Articulating Digit(s) and Prosthetic Hands - Correct Coding – Revised
On November 11, the DME MACs published a joint announcement on coding guidance for upper extremity terminal devices that was an edit to the previous guidance
On November 11, the DME MACs published a joint announcement on coding guidance for upper extremity terminal devices that was an edit to the previous guidance provided in November of 2019 on the use of L6881 – auto grasp feature.
In addition to considering L6881, Automatic grasp feature, addition to upper limb electric prosthetic terminal device, as unbundling the revision now includes L6882- microprocessor control feature, in the unbundling category.
What does this mean to you?
Check the HCPCS codes you use on a claim for any UE prosthesis. Specifically, if you are using HCPCS L6882. When providing an articulating digit hand, L6880, the use of L6882 cannot be used as an addition code as it is considering inclusive to the base code of the hand.
To review the announcement on their respective web pages, please visit at Noridian or CGS that is comprehensive to all four regions.
To obtain up to date Reimbursement Guides and Coding information for Ossur UE products, please contact your Ossur Representative or contact us at [email protected]