L8701 – Powered upper extremity range of motion assist device, elbow, wrist, hand with single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated
HCPCS Level II code · L codes: Orthotic and Prosthetic Procedures and Devices
HCPCS codeL8701
- Long description
- Powered upper extremity range of motion assist device, elbow, wrist, hand with single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated
- Short description
- Ewh s/d uprt micro sensor
- Pricing indicator
38Orthotics, prosthetics, prosthetic devices & vision services- Medicare coverage
CCarrier judgment – coverage decided by the Medicare contractor- BETOS category
D1FProsthetic/Orthotic devices- Added
- January 1, 2019
- Last change
- January 1, 2024 – No change
Frequently asked questions
What is HCPCS code L8701?
L8701 is a HCPCS Level II code for powered upper extremity range of motion assist device, elbow, wrist, hand with single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated.
Does Medicare cover L8701?
The HCPCS file lists coverage code C: Carrier judgment – coverage decided by the Medicare contractor. Coverage and payment also depend on local coverage determinations and the patient’s plan.
Nearby L codes
- L8692 – Auditory osseointegrated device, external sound processor, used without osseointegration, body worn, includes headband or other means of external attachment
- L8693 – Auditory osseointegrated device abutment, any length, replacement only
- L8694 – Auditory osseointegrated device, transducer/actuator, replacement only, each
- L8695 – External recharging system for battery (external) for use with implantable neurostimulator, replacement only
- L8696 – Antenna (external) for use with implantable diaphragmatic/phrenic nerve stimulation device, replacement, each
- L8697 – External accessory for use with implantable phrenic nerve stimulation device, replacement, each
- L8698 – Miscellaneous component, supply or accessory for use with total artificial heart system
- L8699 – Prosthetic implant, not otherwise specified
- L8702 – Powered upper extremity range of motion assist device, elbow, wrist, hand, finger, single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated
- L8720 – External lower extremity sensory prosthetic device, cutaneous stimulation of mechanoreceptors proximal to the ankle, per leg
- L8721 – Receptor sole for use with l8720, replacement, each
- L9900 – Orthotic and prosthetic supply, accessory, and/or service component of another hcpcs "l" code
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.