L6884 – Replacement socket, above elbow/elbow disarticulation, molded to patient model, for use with or without external power

Long description

Replacement socket, above elbow/elbow disarticulation, molded to patient model, for use with or without external power

Short description

Replc sockt above elbow disa

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, 2006

Last change

January 1, 2007 – No change

Nearby L codes

• L6721 – Terminal device, hook or hand, heavy duty, mechanical, voluntary opening, any material, any size, lined or unlined
• L6722 – Terminal device, hook or hand, heavy duty, mechanical, voluntary closing, any material, any size, lined or unlined
• L6805 – Addition to terminal device, modifier wrist unit
• L6810 – Addition to terminal device, precision pinch device
• L6880 – Electric hand, switch or myoelectric controlled, independently articulating digits, any grasp pattern or combination of grasp patterns, includes motor(s)
• L6881 – Automatic grasp feature, addition to upper limb electric prosthetic terminal device
• L6882 – Microprocessor control feature, addition to upper limb prosthetic terminal device
• L6883 – Replacement socket, below elbow/wrist disarticulation, molded to patient model, for use with or without external power
• L6885 – Replacement socket, shoulder disarticulation/interscapular thoracic, molded to patient model, for use with or without external power
• L6890 – Addition to upper extremity prosthesis, glove for terminal device, any material, prefabricated, includes fitting and adjustment
• L6895 – Addition to upper extremity prosthesis, glove for terminal device, any material, custom fabricated
• L6900 – Hand restoration (casts, shading and measurements included), partial hand, with glove, thumb or one finger remaining
• L6905 – Hand restoration (casts, shading and measurements included), partial hand, with glove, multiple fingers remaining
• L6910 – Hand restoration (casts, shading and measurements included), partial hand, with glove, no fingers remaining
• L6915 – Hand restoration (shading, and measurements included), replacement glove for above
• L6920 – Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, otto bock or equal, switch, cables, two batteries and one charger, switch control of terminal device