L6120 – Below elbow, molded double wall split socket, step-up hinges, half cuff

Long description

Below elbow, molded double wall split socket, step-up hinges, half cuff

Short description

Elbow mold doub splt soc ste

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, 1982

Last change

January 1, 1996 – No change

Nearby L codes

• L6036 – Prosthetic thumb, mechanical, can include metacarpophalangeal (mcp), interphalangeal (ip) joint(s), with or without locking mechanism, can include flexion or extension assist, any material, attachment, initial issue or replacement
• L6037 – Immediate post-surgical or early fitting, application of initial rigid dressing, including fitting alignment and suspension of components, and one cast change, partial hand including fingers
• L6038 – Addition to single prosthetic digit or thumb, mechanical, attachment, multiaxial and/or internal/external rotation/abduction/adduction mechanism, with or without locking feature, any material
• L6039 – Passive prosthetic digit or thumb prosthesis not including hand restoration partial hand, full or partial, custom made, any material, initial or replacement, per single passive prosthetic digit or thumb
• L6050 – Wrist disarticulation, molded socket, flexible elbow hinges, triceps pad
• L6055 – Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad
• L6100 – Below elbow, molded socket, flexible elbow hinge, triceps pad
• L6110 – Below elbow, molded socket, (muenster or northwestern suspension types)
• L6130 – Below elbow, molded double wall split socket, stump activated locking hinge, half cuff
• L6200 – Elbow disarticulation, molded socket, outside locking hinge, forearm
• L6205 – Elbow disarticulation, molded socket with expandable interface, outside locking hinges, forearm
• L6250 – Above elbow, molded double wall socket, internal locking elbow, forearm
• L6300 – Shoulder disarticulation, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm
• L6310 – Shoulder disarticulation, passive restoration (complete prosthesis)
• L6320 – Shoulder disarticulation, passive restoration (shoulder cap only)
• L6350 – Interscapular thoracic, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm