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Upper extremity addition, silicone gel insert or equal, each

HCPCS code

Medical Policies and Guidelines for Upper extremity addition, silicone gel insert or equal, each

Related policies from health plans

Prosthetics
Prosthetics

Similar Codes


ICD10CM codes

Z44.00 - Encounter for fitting and adjustment of unspecified artificial arm
Z44.019 - Encounter for fitting and adjustment of complete artificial arm, unspecified arm
Z44.009 - Encounter for fitting and adjustment of unspecified artificial arm, unspecified arm
Z44.029 - Encounter for fitting and adjustment of partial artificial arm, unspecified arm
Z96.693 - Finger-joint replacement, bilateral
Z44.001 - Encounter for fitting and adjustment of unspecified right artificial arm
Z44.021 - Encounter for fitting and adjustment of partial artificial right arm
Z44.011 - Encounter for fitting and adjustment of complete right artificial arm
S40.829 - Blister (nonthermal) of unspecified upper arm
Z44.002 - Encounter for fitting and adjustment of unspecified left artificial arm

HCPCS codes

L6692 - Upper extremity addition, silicone gel insert or equal, each
L6691 - Upper extremity addition, removable insert, each
L6694 - Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mol
L6632 - Upper extremity addition, latex suspension sleeve, each
L6696 - Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated socket insert for
L6616 - Upper extremity addition, additional disconnect insert for locking wrist unit, each
L3995 - Addition to upper extremity orthosis, sock, fracture or equal, each
L5695 - Addition to lower extremity, above knee, pelvic control, sleeve suspension, neoprene or equal, each
L5673 - Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabri
L6682 - Upper extremity addition, test socket, elbow disarticulation or above elbow

CPT4 codes

24305 - Tendon lengthening, upper arm or elbow, each tendon
28160 - Hemiphalangectomy or interphalangeal joint excision, toe, proximal end of phalanx, each
73201 - Computed tomography, upper extremity; with contrast material(s)
26567 - Osteotomy; phalanx of finger, each
26535 - Arthroplasty, interphalangeal joint; each joint
26536 - Arthroplasty, interphalangeal joint; with prosthetic implant, each joint
24371 - Revision of total elbow arthroplasty, including allograft when performed; humeral and ulnar componen
26756 - Percutaneous skeletal fixation of distal phalangeal fracture, finger or thumb, each
26525 - Capsulectomy or capsulotomy; interphalangeal joint, each joint
26843 - Arthrodesis, carpometacarpal joint, digit, other than thumb, each