HCPCS Code Section: HCPCS L Codes

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf Short Description: Who cock-up nonmolde pre ots Coverage Code: Carrier judgment Action Code: No maintenance for this code …

Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment Short Description: Who w/o joints cf Coverage Code: Carrier judgment Action Code: No …

Wrist hand orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment Short Description: Who w/nontorsion jnt(s) cf …

Wrist hand finger orthosis, external powered, electric, custom fabricated Short Description: Whfo electric custom fitted Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January …

Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), without joint/spring, extension/flexion (e.g., static or ring type), may include soft interface material, prefabricated, off-the-shelf Short Description: Fo pip dip no jt …

Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, cable driven, custom fabricated Short Description: Hinge ext/flex wrist finger Coverage Code: Carrier judgment Action Code: …

Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), non torsion joint/spring, extension/flexion, may include soft interface material, prefabricated, off-the-shelf Short Description: Fo pip dip jnt/sprng pre ots Coverage Code: Carrier …

Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, wrist or finger driven, custom fabricated Short Description: Hinge extension/flex wrist/f Coverage Code: Carrier judgment Action …

Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf Short Description: Hfo without joints pre ots Coverage Code: Carrier judgment Action Code: No maintenance for this …

Addition to upper extremity joint, wrist or elbow, concentric adjustable torsion style mechanism for custom fabricated orthotics only, each Short Description: Torsion mechanism wrist/elbo Coverage Code: Not payable by …