2025 HCPCS Code L6036

Prosthetic thumb, mechanical, can include metacarpophalangeal (mcp), interphalangeal (ip) joint(s), with or without locking mechanism, can include flexion or extension assist, any material, attachment, initial issue or replacement

TAGS: extension replacement interphalangeal initial prosthetic flexion metacarpophalangeal issue include locking

Short DescriptionProsthetic thumb mechanical
HCPCS Coverage Code C - Carrier judgment
HCPCS Action Code A - Add procedure or modifier code
HCPCS Action Effective Date October 01, 2025
HCPCS Code Added Date October 01, 2025
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

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