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HCPCS Procedure & Supply Codes
Prosthetics
section notes
Upper Limb
section notes
Additions: Upper Limb
section notes
L6600   Upper extremity additions, polycentric hinge, pair
L6605   Upper extremity additions, single pivot hinge, pair
L6610   Upper extremity additions, flexible metal hinge, pair
L6611   Addition to upper extremity prosthesis, external powered, additional switch, any type
L6615   Upper extremity addition, disconnect locking wrist unit
L6616   Upper extremity addition, additional disconnect insert for locking wrist unit, each
L6620   Upper extremity addition, flexion/extension wrist unit, with or without friction
L6621   Upper extremity prosthesis addition, flexion/extension wrist with or without fri...
L6623   Upper extremity addition, spring assisted rotational wrist unit with latch release
L6624   Upper extremity addition, flexion/extension and rotation wrist unit
L6625   Upper extremity addition, rotation wrist unit with cable lock
L6628   Upper extremity addition, quick disconnect hook adapter, otto bock or equal
L6629   Upper extremity addition, quick disconnect lamination collar with coupling piece...
L6630   Upper extremity addition, stainless steel, any wrist
L6632   Upper extremity addition, latex suspension sleeve, each
L6635   Upper extremity addition, lift assist for elbow
L6637   Upper extremity addition, nudge control elbow lock
L6638   Upper extremity addition to prosthesis, electric locking feature, only for use w...
L6640   Upper extremity additions, shoulder abduction joint, pair
L6641   Upper extremity addition, excursion amplifier, pulley type
L6642   Upper extremity addition, excursion amplifier, lever type
L6645   Upper extremity addition, shoulder flexion-abduction joint, each
L6646   Upper extremity addition, shoulder joint, multipositional locking, flexion, adju...
L6647   Upper extremity addition, shoulder lock mechanism, body powered actuator
L6648   Upper extremity addition, shoulder lock mechanism, external powered actuator
L6650   Upper extremity addition, shoulder universal joint, each
L6655   Upper extremity addition, standard control cable, extra
L6660   Upper extremity addition, heavy duty control cable
L6665   Upper extremity addition, teflon, or equal, cable lining
L6670   Upper extremity addition, hook to hand, cable adapter
L6672   Upper extremity addition, harness, chest or shoulder, saddle type
L6675   Upper extremity addition, harness, (e.g., figure of eight type), single cable design
L6676   Upper extremity addition, harness, (e.g., figure of eight type), dual cable design
L6677   Upper extremity addition, harness, triple control, simultaneous operation of ter...
L6680   Upper extremity addition, test socket, wrist disarticulation or below elbow
L6682   Upper extremity addition, test socket, elbow disarticulation or above elbow
L6684   Upper extremity addition, test socket, shoulder disarticulation or interscapular...
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
L6692   Upper extremity addition, silicone gel insert or equal, each
L6693   Upper extremity addition, locking elbow, forearm counterbalance
L6694   Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricat...
L6695   Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricat...
L6696   Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricat...
L6697   Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricat...
L6698   Addition to upper extremity prosthesis, below elbow/above elbow, lock mechanism,...
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