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Addition to upper extremity prosthesis, glove for terminal device, any material, custom fabricated

HCPCS code

Medical Policies and Guidelines for Addition to upper extremity prosthesis, glove for terminal device, any material, custom fabricated

Related policies from health plans

Prosthetics
Prosthetics

Similar Codes


ICD10CM codes

Z44.00 - Encounter for fitting and adjustment of unspecified artificial arm
G56.00 - Carpal tunnel syndrome, unspecified upper limb
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
Z44.0 - Encounter for fitting and adjustment of artificial arm
Z44.001 - Encounter for fitting and adjustment of unspecified right artificial arm
Z44.01 - Encounter for fitting and adjustment of complete artificial arm
T83.729A - Exposure of other prosthetic materials into organ or tissue, initial encounter
Z44.011 - Encounter for fitting and adjustment of complete right artificial arm

HCPCS codes

L6895 - Addition to upper extremity prosthesis, glove for terminal device, any material, custom fabricated
L6890 - Addition to upper extremity prosthesis, glove for terminal device, any material, prefabricated, incl
L7404 - Addition to upper extremity prosthesis, above elbow disarticulation, acrylic material
L6694 - Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mol
L7499 - Upper extremity prosthesis, not otherwise specified
L7401 - Addition to upper extremity prosthesis, above elbow disarticulation, ultralight material (titanium,
L7403 - Addition to upper extremity prosthesis, below elbow/wrist disarticulation, acrylic material
L6611 - Addition to upper extremity prosthesis, external powered, additional switch, any type
L6703 - Terminal device, passive hand/mitt, any material, any size
L7400 - Addition to upper extremity prosthesis, below elbow/wrist disarticulation, ultralight material (tita

CPT4 codes

29085 - Application, cast; hand and lower forearm (gauntlet)
29584 - Application of multi-layer compression system; upper arm, forearm, hand, and fingers
73201 - Computed tomography, upper extremity; with contrast material(s)
25900 - Amputation, forearm, through radius and ulna
65770 - Keratoprosthesis
26989 - Unlisted procedure, hands or fingers
73200 - Computed tomography, upper extremity; without contrast material
26951 - Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectom
21270 - Malar augmentation, prosthetic material
26952 - Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectom