Browse HCPCS Level II 2020 Edition

HCPCS Level II Table of Contents

L6883 - L6885  Prosthetic Procedures - Replacement Sockets

L6883
Replacement socket, below elbow/wrist disarticulation, molded to patient model, for use with or without external power
shortReplc sockt below e/w disa
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalCMS Policy
OPH2.02 Date of Service Edit: PolicyAnatomic Consideration
DME2.02 Date of Service Edit: PolicyAnatomic Consideration
L6884
Replacement socket, above elbow/elbow disarticulation, molded to patient model, for use with or without external power
shortReplc sockt above elbow disa
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalCMS Policy
OPH2.02 Date of Service Edit: PolicyAnatomic Consideration
DME2.02 Date of Service Edit: PolicyAnatomic Consideration
L6885
Replacement socket, shoulder disarticulation/interscapular thoracic, molded to patient model, for use with or without external power
shortReplc sockt shldr dis/interc
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalCMS Policy
OPH2.02 Date of Service Edit: PolicyAnatomic Consideration
DME2.02 Date of Service Edit: PolicyAnatomic Consideration