L6025 – Transcarpal/metacarpal or partial hand disarticulation prosthesis, external power, self-suspended, inner socket with removable forearm section, electrodes and cables, two batteries, charger, myoelectric control of terminal device

Long description

Transcarpal/metacarpal or partial hand disarticulation prosthesis, external power, self-suspended, inner socket with removable forearm section, electrodes and cables, two batteries, charger, myoelectric control of terminal device

Short description

Part hand disart myoelectric

Pricing indicator

38 Orthotics, prosthetics, prosthetic devices & vision services

Medicare coverage

C Carrier judgment – coverage decided by the Medicare contractor

BETOS category

D1F Prosthetic/Orthotic devices

Added

January 1, 2003

Last change

January 1, 2015 – No change

Termination date

December 31, 2014

Nearby L codes

• L5988 – Addition to lower limb prosthesis, vertical shock reducing pylon feature
• L5990 – Addition to lower extremity prosthesis, user adjustable heel height
• L5991 – Addition to lower extremity prostheses, osseointegrated external prosthetic connector
• L5992 – All lower extremity prosthesis, foot shell for modular foot/non-solid ankle cushion heel (sach) replacement only
• L5999 – Lower extremity prosthesis, not otherwise specified
• L6000 – Partial hand, thumb remaining
• L6010 – Partial hand, little and/or ring finger remaining
• L6020 – Partial hand, no finger remaining
• L6026 – Transcarpal/metacarpal or partial hand disarticulation prosthesis, external power, self-suspended, inner socket with removable forearm section, electrodes and cables, two batteries, charger, myoelectric control of terminal device, excludes terminal device(s)
• L6028 – Partial hand, finger, and thumb prosthesis without prosthetic digit(s) /thumb, amputation at metacarpal level, including flexible or non-flexible interface, molded to patient model, for use without external power and/or passive prosthetic digit/thumb, not including inserts described by l6692
• L6029 – Upper extremity addition, test socket/interface, partial hand including fingers
• L6030 – Upper extremity addition, external frame, partial hand including fingers
• L6031 – Replacement socket/interface, partial hand including fingers, molded to patient model, for use with or without external power
• L6032 – Addition to upper extremity prosthesis, partial hand including fingers, ultralight material (titanium, carbon fiber or equal)
• L6033 – Addition to upper extremity prosthesis, partial hand including fingers, acrylic material
• L6034 – Partial hand, finger, and thumb prosthesis without prosthetic digit(s)/thumb, amputation at distal to metacarpal joint, including flexible or non-flexible interface, molded to patient model, for use without external power and/or passive prosthetic digit/thumb, not including inserts described by l6692