HCPCS Code Section: HCPCS L Codes

Upper extremity addition, flexion/extension wrist unit, with or without friction Short Description: Flexion/extension wrist unit Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January …

Elbow disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping Short Description: Elb disart prosth tiss shap Coverage Code: Carrier judgment Action Code: No maintenance for this code …

Upper extremity addition, additional disconnect insert for locking wrist unit, each Short Description: Disconnect insert locking wr Coverage Code: Carrier judgment Action Code: No maintenance for this code Date …

Below elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping Short Description: Below elbow prosth tiss shap Coverage Code: Carrier judgment Action Code: No maintenance for this code …

Upper extremity addition, disconnect locking wrist unit Short Description: Disconnect locking wrist uni Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1986 …

Addition to upper extremity prosthesis, external powered, additional switch, any type Short Description: Additional switch, ext power Coverage Code: Carrier judgment Action Code: No maintenance for this code Date …

Upper extremity additions, flexible metal hinge, pair Short Description: Flexible metal hinge pair Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1982 …

Upper extremity additions, single pivot hinge, pair Short Description: Single pivot hinge pair Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1982 …

Upper extremity additions, polycentric hinge, pair Short Description: Polycentric hinge pair Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1982 Effective Date: …

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 …