Browse HCPCS Level II 2020 Edition

HCPCS Level II Table of Contents

L6100 - L6130  Prosthetic Procedures - Below Elbow

L6100
Below elbow, molded socket, flexible elbow hinge, triceps pad
shortElb mold sock flex hinge pad
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
L6110
Below elbow, molded socket, (muenster or northwestern suspension types)
shortElbow mold sock suspension t
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
L6120
Below elbow, molded double wall split socket, step-up hinges, half cuff
shortElbow mold doub splt soc ste
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
L6130
Below elbow, molded double wall split socket, stump activated locking hinge, half cuff
shortElbow stump activated lock h
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