HCPCS Range Partial Hand Prosthetics

• 1 Partial hand, thumb remaining ( L6000 )

• 2 Partial hand, little and/or ring finger remaining ( L6010 )

• 3 Partial hand, no finger remaining ( L6020 )

• 4 Transcarpal/metacarpal or partial hand disarticulation prosthesis, external power, self-suspended, inner socket with removable forearm section, electrodes and cables, two batteries, charger, myoelectric control of terminal device, excludes terminal device(s) ( L6026 )

• 5 Partial hand, finger, and thumb prosthesis without prosthetic digit(s)/thumb, amputation at metacarpal level, including flexible or non-flexible interface, molded to patient model, including palm, for use without external power and/or passive prosthetic digit/thumb, not including inserts described by l6692 ( L6028 )

• 6 Upper extremity addition, test socket/interface, partial hand including fingers ( L6029 )

• 7 Upper extremity addition, external frame, partial hand including fingers ( L6030 )

• 8 Replacement socket/interface, partial hand including fingers, molded to patient model, for use with or without external power ( L6031 )

• 9 Addition to upper extremity prosthesis, partial hand including fingers, ultralight material (titanium, carbon fiber or equal) ( L6032 )

• 10 Addition to upper extremity prosthesis, partial hand including fingers, acrylic material ( L6033 )

• 11 Immediate post-surgical or early fitting, application of initial rigid dressing, including fitting alignment and suspension of components, and one cast change, partial hand including fingers ( L6037 )

• 12 Partial hand, finger, and thumb prosthesis without prosthetic digit(s)/thumb, amputation at distal to metacarpal joint, including flexible or non-flexible interface, molded to patient model, for use without external power and/or passive prosthetic digit/thumb, not including inserts described by l6692 ( L6034 )

• 13 Single prosthetic digit, mechanical, can include metacarpophalangeal (mcp), proximal interphalangeal (pip), and/or distal interphalangeal (dip) joint(s), with or without locking mechanism, can include flexion or extension assist, any material, attachment, initial issue or replacement ( L6035 )

• 14 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 ( L6036 )

• 15 Addition to single prosthetic digit or thumb, mechanical, attachment, multiaxial and/or internal/external rotation/abduction/adduction mechanism, with or without locking feature, any material ( L6038 )

• 16 Passive prosthetic digit or thumb prosthesis not including hand restoration partial hand, full or partial, custom made, any material, initial or replacement, per single passive prosthetic digit or thumb ( L6039 )