2024 HCPCS Code L8701
Powered upper extremity range of motion assist device, elbow, wrist, hand with single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated
TAGS: custom motion components powered upper double fabricated range extremity assist single
| Short Description | Ewh s/d uprt micro sensor |
| HCPCS Coverage Code | C - Carrier judgment |
| HCPCS Action Code | N - No maintenance for this code |
| HCPCS Action Effective Date | January 01, 2024 |
| HCPCS Code Added Date | January 01, 2019 |
| HCPCS Pricing Indicator Code | 38 - Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings) |
| HCPCS Multiple Pricing Indicator Code | A - Not applicable as HCPCS priced under one methodology |
| HCPCS Coverage Issues Manual Reference Section Number | |
| HCPCS Type Of Service Code | P - Lump sum purchase of DME, prosthetics, orthotics |
| HCPCS Anesthesia Base Unit Quantity | 0 |
Check Similar HCPCS Codes
- L4386 - Non-pneum walk boot pre cst
- L4387 - Non-pneum walk boot pre ots
- L4392 - Replace afo soft interface
- L4394 - Replace foot drop spint
- L4396 - Static or dynami afo pre cst
- L4397 - Static or dynami afo pre ots
- L4398 - Foot drop splint pre ots
- L4631 - Afo, walk boot type, cus fab
- L5000 - Sho insert w arch toe filler
- L5010 - Mold socket ank hgt w/ toe f
- L5020 - Tibial tubercle hgt w/ toe f
- L5050 - Ank symes mold sckt sach ft
- L5060 - Symes met fr leath socket ar
- L5100 - Molded socket shin sach foot
- L5105 - Plast socket jts/thgh lacer
- L5150 - Mold sckt ext knee shin sach
- L5160 - Mold socket bent knee shin s
- L5200 - Kne sing axis fric shin sach
- L5210 - No knee/ankle joints w/ ft b
- L5220 - No knee joint with artic ali