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Addition to upper extremity prosthesis, below elbow/wrist disarticulation, acrylic material

HCPCS code

Medical Policies and Guidelines for Addition to upper extremity prosthesis, below elbow/wrist disarticulation, acrylic material

Related policies from health plans

Prosthetics
Prosthetics

Similar Codes


ICD10CM codes

T84.028A - Dislocation of other internal joint prosthesis, initial encounter
Z44.022 - Encounter for fitting and adjustment of partial artificial left arm
T84.029A - Dislocation of unspecified internal joint prosthesis, initial encounter
S58.129 - Partial traumatic amputation at level between elbow and wrist, unspecified arm
M96.631 - Fracture of radius or ulna following insertion of orthopedic implant, joint prosthesis, or bone plat
Z44.012 - Encounter for fitting and adjustment of complete left artificial arm
Z44.002 - Encounter for fitting and adjustment of unspecified left artificial arm
Z44.00 - Encounter for fitting and adjustment of unspecified artificial arm
M96.632 - Fracture of radius or ulna following insertion of orthopedic implant, joint prosthesis, or bone plat
Z44.02 - Encounter for fitting and adjustment of partial artificial arm

HCPCS codes

L7403 - Addition to upper extremity prosthesis, below elbow/wrist disarticulation, acrylic material
L7404 - Addition to upper extremity prosthesis, above elbow disarticulation, acrylic material
L7400 - Addition to upper extremity prosthesis, below elbow/wrist disarticulation, ultralight material (tita
L7401 - Addition to upper extremity prosthesis, above elbow disarticulation, ultralight material (titanium,
L6687 - Upper extremity addition, frame type socket, below elbow or wrist disarticulation
L6680 - Upper extremity addition, test socket, wrist disarticulation or below elbow
L5631 - Addition to lower extremity, above knee or knee disarticulation, acrylic socket
L6688 - Upper extremity addition, frame type socket, above elbow or elbow disarticulation
L6694 - Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mol
L6682 - Upper extremity addition, test socket, elbow disarticulation or above elbow

CPT4 codes

25442 - Arthroplasty with prosthetic replacement; distal ulna
25444 - Arthroplasty with prosthetic replacement; lunate
25446 - Arthroplasty with prosthetic replacement; distal radius and partial or entire carpus (total wrist)
25441 - Arthroplasty with prosthetic replacement; distal radius
24371 - Revision of total elbow arthroplasty, including allograft when performed; humeral and ulnar componen
24363 - Arthroplasty, elbow; with distal humerus and proximal ulnar prosthetic replacement (eg, total elbow)
24587 - Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus an
24362 - Arthroplasty, elbow; with implant and fascia lata ligament reconstruction
73201 - Computed tomography, upper extremity; with contrast material(s)
21125 - Augmentation, mandibular body or angle; prosthetic material