges, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device

• L6945

  Elbow disarticulation, external power, molded inner socket, removable humeral shell, outside locking hinges, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device

• L6950

  Above elbow, external power, molded inner socket, removable humeral shell, internal locking elbow, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device

• L6955

  Above elbow, external power, molded inner socket, removable humeral shell, internal locking elbow, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device

• L6960

  Shoulder disarticulation, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device

• L6965

  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

• L6970

  Interscapular-thoracic, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device

• L6975

  Interscapular-thoracic, 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

• L7007

  Electric hand, switch or myoelectric controlled, adult

• L7008

  Electric hand, switch or myoelectric, controlled, pediatric

• L7009

  Electric hook, switch or myoelectric controlled, adult

• L7040

  Prehensile actuator, switch controlled

• L7045

  Electric hook, switch or myoelectric controlled, pediatric

• L7170

  Electronic elbow, hosmer or equal, switch controlled

• L7180

  Electronic elbow, microprocessor sequential control of elbow and terminal device

• L7181

  Electronic elbow, microprocessor simultaneous control of elbow and terminal device

• L7185

  Electronic elbow, adolescent, variety village or equal, switch controlled

• L7186

  Electronic elbow, child, variety village or equal, switch controlled

• L7190

  Electronic elbow, adolescent, variety village or equal, myoelectronically controlled

• L7191

  Electronic elbow, child, variety village or equal, myoelectronically controlled

• L7259

  Electronic wrist rotator, any type

• L7260

  Electronic wrist rotator, otto bock or equal

• L7261

  Electronic wrist rotator, for utah arm

• L7360

  Six volt battery, each

• L7362

  Battery charger, six volt, each

• L7364

  Twelve volt battery, each

• L7366

  Battery charger, twelve volt, each

• L7367

  Lithium ion battery, rechargeable, replacement

• L7368

  Lithium ion battery charger, replacement only

• L7400

  Addition to upper extremity prosthesis, below elbow/wrist disarticulation, ultralight material (titanium, carbon fiber or equal)

• L7401

  Addition to upper extremity prosthesis, above elbow disarticulation, ultralight material (titanium, carbon fiber or equal)

• L7402

  Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, ultralight material (titanium, carbon fiber or equal)

• L7403

  Addition to upper extremity prosthesis, below elbow/wrist disarticulation, acrylic material

• L7404

  Addition to upper extremity prosthesis, above elbow disarticulation, acrylic material

• L7405

  Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, acrylic material

• L7406

  Addition to upper extremity prosthesis, user adjustable, mechanical, residual limb volume management system (with or without lamination kit)

• L7499

  Upper extremity prosthesis, not otherwise specified

• L7510

  Repair of prosthetic device, repair or replace minor parts

• L7520

  Repair prosthetic device, labor component, per 15 minutes

• L7600

  Prosthetic donning sleeve, any material, each

• L7700

  Gasket or seal, for use with prosthetic socket insert, any type, each

• L7900

  Male vacuum erection system

• L7902

  Tension ring, for vacuum erection device, any type, replacement only, each

• L8000

  Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type

• L8001

  Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral, any size, any type

• L8002

  Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral, any size, any type

• L8010

  Breast prosthesis, mastectomy sleeve

• L8015

  External breast prosthesis garment, with mastectomy form, post mastectomy

• L8020

  Breast prosthesis, mastectomy form