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

Long description

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

Short description

Elbow socket ins use w/o lck

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, 2005

Last change

January 1, 2005 – No change

Nearby L codes

• 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
• L6692 – Upper extremity addition, silicone gel insert or equal, with or without locking mechanism, 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
• 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
• L6704 – Terminal device, sport/recreational/work attachment, any material, any size
• L6706 – Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined
• L6707 – Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined