L6692 – Upper extremity addition, silicone gel insert or equal, with or without locking mechanism, each

Long description

Upper extremity addition, silicone gel insert or equal, with or without locking mechanism, each

Short description

Silicon gel insert w/wo lock

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, 1989

Last change

April 1, 2025 – No change

Nearby L codes

• L6682 – Upper extremity addition, test socket, elbow disarticulation or above elbow
• L6684 – Upper extremity addition, test socket, shoulder disarticulation or interscapular thoracic
• L6686 – Upper extremity addition, suction socket
• L6687 – Upper extremity addition, frame type socket, below elbow or wrist disarticulation
• L6688 – Upper extremity addition, frame type socket, above elbow or elbow disarticulation
• L6689 – Upper extremity addition, frame type socket, shoulder disarticulation
• L6690 – Upper extremity addition, frame type socket, interscapular-thoracic
• L6691 – Upper extremity addition, removable insert, each
• L6693 – Upper extremity addition, locking elbow, forearm counterbalance
• L6694 – Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanism
• L6695 – Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mechanism
• L6696 – Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code l6694 or l6695)
• L6697 – Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code l6694 or l6695)
• L6698 – Addition to upper extremity prosthesis, lock mechanism, excludes socket insert
• L6700 – Upper extremity addition, external powered feature, myoelectronic control module, additional emg inputs, pattern-recognition decoding intent movement
• L6703 – Terminal device, passive hand/mitt, any material, any size