Showing codes L6955 (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) — L7404 (Addition to upper extremity prosthesis, above elbow disarticulation, acrylic material)

L6955 - Above elbow myoelectronic ct
Long 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
Code added date: 19880101.
Code effective date: 19960101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L6960 - Shldr disartic switch contro
Long 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
Code added date: 19880101.
Code effective date: 19960101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L6965 - Shldr disartic myoelectronic
Long 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
Code added date: 19880101.
Code effective date: 19960101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L6970 - Interscapular-thor switch ct
Long 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
Code added date: 19880101.
Code effective date: 19960101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L6975 - Interscap-thor myoelectronic
Long 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
Code added date: 19880101.
Code effective date: 19960101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L7007 - Adult electric hand
Long description: Electric hand, switch or myoelectric controlled, adult
Code added date: 20070101.
Code effective date: 20070101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L7008 - Pediatric electric hand
Long description: Electric hand, switch or myoelectric, controlled, pediatric
Code added date: 20070101.
Code effective date: 20070101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L7009 - Adult electric hook
Long description: Electric hook, switch or myoelectric controlled, adult
Code added date: 20070101.
Code effective date: 20070101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L7040 - Prehensile actuator
Long description: Prehensile actuator, switch controlled
Code added date: 19880101.
Code effective date: 20070101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L7045 - Pediatric electric hook
Long description: Electric hook, switch or myoelectric controlled, pediatric
Code added date: 19880101.
Code effective date: 20070101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L7170 - Electronic elbow hosmer swit
Long description: Electronic elbow, hosmer or equal, switch controlled
Code added date: 19880101.
Code effective date: 19960101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L7180 - Electronic elbow sequential
Long description: Electronic elbow, microprocessor sequential control of elbow and terminal device
Code added date: 19880101.
Code effective date: 20050101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L7181 - Electronic elbo simultaneous
Long description: Electronic elbow, microprocessor simultaneous control of elbow and terminal device
Code added date: 20050101.
Code effective date: 20050101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L7185 - Electron elbow adolescent sw
Long description: Electronic elbow, adolescent, variety village or equal, switch controlled
Code added date: 19880101.
Code effective date: 19960101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L7186 - Electron elbow child switch
Long description: Electronic elbow, child, variety village or equal, switch controlled
Code added date: 19890101.
Code effective date: 19960101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L7190 - Elbow adolescent myoelectron
Long description: Electronic elbow, adolescent, variety village or equal, myoelectronically controlled
Code added date: 19880101.
Code effective date: 19960101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L7191 - Elbow child myoelectronic ct
Long description: Electronic elbow, child, variety village or equal, myoelectronically controlled
Code added date: 19890101.
Code effective date: 19960101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L7259 - Electronic wrist rotator any
Long description: Electronic wrist rotator, any type
Code added date: 20150101.
Code effective date: 20150101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L7260 - Electron wrist rotator otto
Long description: Electronic wrist rotator, otto bock or equal
Code added date: 19880101.
Code effective date: 20150101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L7261 - Electron wrist rotator utah
Long description: Electronic wrist rotator, for utah arm
Code added date: 19880101.
Code effective date: 20150101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L7360 - Six volt bat otto bock/eq ea
Long description: Six volt battery, each
Code added date: 19880101.
Code effective date: 20080101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L7362 - Battery chrgr six volt otto
Long description: Battery charger, six volt, each
Code added date: 19880101.
Code effective date: 20080101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L7364 - Twelve volt battery utah/equ
Long description: Twelve volt battery, each
Code added date: 19880101.
Code effective date: 20080101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L7366 - Battery chrgr 12 volt utah/e
Long description: Battery charger, twelve volt, each
Code added date: 19880101.
Code effective date: 20080101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L7367 - Replacemnt lithium ionbatter
Long description: Lithium ion battery, rechargeable, replacement
Code added date: 20030101.
Code effective date: 20150101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L7368 - Lithium ion battery charger
Long description: Lithium ion battery charger, replacement only
Code added date: 20030101.
Code effective date: 20120101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L7400 - Add ue prost be/wd, ultlite
Long description: Addition to upper extremity prosthesis, below elbow/wrist disarticulation, ultralight material (titanium, carbon fiber or equal)
Code added date: 20060101.
Code effective date: 20060101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L7401 - Add ue prost a/e ultlite mat
Long description: Addition to upper extremity prosthesis, above elbow disarticulation, ultralight material (titanium, carbon fiber or equal)
Code added date: 20060101.
Code effective date: 20060101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L7402 - Add ue prost s/d ultlite mat
Long description: Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, ultralight material (titanium, carbon fiber or equal)
Code added date: 20060101.
Code effective date: 20060101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L7403 - Add ue prost b/e acrylic
Long description: Addition to upper extremity prosthesis, below elbow/wrist disarticulation, acrylic material
Code added date: 20060101.
Code effective date: 20060101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L7404 - Add ue prost a/e acrylic
Long description: Addition to upper extremity prosthesis, above elbow disarticulation, acrylic material
Code added date: 20060101.
Code effective date: 20060101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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