HCPCS Codes - Medical Procedures, Supplies & DME Codes - l7 Codes
HCPCS Procedure, Supply & DME (Durable Medical Equipment) Codes ("l7" Codes):- L7007 electric hand switch myoelectric controlled adult HCPCS Code Code
- L7008 electric hand switch myoelectric controlled pediatric HCPCS Code Code
- L7009 electric hook switch myoelectric controlled adult HCPCS Code Code
- L7010 HAND OTTO BACK STEEPER/EQ SW HCPCS Code Code
- L7015 HAND SYS TEKNIK VILLAGE SWIT HCPCS Code Code
- L7020 ELECTRONIC GREIFER SWITCH CT HCPCS Code Code
- L7025 ELECTRON HAND MYOELECTRONIC HCPCS Code Code
- L7030 HAND SYS TEKNIK VILL MYOELEC HCPCS Code Code
- L7035 ELECTRON GREIFER MYOELECTRO HCPCS Code Code
- L7040 prehensile actuator switch controlled HCPCS Code Code
- L7045 electric hook switch myoelectric controlled pediatric HCPCS Code Code
- L7170 electronic elbow hosmer equal switch controlled HCPCS Code Code
- L7180 electronic elbow microprocessor sequential control elbow HCPCS Code Code
- L7181 electronic elbow microprocessor simultaneous control elbow HCPCS Code Code
- L7185 electronic elbow adolescent variety village equal HCPCS Code Code
- L7186 electronic elbow child variety village equal HCPCS Code Code
- L7190 electronic elbow adolescent variety village equal HCPCS Code Code
- L7191 electronic elbow child variety village equal HCPCS Code Code
- L7259 Electronic wrist rotator, any type HCPCS Code Code
- L7260 electronic wrist rotator otto bock equal HCPCS Code Code
- L7261 electronic wrist rotator utah arm HCPCS Code Code
- L7266 servo control steeper equal HCPCS Code Code
- L7272 analogue control unb equal HCPCS Code Code
- L7274 proportional control 612 volt liberty utah HCPCS Code Code
- L7360 six volt battery otto bock equal HCPCS Code Code
- L7362 battery charger six volt otto bock HCPCS Code Code
- L7364 twelve volt battery utah equal each HCPCS Code Code
- L7366 battery charger twelve volt utah equal HCPCS Code Code
- L7367 lithium ion battery replacement HCPCS Code Code
- L7368 lithium ion battery charger HCPCS Code Code
- L7400 addition upper extremity prosthesis below elbowwrist HCPCS Code Code
- L7401 addition upper extremity prosthesis above elbow HCPCS Code Code
- L7402 addition upper extremity prosthesis shoulder disarticulationinterscapular HCPCS Code Code
- L7403 addition upper extremity prosthesis below elbowwrist HCPCS Code Code
- L7404 addition upper extremity prosthesis above elbow HCPCS Code Code
- L7405 addition upper extremity prosthesis shoulder disarticulationinterscapular HCPCS Code Code
- L7499 upper extremity prosthesis not otherwise HCPCS Code Code
- L7500 repair prosthetic device hourly rate excludes HCPCS Code Code
- L7510 repair prosthetic device repair replace minor HCPCS Code Code
- L7520 repair prosthetic device labor component per HCPCS Code Code
- L7600 prosthetic donning sleeve any material each HCPCS Code Code
- L7611 PED TERM DEV, HOOK, VOL OPEN HCPCS Code Code
- L7612 PED TERM DEV, HOOK, VOL CLOS HCPCS Code Code
- L7613 PED TERM DEV, HAND, VOL OPEN HCPCS Code Code
- L7614 PED TERM DEV, HAND, VOL CLOS HCPCS Code Code
- L7621 HOOK/HAND, HVY DTY, VOL OPEN HCPCS Code Code
- L7622 HOOK/HAND, HVY DTY, VOL CLOS HCPCS Code Code
- L7700 Gasket or seal, for use with prosthetic socket insert, any type, each HCPCS Code Code
- L7900 male vacuum erection system HCPCS Code Code
- L7902 Tension ring, for vacuum erection device, any HCPCS Code Code
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HCPCS Medical Codes & Code Modifiers
(HCPCS is commonly pronounced Hick-Picks.)Each year, in the United States, health care insurers process over 5 billion claims for payment. For Medicare and other health insurance programs to ensure that these claims are processed in an orderly and consistent manner, standardized coding systems are essential. The HCPCS Level II Code Set is one of the standard code sets used for this purpose. The HCPCS is divided into two principal subsystems, referred to as level I and level II of the HCPCS. Level I of the HCPCS is comprised of CPT (Current Procedural Terminology), a numeric coding system maintained by the American Medical Association (AMA). The CPT is a uniform coding system consisting of descriptive terms and identifying codes that are used primarily to identify medical services and procedures furnished by physicians and other health care professionals. These health care professionals use the CPT to identify services and procedures for which they bill public or private health insurance programs. Decisions regarding the addition, deletion, or revision of CPT codes are made by the AMA. The CPT codes are republished and updated annually by the AMA. Level I of the HCPCS, the CPT codes, does not include codes needed to separately report medical items or services that are regularly billed by suppliers other than physicians.
Level II of the HCPCS is a standardized coding system that is used primarily to identify products, supplies, and services not included in the CPT codes, such as ambulance services and durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) when used outside a physician's office. Because Medicare and other insurers cover a variety of services, supplies, and equipment that are not identified by CPT codes, the level II HCPCS codes were established for submitting claims for these items. The development and use of level II of the HCPCS began in the 1980's. Level II codes are also referred to as alpha-numeric codes because they consist of a single alphabetical letter followed by 4 numeric digits, while CPT codes are identified using 5 numeric digits.
In October of 2003, the Secretary of HHS delegated authority under the HIPAA legislation to CMS to maintain and distribute HCPCS Level II Codes. As stated in 42 CFR Sec. 414.40 (a) CMS establishes uniform national definitions of services, codes to represent services, and payment modifiers to the codes. Within CMS there is a CMS HCPCS Workgroup which is an internal workgroup comprised of representatives of the major components of CMS, as well as other consultants from pertinent Federal agencies. Prior to December 31, 2003, Level III HCPCS were developed and used by Medicaid State agencies, Medicare contractors, and private insurers in their specific programs or local areas of jurisdiction. For purposes of Medicare, level III codes were also referred to as local codes. Local codes were established when an insurer preferred that suppliers use a local code to identify a service, for which there is no level I or level II code, rather than use a "miscellaneous or not otherwise classified code." The Health Insurance Portability and Accountability Act of 1996 (HIPAA) required CMS to adopt standards for coding systems that are used for reporting health care transactions. We published, in the Federal Register on August 17, 2000 (65 FR 50312), regulations to implement this part of the HIPAA legislation. These regulations provided for the elimination of level III local codes by October 2002, at which time, the level I and level II code sets could be used. The elimination of local codes was postponed, as a result of section 532(a) of BIPA, which continued the use of local codes through December 31, 2003.
(Source: http://www.cms.hhs.gov/MedHCPCSGenInfo/)
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