Medical Billing Code Search
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9172 results found
| L5644 | Above knee wood socket | Description: Addition to lower extremity, above knee, wood socket |
| L5645 | Bk flex inner socket ext fra | Description: Addition to lower extremity, below knee, flexible inner socket, external frame |
| L5646 | Below knee cushion socket | Description: Addition to lower extremity, below knee, air, fluid, gel or equal, cushion socket |
| L5647 | Below knee suction socket | Description: Addition to lower extremity, below knee suction socket |
| L5648 | Above knee cushion socket | Description: Addition to lower extremity, above knee, air, fluid, gel or equal, cushion socket |
| L5649 | Isch containmt/narrow m-l so | Description: Addition to lower extremity, ischial containment/narrow m-l socket |
| L5650 | Tot contact ak/knee disart s | Description: Additions to lower extremity, total contact, above knee or knee disarticulation socket |
| L5651 | Ak flex inner socket ext fra | Description: Addition to lower extremity, above knee, flexible inner socket, external frame |
| L5652 | Suction susp ak/knee disart | Description: Addition to lower extremity, suction suspension, above knee or knee disarticulation socket |
| L5653 | Knee disart expand wall sock | Description: Addition to lower extremity, knee disarticulation, expandable wall socket |
| L5654 | Socket insert symes | Description: Addition to lower extremity, socket insert, symes, (kemblo, pelite, aliplast, plastazote or equal) |
| L5655 | Socket insert below knee | Description: Addition to lower extremity, socket insert, below knee (kemblo, pelite, aliplast, plastazote or equal) |
| L5656 | Socket insert knee articulat | Description: Addition to lower extremity, socket insert, knee disarticulation (kemblo, pelite, aliplast, plastazote or equal) |
| L5657 | Add low ext man aut vol any | Description: Addition to lower extremity prosthesis, manual/automated adjustable air, fluid, gel or equal socket insert for limb volume management, any materials |
| L5658 | Socket insert above knee | Description: Addition to lower extremity, socket insert, above knee (kemblo, pelite, aliplast, plastazote or equal) |
| L5661 | Multi-durometer symes | Description: Addition to lower extremity, socket insert, multi-durometer symes |
| L5665 | Multi-durometer below knee | Description: Addition to lower extremity, socket insert, multi-durometer, below knee |
| L5666 | Below knee cuff suspension | Description: Addition to lower extremity, below knee, cuff suspension |
| L5668 | Bk molded distal cushion | Description: Addition to lower extremity, below knee, molded distal cushion |
| L5670 | Bk molded supracondylar susp | Description: Addition to lower extremity, below knee, molded supracondylar suspension ('pts' or similar) |
| L5671 | Bk/ak locking mechanism | Description: Addition to lower extremity, below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert |
| L5672 | Bk removable medial brim sus | Description: Addition to lower extremity, below knee, removable medial brim suspension |
| L5673 | Socket insert w lock mech | Description: Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric, or equal, with or without perforations, with or without breathable material, for use with locking mechanism |
| L5676 | Bk knee joints single axis p | Description: Additions to lower extremity, below knee, knee joints, single axis, pair |
| L5677 | Bk knee joints polycentric p | Description: Additions to lower extremity, below knee, knee joints, polycentric, pair |
| L5678 | Bk joint covers pair | Description: Additions to lower extremity, below knee, joint covers, pair |
| L5679 | Socket insert w/o lock mech | Description: Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric, or equal, with or without perforations, with or without breathable material, not for use with locking mechanism |
| L5680 | Bk thigh lacer non-molded | Description: Addition to lower extremity, below knee, thigh lacer, nonmolded |
| L5681 | Intl custm cong/latyp insert | Description: Addition to lower extremity, below knee/above knee, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code l5673 or l5679) |
| L5682 | Bk thigh lacer glut/ischia m | Description: Addition to lower extremity, below knee, thigh lacer, gluteal/ischial, molded |
| L5683 | Initial custom socket insert | Description: Addition to lower extremity, below knee/above knee, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code l5673 or l5679) |
| L5684 | Bk fork strap | Description: Addition to lower extremity, below knee, fork strap |
| L5685 | Below knee sus/seal sleeve | Description: Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or without valve, any material, each |
| L5686 | Bk back check | Description: Addition to lower extremity, below knee, back check (extension control) |
| L5688 | Bk waist belt webbing | Description: Addition to lower extremity, below knee, waist belt, webbing |
| L5690 | Bk waist belt padded and lin | Description: Addition to lower extremity, below knee, waist belt, padded and lined |
| L5692 | Ak pelvic control belt light | Description: Addition to lower extremity, above knee, pelvic control belt, light |
| L5694 | Ak pelvic control belt pad/l | Description: Addition to lower extremity, above knee, pelvic control belt, padded and lined |
| L5695 | Ak sleeve susp neoprene/equa | Description: Addition to lower extremity, above knee, pelvic control, sleeve suspension, neoprene or equal, each |
| L5696 | Ak/knee disartic pelvic join | Description: Addition to lower extremity, above knee or knee disarticulation, pelvic joint |
| L5697 | Ak/knee disartic pelvic band | Description: Addition to lower extremity, above knee or knee disarticulation, pelvic band |
| L5698 | Ak/knee disartic silesian ba | Description: Addition to lower extremity, above knee or knee disarticulation, silesian bandage |
| L5699 | Shoulder harness | Description: All lower extremity prostheses, shoulder harness |
| L5700 | Replace socket below knee | Description: Replacement, socket, below knee, molded to patient model |
| L5701 | Replace socket above knee | Description: Replacement, socket, above knee/knee disarticulation, including attachment plate, molded to patient model |
| L5702 | Replace socket hip | Description: Replacement, socket, hip disarticulation, including hip joint, molded to patient model |
| L5703 | Symes ankle w/o (sach) foot | Description: Ankle, symes, molded to patient model, socket without solid ankle cushion heel (sach) foot, replacement only |
| L5704 | Custom shape cover bk | Description: Custom shaped protective cover, below knee |
| L5705 | Custom shape cover ak | Description: Custom shaped protective cover, above knee |
| L5706 | Custom shape cvr knee disart | Description: Custom shaped protective cover, knee disarticulation |
| L5707 | Custom shape cvr hip disart | Description: Custom shaped protective cover, hip disarticulation |
| L5710 | Kne-shin exo sng axi mnl loc | Description: Addition, exoskeletal knee-shin system, single axis, manual lock |
| L5711 | Knee-shin exo mnl lock ultra | Description: Additions exoskeletal knee-shin system, single axis, manual lock, ultra-light material |
| L5712 | Knee-shin exo frict swg & st | Description: Addition, exoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee) |
| L5714 | Knee-shin exo variable frict | Description: Addition, exoskeletal knee-shin system, single axis, variable friction swing phase control |
| L5716 | Knee-shin exo mech stance ph | Description: Addition, exoskeletal knee-shin system, polycentric, mechanical stance phase lock |
| L5718 | Knee-shin exo frct swg & sta | Description: Addition, exoskeletal knee-shin system, polycentric, friction swing and stance phase control |
| L5722 | Knee-shin pneum swg frct exo | Description: Addition, exoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control |
| L5724 | Knee-shin exo fluid swing ph | Description: Addition, exoskeletal knee-shin system, single axis, fluid swing phase control |
| L5726 | Knee-shin ext jnts fld swg e | Description: Addition, exoskeletal knee-shin system, single axis, external joints fluid swing phase control |
| L5728 | Knee-shin fluid swg & stance | Description: Addition, exoskeletal knee-shin system, single axis, fluid swing and stance phase control |
| L5780 | Knee-shin pneum/hydra pneum | Description: Addition, exoskeletal knee-shin system, single axis, pneumatic/hydra pneumatic swing phase control |
| L5781 | Lower limb pros vacuum pump | Description: Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system |
| L5782 | Hd low limb pros vacuum pump | Description: Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system, heavy duty |
| L5783 | Add low ext mec limb vol lam | Description: Addition to lower extremity, user adjustable, mechanical, residual limb volume management system (with or without lamination kit) |
| L5785 | Exoskeletal bk ultralt mater | Description: Addition, exoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal) |
| L5790 | Exoskeletal ak ultra-light m | Description: Addition, exoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal) |
| L5795 | Exoskel hip ultra-light mate | Description: Addition, exoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal) |
| L5810 | Endoskel knee-shin mnl lock | Description: Addition, endoskeletal knee-shin system, single axis, manual lock |
| L5811 | Endo knee-shin mnl lck ultra | Description: Addition, endoskeletal knee-shin system, single axis, manual lock, ultra-light material |
| L5812 | Endo knee-shin frct swg & st | Description: Addition, endoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee) |
| L5814 | Endo knee-shin hydral swg ph | Description: Addition, endoskeletal knee-shin system, polycentric, hydraulic swing phase control, mechanical stance phase lock |
| L5816 | Endo knee-shin polyc mch sta | Description: Addition, endoskeletal knee-shin system, polycentric, mechanical stance phase lock |
| L5818 | Endo knee-shin frct swg & st | Description: Addition, endoskeletal knee-shin system, polycentric, friction swing, and stance phase control |
| L5822 | Endo knee-shin pneum swg frc | Description: Addition, endoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control |
| L5824 | Endo knee-shin fluid swing p | Description: Addition, endoskeletal knee-shin system, single axis, fluid swing phase control |
| L5826 | Miniature knee joint | Description: Addition, endoskeletal knee-shin system, single axis, hydraulic swing phase control, with miniature high activity frame |
| L5827 | Endo knee shin single axis | Description: Endoskeletal knee-shin system, single axis, electromechanical swing and stance phase control, with or without shock absorption and stance extension damping |
| L5828 | Endo knee-shin fluid swg/sta | Description: Addition, endoskeletal knee-shin system, single axis, fluid swing and stance phase control |
| L5830 | Endo knee-shin pneum/swg pha | Description: Addition, endoskeletal knee-shin system, single axis, pneumatic/ swing phase control |
| L5840 | Multi-axial knee/shin system | Description: Addition, endoskeletal knee/shin system, 4-bar linkage or multiaxial, pneumatic swing phase control |
| L5841 | Addition endoskletl knee-shi | Description: Addition, endoskeletal knee-shin system, polycentric, pneumatic swing, and stance phase control |
| L5845 | Knee-shin sys stance flexion | Description: Addition, endoskeletal, knee-shin system, stance flexion feature, adjustable |
| L5848 | Knee-shin sys hydraul stance | Description: Addition to endoskeletal knee-shin system, fluid stance extension, dampening feature, with or without adjustability |
| L5850 | Endo ak/hip knee extens assi | Description: Addition, endoskeletal system, above knee or hip disarticulation, knee extension assist |
| L5855 | Mech hip extension assist | Description: Addition, endoskeletal system, hip disarticulation, mechanical hip extension assist |
| L5856 | Elec knee-shin swing/stance | Description: Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type |
| L5857 | Elec knee-shin swing only | Description: Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing phase only, includes electronic sensor(s), any type |
| L5858 | Stance phase only | Description: Addition to lower extremity prosthesis, endoskeletal knee shin system, microprocessor control feature, stance phase only, includes electronic sensor(s), any type |
| L5859 | Knee-shin pro flex/ext cont | Description: Addition to lower extremity prosthesis, endoskeletal knee-shin system, powered and programmable flexion/extension assist control, includes any type motor(s) |
| L5910 | Endo below knee alignable sy | Description: Addition, endoskeletal system, below knee, alignable system |
| L5920 | Endo ak/hip alignable system | Description: Addition, endoskeletal system, above knee or hip disarticulation, alignable system |
| L5925 | Above knee manual lock | Description: Addition, endoskeletal system, above knee, knee disarticulation or hip disarticulation, manual lock |
| L5926 | Endoskel posit rotat unit | Description: Addition to lower extremity prosthesis, endoskeletal, knee disarticulation, above knee, hip disarticulation, positional rotation unit, any type |
| L5930 | High activity knee frame | Description: Addition, endoskeletal system, high activity knee control frame |
| L5940 | Endo bk ultra-light material | Description: Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal) |
| L5950 | Endo ak ultra-light material | Description: Addition, endoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal) |
| L5960 | Endo hip ultra-light materia | Description: Addition, endoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal) |
| L5961 | Endo poly hip, pneu/hyd/rot | Description: Addition, endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control |
| L5962 | Below knee flex cover system | Description: Addition, endoskeletal system, below knee, flexible protective outer surface covering system |
| L5964 | Above knee flex cover system | Description: Addition, endoskeletal system, above knee, flexible protective outer surface covering system |
| L5966 | Hip flexible cover system | Description: Addition, endoskeletal system, hip disarticulation, flexible protective outer surface covering system |
| L5968 | Multiaxial ankle w dorsiflex | Description: Addition to lower limb prosthesis, multiaxial ankle with swing phase active dorsiflexion feature |
| L5969 | Ak/ft power asst incl motors | Description: Addition, endoskeletal ankle-foot or ankle system, power assist, includes any type motor(s) |
| L5970 | Foot external keel sach foot | Description: All lower extremity prostheses, foot, external keel, sach foot |
| L5971 | Sach foot, replacement | Description: All lower extremity prosthesis, solid ankle cushion heel (sach) foot, replacement only |
| L5972 | Flexible keel foot | Description: All lower extremity prostheses, foot, flexible keel |
| L5973 | Ank-foot sys dors-plant flex | Description: Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source |
| L5974 | Foot single axis ankle/foot | Description: All lower extremity prostheses, foot, single axis ankle/foot |
| L5975 | Combo ankle/foot prosthesis | Description: All lower extremity prosthesis, combination single axis ankle and flexible keel foot |
| L5976 | Energy storing foot | Description: All lower extremity prostheses, energy storing foot (seattle carbon copy ii or equal) |
| L5978 | Ft prosth multiaxial ankl/ft | Description: All lower extremity prostheses, foot, multiaxial ankle/foot |
| L5979 | Multi-axial ankle/ft prosth | Description: All lower extremity prosthesis, multi-axial ankle, dynamic response foot, one piece system |
| L5980 | Flex foot system | Description: All lower extremity prostheses, flex foot system |
| L5981 | Flex-walk sys low ext prosth | Description: All lower extremity prostheses, flex-walk system or equal |
| L5982 | Exoskeletal axial rotation u | Description: All exoskeletal lower extremity prostheses, axial rotation unit |
| L5984 | Endoskeletal axial rotation | Description: All endoskeletal lower extremity prosthesis, axial rotation unit, with or without adjustability |
| L5985 | Lwr ext dynamic prosth pylon | Description: All endoskeletal lower extremity prostheses, dynamic prosthetic pylon |
| L5986 | Multi-axial rotation unit | Description: All lower extremity prostheses, multi-axial rotation unit ('mcp' or equal) |
| L5987 | Shank ft w vert load pylon | Description: All lower extremity prosthesis, shank foot system with vertical loading pylon |
| L5988 | Vertical shock reducing pylo | Description: Addition to lower limb prosthesis, vertical shock reducing pylon feature |
| L5990 | User adjustable heel height | Description: Addition to lower extremity prosthesis, user adjustable heel height |
| L5991 | Low pros ext osseo connector | Description: Addition to lower extremity prostheses, osseointegrated external prosthetic connector |
| L5999 | Lowr extremity prosthes nos | Description: Lower extremity prosthesis, not otherwise specified |
| L6000 | Part hand thumb rem | Description: Partial hand, thumb remaining |
| L6010 | Part hand little/ring | Description: Partial hand, little and/or ring finger remaining |
| L6020 | Part hand no fingers | Description: Partial hand, no finger remaining |
| L6025 | Part hand disart myoelectric | Description: Transcarpal/metacarpal or partial hand disarticulation prosthesis, external power, self-suspended, inner socket with removable forearm section, electrodes and cables, two batteries, charger, myoelectric control of terminal device |
| L6026 | Part hand myo exclu term dev | Description: Transcarpal/metacarpal or partial hand disarticulation prosthesis, external power, self-suspended, inner socket with removable forearm section, electrodes and cables, two batteries, charger, myoelectric control of terminal device, excludes terminal device(s) |
| L6028 | Part hand finger metacar amp | Description: Partial hand, finger, and thumb prosthesis without prosthetic digit(s)/thumb, amputation at metacarpal level, including flexible or non-flexible interface, molded to patient model, including palm, for use without external power and/or passive prosthetic digit/thumb, not including inserts described by l6692 |
| L6029 | Test interface part handfing | Description: Upper extremity addition, test socket/interface, partial hand including fingers |
| L6030 | External frame part handfing | Description: Upper extremity addition, external frame, partial hand including fingers |
| L6031 | Rep interface handfng molded | Description: Replacement socket/interface, partial hand including fingers, molded to patient model, for use with or without external power |
| L6032 | Part handfng ultralite tcf/= | Description: Addition to upper extremity prosthesis, partial hand including fingers, ultralight material (titanium, carbon fiber or equal) |
| L6033 | Part handfing acrylic | Description: Addition to upper extremity prosthesis, partial hand including fingers, acrylic material |
| L6034 | Part hand finger distal amp | Description: Partial hand, finger, and thumb prosthesis without prosthetic digit(s)/thumb, amputation at transmetacarpal level, including flexible or non-flexible interface, molded to patient model, for use without external power and/or passive prosthetic digit/thumb, not including inserts described by l6692 |
| L6035 | Prosthetic digit mechanical | Description: Single prosthetic digit, mechanical, can include metacarpophalangeal (mcp), proximal interphalangeal (pip), and/or distal interphalangeal (dip) joint(s), with or without locking mechanism, can include flexion or extension assist, any material, attachment, initial issue or replacement |
| L6036 | Prosthetic thumb mechanical | Description: Prosthetic thumb, mechanical, can include metacarpophalangeal (mcp), interphalangeal (ip) joint(s), with or without locking mechanism, can include flexion or extension assist, any material, attachment, initial issue or replacement |
| L6037 | Postop dsg cast chg handfing | Description: Immediate post-surgical or early fitting, application of initial rigid dressing, including fitting alignment and suspension of components, and one cast change, partial hand including fingers |
| L6038 | Multiax rotation attachment | Description: Addition to single prosthetic digit or thumb, mechanical, attachment, multiaxial and/or internal/external rotation/abduction/adduction mechanism, with or without locking feature, any material |
| L6039 | Passive custom digit/thumb | Description: Passive prosthetic digit or thumb prosthesis not including hand restoration partial hand, full or partial, custom made, any material, initial or replacement, per single passive prosthetic digit or thumb |
| L6050 | Wrst mld sck flx hng tri pad | Description: Wrist disarticulation, molded socket, flexible elbow hinges, triceps pad |
| L6055 | Wrst mold sock w/exp interfa | Description: Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad |
| L6100 | Elb mold sock flex hinge pad | Description: Below elbow, molded socket, flexible elbow hinge, triceps pad |
| L6110 | Elbow mold sock suspension t | Description: Below elbow, molded socket, (muenster or northwestern suspension types) |
| L6120 | Elbow mold doub splt soc ste | Description: Below elbow, molded double wall split socket, step-up hinges, half cuff |
| L6130 | Elbow stump activated lock h | Description: Below elbow, molded double wall split socket, stump activated locking hinge, half cuff |
| L6200 | Elbow mold outsid lock hinge | Description: Elbow disarticulation, molded socket, outside locking hinge, forearm |
| L6205 | Elbow molded w/ expand inter | Description: Elbow disarticulation, molded socket with expandable interface, outside locking hinges, forearm |
| L6250 | Elbow inter loc elbow forarm | Description: Above elbow, molded double wall socket, internal locking elbow, forearm |
| L6300 | Shlder disart int lock elbow | Description: Shoulder disarticulation, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm |
| L6310 | Shoulder passive restor comp | Description: Shoulder disarticulation, passive restoration (complete prosthesis) |
| L6320 | Shoulder passive restor cap | Description: Shoulder disarticulation, passive restoration (shoulder cap only) |
| L6350 | Thoracic intern lock elbow | Description: Interscapular thoracic, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm |
| L6360 | Thoracic passive restor comp | Description: Interscapular thoracic, passive restoration (complete prosthesis) |
| L6370 | Thoracic passive restor cap | Description: Interscapular thoracic, passive restoration (shoulder cap only) |
| L6380 | Postop dsg cast chg wrst/elb | Description: Immediate post surgical or early fitting, application of initial rigid dressing, including fitting alignment and suspension of components, and one cast change, wrist disarticulation or below elbow |
| L6382 | Postop dsg cast chg elb dis/ | Description: Immediate post surgical or early fitting, application of initial rigid dressing including fitting alignment and suspension of components, and one cast change, elbow disarticulation or above elbow |
| L6384 | Postop dsg cast chg shlder/t | Description: Immediate post surgical or early fitting, application of initial rigid dressing including fitting alignment and suspension of components, and one cast change, shoulder disarticulation or interscapular thoracic |
| L6386 | Postop ea cast chg & realign | Description: Immediate post surgical or early fitting, each additional cast change and realignment |
| L6388 | Postop applicat rigid dsg on | Description: Immediate post surgical or early fitting, application of rigid dressing only |
| L6400 | Below elbow prosth tiss shap | Description: Below elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping |
| L6450 | Elb disart prosth tiss shap | Description: Elbow disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping |
| L6500 | Above elbow prosth tiss shap | Description: Above elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping |
| L6550 | Shldr disar prosth tiss shap | Description: Shoulder disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping |
| L6570 | Scap thorac prosth tiss shap | Description: Interscapular thoracic, molded socket, endoskeletal system, including soft prosthetic tissue shaping |
| L6580 | Wrist/elbow bowden cable mol | Description: Preparatory, wrist disarticulation or below elbow, single wall plastic socket, friction wrist, flexible elbow hinges, figure of eight harness, humeral cuff, bowden cable control, usmc or equal pylon, no cover, molded to patient model |
| L6582 | Wrist/elbow bowden cbl dir f | Description: Preparatory, wrist disarticulation or below elbow, single wall socket, friction wrist, flexible elbow hinges, figure of eight harness, humeral cuff, bowden cable control, usmc or equal pylon, no cover, direct formed |
| L6584 | Elbow fair lead cable molded | Description: Preparatory, elbow disarticulation or above elbow, single wall plastic socket, friction wrist, locking elbow, figure of eight harness, fair lead cable control, usmc or equal pylon, no cover, molded to patient model |
| L6586 | Elbow fair lead cable dir fo | Description: Preparatory, elbow disarticulation or above elbow, single wall socket, friction wrist, locking elbow, figure of eight harness, fair lead cable control, usmc or equal pylon, no cover, direct formed |
| L6588 | Shdr fair lead cable molded | Description: Preparatory, shoulder disarticulation or interscapular thoracic, single wall plastic socket, shoulder joint, locking elbow, friction wrist, chest strap, fair lead cable control, usmc or equal pylon, no cover, molded to patient model |
| L6590 | Shdr fair lead cable direct | Description: Preparatory, shoulder disarticulation or interscapular thoracic, single wall socket, shoulder joint, locking elbow, friction wrist, chest strap, fair lead cable control, usmc or equal pylon, no cover, direct formed |
| L6600 | Polycentric hinge pair | Description: Upper extremity additions, polycentric hinge, pair |
| L6605 | Single pivot hinge pair | Description: Upper extremity additions, single pivot hinge, pair |
| L6610 | Flexible metal hinge pair | Description: Upper extremity additions, flexible metal hinge, pair |
| L6611 | Additional switch, ext power | Description: Addition to upper extremity prosthesis, external powered, additional switch, any type |
| L6615 | Disconnect locking wrist uni | Description: Upper extremity addition, disconnect locking wrist unit |
| L6616 | Disconnect insert locking wr | Description: Upper extremity addition, additional disconnect insert for locking wrist unit, each |
| L6620 | Flexion/extension wrist unit | Description: Upper extremity addition, flexion/extension wrist unit, with or without friction |
| L6621 | Flex/ext wrist w/wo friction | Description: Upper extremity prosthesis addition, flexion/extension wrist with or without friction, for use with external powered terminal device |
| L6623 | Spring-ass rot wrst w/ latch | Description: Upper extremity addition, spring assisted rotational wrist unit with latch release |
| L6624 | Flex/ext/rotation wrist unit | Description: Upper extremity addition, flexion/extension and rotation wrist unit |
| L6625 | Rotation wrst w/ cable lock | Description: Upper extremity addition, rotation wrist unit with cable lock |
| L6628 | Quick disconn hook adapter o | Description: Upper extremity addition, quick disconnect hook adapter, otto bock or equal |
| L6629 | Lamination collar w/ couplin | Description: Upper extremity addition, quick disconnect lamination collar with coupling piece, otto bock or equal |
| L6630 | Stainless steel any wrist | Description: Upper extremity addition, stainless steel, any wrist |
| L6632 | Latex suspension sleeve each | Description: Upper extremity addition, latex suspension sleeve, each |
| L6635 | Lift assist for elbow | Description: Upper extremity addition, lift assist for elbow |
| L6637 | Nudge control elbow lock | Description: Upper extremity addition, nudge control elbow lock |
| L6638 | Elec lock on manual pw elbow | Description: Upper extremity addition to prosthesis, electric locking feature, only for use with manually powered elbow |
| L6640 | Shoulder abduction joint pai | Description: Upper extremity additions, shoulder abduction joint, pair |
| L6641 | Excursion amplifier pulley t | Description: Upper extremity addition, excursion amplifier, pulley type |
| L6642 | Excursion amplifier lever ty | Description: Upper extremity addition, excursion amplifier, lever type |
| L6645 | Shoulder flexion-abduction j | Description: Upper extremity addition, shoulder flexion-abduction joint, each |
| L6646 | Multipo locking shoulder jnt | Description: Upper extremity addition, shoulder joint, multipositional locking, flexion, adjustable abduction friction control, for use with body powered or external powered system |
| L6647 | Shoulder lock actuator | Description: Upper extremity addition, shoulder lock mechanism, body powered actuator |
| L6648 | Ext pwrd shlder lock/unlock | Description: Upper extremity addition, shoulder lock mechanism, external powered actuator |
| L6650 | Shoulder universal joint | Description: Upper extremity addition, shoulder universal joint, each |
| L6655 | Standard control cable extra | Description: Upper extremity addition, standard control cable, extra |
| L6660 | Heavy duty control cable | Description: Upper extremity addition, heavy duty control cable |
| L6665 | Teflon or equal cable lining | Description: Upper extremity addition, teflon, or equal, cable lining |
| L6670 | Hook to hand cable adapter | Description: Upper extremity addition, hook to hand, cable adapter |
| L6672 | Harness chest/shlder saddle | Description: Upper extremity addition, harness, chest or shoulder, saddle type |
| L6675 | Harness figure of 8 sing con | Description: Upper extremity addition, harness, (e.g., figure of eight type), single cable design |
| L6676 | Harness figure of 8 dual con | Description: Upper extremity addition, harness, (e.g., figure of eight type), dual cable design |
| L6677 | Ue triple control harness | Description: Upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow |
| L6680 | Test sock wrist disart/bel e | Description: Upper extremity addition, test socket, wrist disarticulation or below elbow |
| L6682 | Test sock elbw disart/above | Description: Upper extremity addition, test socket, elbow disarticulation or above elbow |
| L6684 | Test socket shldr disart/tho | Description: Upper extremity addition, test socket, shoulder disarticulation or interscapular thoracic |
| L6686 | Suction socket | Description: Upper extremity addition, suction socket |
| L6687 | Frame typ socket bel elbow/w | Description: Upper extremity addition, frame type socket, below elbow or wrist disarticulation |
| L6688 | Frame typ sock above elb/dis | Description: Upper extremity addition, frame type socket, above elbow or elbow disarticulation |
| L6689 | Frame typ socket shoulder di | Description: Upper extremity addition, frame type socket, shoulder disarticulation |
| L6690 | Frame typ sock interscap-tho | Description: Upper extremity addition, frame type socket, interscapular-thoracic |
| L6691 | Removable insert each | Description: Upper extremity addition, removable insert, each |
| L6692 | Silicon gel insert w/wo lock | Description: Upper extremity addition, silicone gel insert or equal, with or without locking mechanism, each |
| L6693 | Lockingelbow forearm cntrbal | Description: Upper extremity addition, locking elbow, forearm counterbalance |
| L6694 | Elbow socket ins use w/lock | Description: Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanism |
| L6695 | Elbow socket ins use w/o lck | Description: Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mechanism |
| L6696 | Cus elbo skt in for con/atyp | Description: Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code l6694 or l6695) |
| L6697 | Cus elbo skt in not con/atyp | Description: Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code l6694 or l6695) |
| L6698 | Add up-ex prosthes lock mech | Description: Addition to upper extremity prosthesis, lock mechanism, excludes socket insert |
| L6700 | Ue add ext power myoel | Description: Upper extremity addition, external powered feature, myoelectronic control module, additional emg inputs, pattern-recognition decoding intent movement |
| L6703 | Term dev, passive hand mitt | Description: Terminal device, passive hand/mitt, any material, any size |
| L6704 | Term dev, sport/rec/work att | Description: Terminal device, sport/recreational/work attachment, any material, any size |
| L6706 | Term dev mech hook vol open | Description: Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined |
| L6707 | Term dev mech hook vol close | Description: Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined |
| L6708 | Term dev mech hand vol open | Description: Terminal device, hand, mechanical, voluntary opening, any material, any size |
| L6709 | Term dev mech hand vol close | Description: Terminal device, hand, mechanical, voluntary closing, any material, any size |
| L6711 | Ped term dev, hook, vol open | Description: Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined, pediatric |
| L6712 | Ped term dev, hook, vol clos | Description: Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined, pediatric |
| L6713 | Ped term dev, hand, vol open | Description: Terminal device, hand, mechanical, voluntary opening, any material, any size, pediatric |
| L6714 | Ped term dev, hand, vol clos | Description: Terminal device, hand, mechanical, voluntary closing, any material, any size, pediatric |
| L6715 | Term device, multi art digit | Description: Terminal device, multiple articulating digit, includes motor(s), initial issue or replacement |
| L6721 | Hook/hand, hvy dty, vol open | Description: Terminal device, hook or hand, heavy duty, mechanical, voluntary opening, any material, any size, lined or unlined |
| L6722 | Hook/hand, hvy dty, vol clos | Description: Terminal device, hook or hand, heavy duty, mechanical, voluntary closing, any material, any size, lined or unlined |
| L6805 | Term dev modifier wrist unit | Description: Addition to terminal device, modifier wrist unit |
| L6810 | Term dev precision pinch dev | Description: Addition to terminal device, precision pinch device |
| L6880 | Elec hand ind art digits | Description: Electric hand, switch or myoelectric controlled, independently articulating digits, any grasp pattern or combination of grasp patterns, includes motor(s) |
| L6881 | Term dev auto grasp feature | Description: Automatic grasp feature, addition to upper limb electric prosthetic terminal device |
| L6882 | Microprocessor control uplmb | Description: Microprocessor control feature, addition to upper limb prosthetic terminal device |
| L6883 | Replc sockt below e/w disa | Description: Replacement socket, below elbow/wrist disarticulation, molded to patient model, for use with or without external power |
| L6884 | Replc sockt above elbow disa | Description: Replacement socket, above elbow/elbow disarticulation, molded to patient model, for use with or without external power |
| L6885 | Replc sockt shldr dis/interc | Description: Replacement socket, shoulder disarticulation/interscapular thoracic, molded to patient model, for use with or without external power |
| L6890 | Prefab glove for term device | Description: Addition to upper extremity prosthesis, glove for terminal device, any material, prefabricated, includes fitting and adjustment |
| L6895 | Custom glove for term device | Description: Addition to upper extremity prosthesis, glove for terminal device, any material, custom fabricated |
| L6900 | Hand restorat thumb/1 finger | Description: Hand restoration (casts, shading and measurements included), partial hand, with glove, thumb or one finger remaining |
| L6905 | Hand restoration multiple fi | Description: Hand restoration (casts, shading and measurements included), partial hand, with glove, multiple fingers remaining |
| L6910 | Hand restoration no fingers | Description: Hand restoration (casts, shading and measurements included), partial hand, with glove, no fingers remaining |
| L6915 | Hand restoration replacmnt g | Description: Hand restoration (shading, and measurements included), replacement glove for above |
| L6920 | Wrist disarticul switch ctrl | Description: 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 disart myoelectronic c | Description: 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 switch control | Description: 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 |
| L6935 | Below elbow myoelectronic ct | Description: Below elbow, 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 |
| L6940 | Elbow disarticulation switch | Description: Elbow disarticulation, external power, molded inner socket, removable humeral shell, outside locking hinges, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device |
| L6945 | Elbow disart myoelectronic c | Description: Elbow disarticulation, external power, molded inner socket, removable humeral shell, outside locking hinges, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device |
| L6950 | Above elbow switch control | Description: Above elbow, external power, molded inner socket, removable humeral shell, internal locking elbow, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device |
| L6955 | Above elbow myoelectronic ct | Description: Above elbow, external power, molded inner socket, removable humeral shell, internal locking elbow, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device |
| L6960 | Shldr disartic switch contro | Description: Shoulder disarticulation, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device |
| L6965 | Shldr disartic myoelectronic | Description: Shoulder disarticulation, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device |
| L6970 | Interscapular-thor switch ct | Description: Interscapular-thoracic, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device |
| L6975 | Interscap-thor myoelectronic | Description: Interscapular-thoracic, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device |
| L7007 | Adult electric hand | Description: Electric hand, switch or myoelectric controlled, adult |
| L7008 | Pediatric electric hand | Description: Electric hand, switch or myoelectric, controlled, pediatric |
| L7009 | Adult electric hook | Description: Electric hook, switch or myoelectric controlled, adult |
| L7040 | Prehensile actuator | Description: Prehensile actuator, switch controlled |
| L7045 | Pediatric electric hook | Description: Electric hook, switch or myoelectric controlled, pediatric |
| L7170 | Electronic elbow hosmer swit | Description: Electronic elbow, hosmer or equal, switch controlled |
| L7180 | Electronic elbow sequential | Description: Electronic elbow, microprocessor sequential control of elbow and terminal device |
| L7181 | Electronic elbo simultaneous | Description: Electronic elbow, microprocessor simultaneous control of elbow and terminal device |
| L7185 | Electron elbow adolescent sw | Description: Electronic elbow, adolescent, variety village or equal, switch controlled |
| L7186 | Electron elbow child switch | Description: Electronic elbow, child, variety village or equal, switch controlled |
| L7190 | Elbow adolescent myoelectron | Description: Electronic elbow, adolescent, variety village or equal, myoelectronically controlled |
| L7191 | Elbow child myoelectronic ct | Description: Electronic elbow, child, variety village or equal, myoelectronically controlled |
| L7259 | Electronic wrist rotator any | Description: Electronic wrist rotator, any type |
| L7260 | Electron wrist rotator otto | Description: Electronic wrist rotator, otto bock or equal |
| L7261 | Electron wrist rotator utah | Description: Electronic wrist rotator, for utah arm |
| L7360 | Six volt bat otto bock/eq ea | Description: Six volt battery, each |
| L7362 | Battery chrgr six volt otto | Description: Battery charger, six volt, each |
| L7364 | Twelve volt battery utah/equ | Description: Twelve volt battery, each |
| L7366 | Battery chrgr 12 volt utah/e | Description: Battery charger, twelve volt, each |
| L7367 | Replacemnt lithium ionbatter | Description: Lithium ion battery, rechargeable, replacement |
| L7368 | Lithium ion battery charger | Description: Lithium ion battery charger, replacement only |
| L7400 | Add ue prost be/wd, ultlite | Description: Addition to upper extremity prosthesis, below elbow/wrist disarticulation, ultralight material (titanium, carbon fiber or equal) |
| L7401 | Add ue prost a/e ultlite mat | Description: Addition to upper extremity prosthesis, above elbow disarticulation, ultralight material (titanium, carbon fiber or equal) |
| L7402 | Add ue prost s/d ultlite mat | Description: Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, ultralight material (titanium, carbon fiber or equal) |
| L7403 | Add ue prost b/e acrylic | Description: Addition to upper extremity prosthesis, below elbow/wrist disarticulation, acrylic material |
| L7404 | Add ue prost a/e acrylic | Description: Addition to upper extremity prosthesis, above elbow disarticulation, acrylic material |
| L7405 | Add ue prost s/d acrylic | Description: Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, acrylic material |
| L7406 | Add upp ext mec limb vol lam | Description: Addition to upper extremity prosthesis, user adjustable, mechanical, residual limb volume management system (with or without lamination kit) |
| L7499 | Upper extremity prosthes nos | Description: Upper extremity prosthesis, not otherwise specified |
| L7510 | Prosthetic device repair rep | Description: Repair of prosthetic device, repair or replace minor parts |
| L7520 | Repair prosthesis per 15 min | Description: Repair prosthetic device, labor component, per 15 minutes |
| L7600 | Prosthetic donning sleeve | Description: Prosthetic donning sleeve, any material, each |
| L7700 | Pros soc insert gasket/seal | Description: Gasket or seal, for use with prosthetic socket insert, any type, each |
| L7900 | Male vacuum erection system | Description: Male vacuum erection system |
| L7902 | Tension ring, vac erect dev | Description: Tension ring, for vacuum erection device, any type, replacement only, each |
| L8000 | Mastectomy bra | Description: Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type |
| L8001 | Breast prosthesis bra & form | Description: Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral, any size, any type |
| L8002 | Brst prsth bra & bilat form | Description: Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral, any size, any type |
| L8010 | Mastectomy sleeve | Description: Breast prosthesis, mastectomy sleeve |
| L8015 | Ext breastprosthesis garment | Description: External breast prosthesis garment, with mastectomy form, post mastectomy |
| L8020 | Mastectomy form | Description: Breast prosthesis, mastectomy form |
| L8030 | Breast prosthes w/o adhesive | Description: Breast prosthesis, silicone or equal, without integral adhesive |
| L8031 | Breast prosthesis w adhesive | Description: Breast prosthesis, silicone or equal, with integral adhesive |
| L8032 | Reusable nipple prosthesis | Description: Nipple prosthesis, prefabricated, reusable, any type, each |
| L8033 | Nipple prosthesis custom, ea | Description: Nipple prosthesis, custom fabricated, reusable, any material, any type, each |
| L8035 | Custom breast prosthesis | Description: Custom breast prosthesis, post mastectomy, molded to patient model |
| L8039 | Breast prosthesis nos | Description: Breast prosthesis, not otherwise specified |
| L8040 | Nasal prosthesis | Description: Nasal prosthesis, provided by a non-physician |
| L8041 | Midfacial prosthesis | Description: Midfacial prosthesis, provided by a non-physician |
| L8042 | Orbital prosthesis | Description: Orbital prosthesis, provided by a non-physician |
| L8043 | Upper facial prosthesis | Description: Upper facial prosthesis, provided by a non-physician |
| L8044 | Hemi-facial prosthesis | Description: Hemi-facial prosthesis, provided by a non-physician |
| L8045 | Auricular prosthesis | Description: Auricular prosthesis, provided by a non-physician |
| L8046 | Partial facial prosthesis | Description: Partial facial prosthesis, provided by a non-physician |
| L8047 | Nasal septal prosthesis | Description: Nasal septal prosthesis, provided by a non-physician |
| L8048 | Unspec maxillofacial prosth | Description: Unspecified maxillofacial prosthesis, by report, provided by a non-physician |
| L8049 | Repair maxillofacial prosth | Description: Repair or modification of maxillofacial prosthesis, labor component, 15 minute increments, provided by a non-physician |
| L8300 | Truss single w/ standard pad | Description: Truss, single with standard pad |
| L8310 | Truss double w/ standard pad | Description: Truss, double with standard pads |
| L8320 | Truss addition to std pad wa | Description: Truss, addition to standard pad, water pad |
| L8330 | Truss add to std pad scrotal | Description: Truss, addition to standard pad, scrotal pad |
| L8400 | Sheath below knee | Description: Prosthetic sheath, below knee, each |
| L8410 | Sheath above knee | Description: Prosthetic sheath, above knee, each |
| L8415 | Sheath upper limb | Description: Prosthetic sheath, upper limb, each |
| L8417 | Pros sheath/sock w gel cushn | Description: Prosthetic sheath/sock, including a gel cushion layer, below knee or above knee, each |
| L8420 | Prosthetic sock multi ply bk | Description: Prosthetic sock, multiple ply, below knee, each |
| L8430 | Prosthetic sock multi ply ak | Description: Prosthetic sock, multiple ply, above knee, each |
| L8435 | Pros sock multi ply upper lm | Description: Prosthetic sock, multiple ply, upper limb, each |
| L8440 | Shrinker below knee | Description: Prosthetic shrinker, below knee, each |
| L8460 | Shrinker above knee | Description: Prosthetic shrinker, above knee, each |
| L8465 | Shrinker upper limb | Description: Prosthetic shrinker, upper limb, each |
| L8470 | Pros sock single ply bk | Description: Prosthetic sock, single ply, fitting, below knee, each |
| L8480 | Pros sock single ply ak | Description: Prosthetic sock, single ply, fitting, above knee, each |
| L8485 | Pros sock single ply upper l | Description: Prosthetic sock, single ply, fitting, upper limb, each |
| L8499 | Unlisted misc prosthetic ser | Description: Unlisted procedure for miscellaneous prosthetic services |
| L8500 | Artificial larynx | Description: Artificial larynx, any type |
| L8501 | Tracheostomy speaking valve | Description: Tracheostomy speaking valve |
| L8505 | Artificial larynx, accessory | Description: Artificial larynx replacement battery / accessory, any type |
| L8507 | Trach-esoph voice pros pt in | Description: Tracheo-esophageal voice prosthesis, patient inserted, any type, each |
| L8509 | Trach-esoph voice pros md in | Description: Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type |
| L8510 | Voice amplifier | Description: Voice amplifier |
| L8511 | Indwelling trach insert | Description: Insert for indwelling tracheoesophageal prosthesis, with or without valve, replacement only, each |
| L8512 | Gel cap for trach voice pros | Description: Gelatin capsules or equivalent, for use with tracheoesophageal voice prosthesis, replacement only, per 10 |
| L8513 | Trach pros cleaning device | Description: Cleaning device used with tracheoesophageal voice prosthesis, pipet, brush, or equal, replacement only, each |
| L8514 | Repl trach puncture dilator | Description: Tracheoesophageal puncture dilator, replacement only, each |
| L8515 | Gel cap app device for trach | Description: Gelatin capsule, application device for use with tracheoesophageal voice prosthesis, each |
| L8600 | Implant breast silicone/eq | Description: Implantable breast prosthesis, silicone or equal |
| L8603 | Collagen imp urinary 2.5 ml | Description: Injectable bulking agent, collagen implant, urinary tract, 2.5 ml syringe, includes shipping and necessary supplies |
| L8604 | Dextranomer/hyaluronic acid | Description: Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, urinary tract, 1 ml, includes shipping and necessary supplies |
| L8605 | Inj bulking agent anal canal | Description: Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, anal canal, 1 ml, includes shipping and necessary supplies |
| L8606 | Synthetic implnt urinary 1ml | Description: Injectable bulking agent, synthetic implant, urinary tract, 1 ml syringe, includes shipping and necessary supplies |
| L8607 | Inj vocal cord bulking agent | Description: Injectable bulking agent for vocal cord medialization, 0.1 ml, includes shipping and necessary supplies |
| L8608 | Arg ii ext com/sup/acc misc | Description: Miscellaneous external component, supply or accessory for use with the argus ii retinal prosthesis system |
| L8609 | Artificial cornea | Description: Artificial cornea |
| L8610 | Ocular implant | Description: Ocular implant |
| L8612 | Aqueous shunt prosthesis | Description: Aqueous shunt |
| L8613 | Ossicular implant | Description: Ossicula implant |
| L8614 | Cochlear device | Description: Cochlear device, includes all internal and external components |
| L8615 | Coch implant headset replace | Description: Headset/headpiece for use with cochlear implant device, replacement |
| L8616 | Coch implant microphone repl | Description: Microphone for use with cochlear implant device, replacement |
| L8617 | Coch implant trans coil repl | Description: Transmitting coil for use with cochlear implant device, replacement |
| L8618 | Coch implant tran cable repl | Description: Transmitter cable for use with cochlear implant device or auditory osseointegrated device, replacement |
| L8619 | Coch imp ext proc/contr rplc | Description: Cochlear implant, external speech processor and controller, integrated system, replacement |
| L8621 | Repl zinc air battery | Description: Zinc air battery for use with cochlear implant device and auditory osseointegrated sound processors, replacement, each |
| L8622 | Repl alkaline battery | Description: Alkaline battery for use with cochlear implant device, any size, replacement, each |
| L8623 | Lith ion batt cid,non-earlvl | Description: Lithium ion battery for use with cochlear implant device speech processor, other than ear level, replacement, each |
| L8624 | Lith ion batt cid, ear level | Description: Lithium ion battery for use with cochlear implant or auditory osseointegrated device speech processor, ear level, replacement, each |
| L8625 | Charger coch impl/aoi battry | Description: External recharging system for battery for use with cochlear implant or auditory osseointegrated device, replacement only, each |
| L8627 | Cid ext speech process repl | Description: Cochlear implant, external speech processor, component, replacement |
| L8628 | Cid ext controller repl | Description: Cochlear implant, external controller component, replacement |
| L8629 | Cid transmit coil and cable | Description: Transmitting coil and cable, integrated, for use with cochlear implant device, replacement |
| L8630 | Metacarpophalangeal implant | Description: Metacarpophalangeal joint implant |
| L8631 | Mcp joint repl 2 pc or more | Description: Metacarpal phalangeal joint replacement, two or more pieces, metal (e.g., stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon), for surgical implantation (all sizes, includes entire system) |
| L8641 | Metatarsal joint implant | Description: Metatarsal joint implant |
| L8642 | Hallux implant | Description: Hallux implant |
| L8658 | Interphalangeal joint spacer | Description: Interphalangeal joint spacer, silicone or equal, each |
| L8659 | Interphalangeal joint repl | Description: Interphalangeal finger joint replacement, 2 or more pieces, metal (e.g., stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon) for surgical implantation, any size |
| L8670 | Vascular graft, synthetic | Description: Vascular graft material, synthetic, implant |
| L8678 | Ext sply implt neurostim | Description: Electrical stimulator supplies (external) for use with implantable neurostimulator, per month |
| L8679 | Imp neurosti pls gn any type | Description: Implantable neurostimulator, pulse generator, any type |
| L8680 | Implt neurostim elctr each | Description: Implantable neurostimulator electrode, each |
| L8681 | Pt prgrm for implt neurostim | Description: Patient programmer (external) for use with implantable programmable neurostimulator pulse generator, replacement only |
| L8682 | Implt neurostim radiofq rec | Description: Implantable neurostimulator radiofrequency receiver |
| L8683 | Radiofq trsmtr for implt neu | Description: Radiofrequency transmitter (external) for use with implantable neurostimulator radiofrequency receiver |
| L8684 | Radiof trsmtr implt scrl neu | Description: Radiofrequency transmitter (external) for use with implantable sacral root neurostimulator receiver for bowel and bladder management, replacement |
| L8685 | Implt nrostm pls gen sng rec | Description: Implantable neurostimulator pulse generator, single array, rechargeable, includes extension |
| L8686 | Implt nrostm pls gen sng non | Description: Implantable neurostimulator pulse generator, single array, non-rechargeable, includes extension |
| L8687 | Implt nrostm pls gen dua rec | Description: Implantable neurostimulator pulse generator, dual array, rechargeable, includes extension |
| L8688 | Implt nrostm pls gen dua non | Description: Implantable neurostimulator pulse generator, dual array, non-rechargeable, includes extension |
| L8689 | External recharg sys intern | Description: External recharging system for battery (internal) for use with implantable neurostimulator, replacement only |
| L8690 | Aud osseo dev, int/ext comp | Description: Auditory osseointegrated device, includes all internal and external components |
| L8691 | Aoi snd proc repl excl actua | Description: Auditory osseointegrated device, external sound processor, excludes transducer/actuator, replacement only, each |
| L8692 | Non-osseointegrated snd proc | Description: Auditory osseointegrated device, external sound processor, used without osseointegration, body worn, includes headband or other means of external attachment |
| L8693 | Aud osseo dev, abutment | Description: Auditory osseointegrated device abutment, any length, replacement only |
| L8694 | Aoi transducer/actuator repl | Description: Auditory osseointegrated device, transducer/actuator, replacement only, each |
| L8695 | External recharg sys extern | Description: External recharging system for battery (external) for use with implantable neurostimulator, replacement only |
| L8696 | Ext antenna phren nerve stim | Description: Antenna (external) for use with implantable diaphragmatic/phrenic nerve stimulation device, replacement, each |
| L8698 | Misc used with tot art heart | Description: Miscellaneous component, supply or accessory for use with total artificial heart system |
| L8699 | Prosthetic implant nos | Description: Prosthetic implant, not otherwise specified |
| L8701 | Ewh s/d uprt micro sensor | 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 |
| L8702 | Ewhf s/d uprt micro sensor | Description: 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 | Ext low ext sens prosthe mec | Description: External lower extremity sensory prosthetic device, cutaneous stimulation of mechanoreceptors proximal to the ankle, per leg |
| L8721 | Receptor sole l8720 replace | Description: Receptor sole for use with l8720, replacement, each |
| L9900 | O&p supply/accessory/service | Description: Orthotic and prosthetic supply, accessory, and/or service component of another hcpcs 'l' code |
| M0001 | Advancing cancer care mvp | Description: Advancing cancer care mips value pathways |
| M0002 | Opt care kidney hlth mvp | Description: Optimal care for kidney health mips value pathways |
| M0003 | Opt care episod neuro mvp | Description: Optimal care for patients with episodic neurological conditions mips value pathways |
| M0004 | Qual care neurologic cnd mvp | Description: Quality care for patients with neurological conditions mips value pathway |
| M0005 | Value in primary care mvp | Description: Value in primary care mips value pathway |
| M0064 | Visit for drug monitoring | Description: Brief office visit for the sole purpose of monitoring or changing drug prescriptions used in the treatment of mental psychoneurotic and personality disorders |
| M0075 | Cellular therapy | Description: Cellular therapy |
| M0076 | Prolotherapy | Description: Prolotherapy |
| M0100 | Intragastric hypothermia | Description: Intragastric hypothermia using gastric freezing |
| M0201 | Pne flu hepb cov home admin | Description: Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home |
| M0220 | Tixagev and cilgav inj | Description: Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only, for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 exposure, who either have moderate to severely compromised immune systems or for whom vaccination with any available covid-19 vaccine is not recommended due to a history of severe adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s), includes injection and post administration monitoring |
| M0221 | Tixagev and cilgav inj hm | Description: Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only, for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 exposure, who either have moderate to severely compromised immune systems or for whom vaccination with any available covid-19 vaccine is not recommended due to a history of severe adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s), includes injection and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the covid-19 public health emergency |
| M0222 | Bebtelovimab injection | Description: Intravenous injection, bebtelovimab, includes injection and post administration monitoring |
| M0223 | Bebtelovimab injection home | Description: Intravenous injection, bebtelovimab, includes injection and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the covid-19 public health emergency |
| M0224 | Pemivibart infusion | Description: Intravenous infusion, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known sars-cov-2 exposure, who either have moderate-to-severe immune compromise due to a medical condition or receipt of immunosuppressive medications or treatments, includes infusion and post administration monitoring |
| M0235 | Intrav inf, mon anti, fir do | Description: Intravenous infusion, monoclonal antibody products with an indication for post-exposure prophylaxis or treatment of covid-19, for hospitalized adults and/or pediatric patients who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, includes infusion and post administration monitoring, not otherwise classified, first dose |
| M0236 | Intrav inf, mon anti, sec do | Description: Intravenous infusion, monoclonal antibody products with an indication for post-exposure prophylaxis or treatment of covid-19, for hospitalized adults and/or pediatric patients who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, includes infusion and post administration monitoring, not otherwise classified, second dose |
| M0237 | Intrav inf, toci, first dose | Description: Intravenous infusion, tocilizumab-anoh, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, includes infusion and post administration monitoring, first dose |
| M0238 | Intrav inf, toci, second dos | Description: Intravenous infusion, tocilizumab-anoh, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, includes infusion and post administration monitoring, second dose |
| M0239 | Bamlanivimab-xxxx infusion | Description: Intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring |
| M0240 | Casiri and imdev repeat | Description: Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring, subsequent repeat doses |
| M0241 | Casiri and imdev repeat hm | Description: Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the covid-19 public health emergency, subsequent repeat doses |
| M0243 | Casirivi and imdevi inj | Description: Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
| M0244 | Casirivi and imdevi inj hm | Description: Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the covid-19 public health emergency |
| M0245 | Bamlan and etesev infusion | Description: Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring |
| M0246 | Bamlan and etesev infus home | Description: Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider based to the hospital during the covid 19 public health emergency |
| M0247 | Sotrovimab infusion | Description: Intravenous infusion, sotrovimab, includes infusion and post administration monitoring |
| M0248 | Sotrovimab inf, home admin | Description: Intravenous infusion, sotrovimab, includes infusion and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the covid-19 public health emergency |
| M0249 | Adm tocilizu covid-19 1st | Description: Intravenous infusion, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, includes infusion and post administration monitoring, first dose |
| M0250 | Adm tocilizu covid-19 2nd | Description: Intravenous infusion, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, includes infusion and post administration monitoring, second dose |
| M0300 | Iv chelationtherapy | Description: Iv chelation therapy (chemical endarterectomy) |
| M0301 | Fabric wrapping of aneurysm | Description: Fabric wrapping of abdominal aneurysm |
| M1000 | Pain scr as mod to sevr | Description: Pain screened as moderate to severe |
| M1001 | Pln to adrs pain doc | Description: Plan of care to address moderate to severe pain documented on or before the date of the second visit with a clinician |
| M1002 | Pln to adrs pain not doc | Description: Plan of care for moderate to severe pain not documented on or before the date of the second visit with a clinician, reason not given |
| M1003 | Tb scr 12 mo pri fst bio dz | Description: Tb screening performed and results interpreted within twelve months prior to initiation of first-time biologic and/or immune response modifier therapy |
| M1004 | Doc med rsn no srn tb | Description: Documentation of medical reason for not screening for tb or interpreting results (i.e., patient positive for tb and documentation of past treatment; patient who has recently completed a course of anti-tb therapy) |
| M1005 | Tb scr no perf | Description: Tb screening not performed or results not interpreted, reason not given |
| M1006 | Dz not ases, no rsn | Description: Disease activity not assessed, reason not given |
| M1007 | >=50% total pt outpt ra enct | Description: >=50% of total number of a patient's outpatient ra encounters assessed |
| M1008 | <50% total pt outpt ra encts | Description: <50% of total number of a patient's outpatient ra encounters assessed |
| M1009 | Dc eoc doc med rec | Description: Discharge/discontinuation of the episode of care documented in the medical record |
| M1010 | Dc eoc doc med rec | Description: Discharge/discontinuation of the episode of care documented in the medical record |
| M1011 | Dc eoc doc med rec | Description: Discharge/discontinuation of the episode of care documented in the medical record |
| M1012 | Dc eoc doc med rec | Description: Discharge/discontinuation of the episode of care documented in the medical record |
| M1013 | Dc eoc doc med rec | Description: Discharge/discontinuation of the episode of care documented in the medical record |
| M1014 | Dc epi care doc medrec | Description: Discharge/discontinuation of the episode of care documented in the medical record |
| M1015 | Dc eoc doc med rec | Description: Discharge/discontinuation of the episode of care documented in the medical record |
| M1016 | Pt dx meop or sur steri | Description: Female patients unable to bear children |
| M1017 | Pt admt to palitve serv | Description: Patient admitted to palliative care services |
| M1018 | Pt dx hst cr pt sk lg cr scr | Description: Patients with an active diagnosis or history of cancer (except basal cell and squamous cell skin carcinoma), patients who are heavy tobacco smokers, lung cancer screening patients |
| M1019 | Adl pt mj dep ds rs 12 phq<5 | Description: Adolescent patients 12 to 17 years of age with major depression or dysthymia who reached remission at twelve months as demonstrated by a twelve month (+/-60 days) phq-9 or phq-9m score of less than 5 |
| M1020 | Adl pt mj dep ds no rs 12 mo | Description: Adolescent patients 12 to 17 years of age with major depression or dysthymia who did not reach remission at twelve months as demonstrated by a twelve month (+/-60 days) phq-9 or phq-9m score of less than 5. either phq-9 or phq-9m score was not assessed or is greater than or equal to 5 |
| M1021 | Pt uc in pp | Description: Patient had only urgent care visits during the performance period |
| M1022 | Pt hospice during perf pd | Description: Patients who were in hospice at any time during the performance period |
| M1023 | Adl pt mj dep ds rs 6 phq<5 | Description: Adolescent patients 12 to 17 years of age with major depression or dysthymia who reached remission at six months as demonstrated by a six month (+/-60 days) phq-9 or phq-9m score of less than five |
| M1024 | Adl pt mj dep ds no rs 6 mo | Description: Adolescent patients 12 to 17 years of age with major depression or dysthymia who did not reach remission at six months as demonstrated by a six month (+/-60 days) phq-9 or phq-9m score of less than five. either phq-9 or phq-9m score was not assessed or is greater than or equal to five |
| M1025 | Pt hospice during perf pd | Description: Patients who were in hospice at any time during the performance period |
| M1026 | Pt hospice during perf pd | Description: Patients who were in hospice at any time during the performance period |
| M1027 | Img head (ct or mri) obtnd | Description: Imaging of the head (ct or mri) was obtained |
| M1028 | Doc of pt prm hda dx and otr | Description: Documentation of patients with primary headache diagnosis and imaging other than ct or mri obtained |
| M1029 | Doc sysm rsn img hd | Description: Imaging of the head (ct or mri) was not obtained, reason not given |
| M1030 | Pt clin ind img hd | Description: Patients with clinical indications for imaging of the head |
| M1031 | Pt clin ind img hd | Description: Patients with no clinical indications for imaging of the head |
| M1032 | Adt tkng pharmthry for oud | Description: Adults currently taking pharmacotherapy for oud |
| M1033 | Pharmthry for oud afr 6.30 | Description: Pharmacotherapy for oud initiated after june 30th of performance period |
| M1034 | Adt 180 dys pharmthry oud | Description: Adults who have at least 180 days of continuous pharmacotherapy with a medication prescribed for oud without a gap of more than seven days |
| M1035 | Adt pd out mat pr 180 dys tx | Description: Adults who are deliberately phased out of medication assisted treatment (mat) prior to 180 days of continuous treatment |
| M1036 | Adt no 180 dys pharmthry oud | Description: Adults who have not had at least 180 days of continuous pharmacotherapy with a medication prescribed for oud without a gap of more than seven days |
| M1037 | Pt dx lum sp reg cacr | Description: Patients with a diagnosis of lumbar spine region cancer at the time of the procedure |
| M1038 | Pt dx lum sp reg fract | Description: Patients with a diagnosis of lumbar spine region fracture at the time of the procedure |
| M1039 | Pt dx lum sp reg inf | Description: Patients with a diagnosis of lumbar spine region infection at the time of the procedure |
| M1040 | Pt dx lum idi or cong scol | Description: Patients with a diagnosis of lumbar idiopathic or congenital scoliosis |
| M1041 | Pt cr ft inf lm or pt id sl | Description: Patient had cancer, acute fracture or infection related to the lumbar spine or patient had neuromuscular, idiopathic or congenital lumbar scoliosis |
| M1042 | Ftl st mea sco ot odi 3 mo | Description: Functional status measurement with score was obtained utilizing the oswestry disability index (odi version 2.1a) patient reported outcome tool within three months preoperatively and at one year (9 to 15 months) postoperatively |
| M1043 | Fs no odi 9-15mo | Description: Functional status was not measured by the oswestry disability index (odi version 2.1a) at one year (9 to 15 months) postoperatively |
| M1044 | Ftl st mea odi 3 mo | Description: Functional status was measured by the oswestry disability index (odi version 2.1a) patient reported outcome tool within three months preoperatively and at one year (9 to 15 months) postoperatively |
| M1045 | Fs oks 9-15mo >= 37 >= 71 | Description: Functional status measured by the oxford knee score (oks) at one year (9 to 15 months) postoperatively was greater than or equal to 37 or knee injury and osteoarthritis outcome score joint replacement (koos, jr.) was greater than or equal to 71 |
| M1046 | Fs oks 9-15mo < 37 < 71 | Description: Functional status measured by the oxford knee score (oks) at one year (9 to 15 months) postoperatively was less than 37 or the knee injury and osteoarthritis outcome score joint replacement (koos, jr.) was less than 71 postoperatively |
| M1047 | Fs msrd oks pre and post | Description: Functional status was measured by the oxford knee score (oks) patient reported outcome tool within three months preoperatively and at one year (9 to 15 months) postoperatively |
| M1048 | Fsm wth scr odi pre and post | Description: Functional status measurement with score was obtained utilizing the oswestry disability index (odi version 2.1a) patient reported outcome tool within three months preoperatively and at three months (6 to 20 weeks) postoperatively |
| M1049 | Fs wth scr no odi pre and p | Description: Functional status was not measured by the oswestry disability index (odi version 2.1a) at three months (6 - 20 weeks) postoperatively |
| M1050 | Fs msrd odi pre and post | Description: Functional status was measured by the oswestry disability index (odi version 2.1a) patient reported outcome tool within three months preoperatively and at three months (6 to 20 weeks) postoperatively |
| M1051 | Pt w/cancer scoliosis | Description: Patient had cancer, acute fracture or infection related to the lumbar spine or patient had neuromuscular, idiopathic or congenital lumbar scoliosis |
| M1052 | Lg pn not meas w/ vas 1yr po | Description: Leg pain was not measured by the visual analog scale (vas) or numeric pain scale at one year (9 to 15 months) postoperatively |
| M1053 | Pre and post vas wthn 3 mos | Description: Leg pain was measured by the visual analog scale (vas) within three months preoperatively and at one year (9 to 15 months) postoperatively |
| M1054 | Pt uc in pp | Description: Patient had only urgent care visits during the performance period |
| M1055 | Aspirin used | Description: Aspirin or another antiplatelet therapy used |
| M1056 | Presc antico med in pp | Description: Prescribed anticoagulant medication during the performance period, history of gi bleeding, history of intracranial bleeding, bleeding disorder and specific provider documented reasons: allergy to aspirin or anti-platelets, use of non-steroidal anti-inflammatory agents, drug-drug interaction, uncontrolled hypertension > 180/110 mmhg or gastroesophageal reflux disease |
| M1057 | Aspirin not used, no rsn | Description: Aspirin or another antiplatelet therapy not used, reason not given |
| M1058 | Pt prm nurs hm res in pp | Description: Patient was a permanent nursing home resident at any time during the performance period |
| M1059 | Pt no prm nurs hm res in pp | Description: Patient was in hospice or receiving palliative care at any time during the performance period |
| M1060 | Pt died in pp | Description: Patient died prior to the end of the performance period |
| M1061 | Pt preg | Description: Patient pregnancy |