L6890 – Addition to upper extremity prosthesis, glove for terminal device, any material, prefabricated, includes fitting and adjustment

Long description

Addition to upper extremity prosthesis, glove for terminal device, any material, prefabricated, includes fitting and adjustment

Short description

Prefab glove for term device

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, 1986

Last change

January 1, 2005 – No change

Nearby L codes

• 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
• L6884 – Replacement socket, above elbow/elbow 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
• 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
• L6925 – Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device
• L6930 – Below elbow, 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