Browse HCPCS Level II 2020 Edition

L7170 - L7191  Prosthetic Procedures - External Power - Additions to Electronic Elbow

L7170 Electronic elbow, hosmer or equal, switch controlled short Electronic elbow hosmer swit MUE Location Value Ajudication Indicator Rationale PRA 0.0 3 Date of Service Edit: Clinical CMS Policy OPH 2.0 2 Date of Service Edit: Policy Anatomic Consideration DME 2.0 2 Date of Service Edit: Policy Anatomic Consideration

L7180 Electronic elbow, microprocessor sequential control of elbow and terminal device short Electronic elbow sequential MUE Location Value Ajudication Indicator Rationale PRA 0.0 3 Date of Service Edit: Clinical CMS Policy OPH 2.0 2 Date of Service Edit: Policy Anatomic Consideration DME 2.0 2 Date of Service Edit: Policy Anatomic Consideration

L7181 Electronic elbow, microprocessor simultaneous control of elbow and terminal device short Electronic elbo simultaneous MUE Location Value Ajudication Indicator Rationale PRA 0.0 3 Date of Service Edit: Clinical CMS Policy OPH 2.0 2 Date of Service Edit: Policy Anatomic Consideration DME 2.0 2 Date of Service Edit: Policy Anatomic Consideration

L7185 Electronic elbow, adolescent, variety village or equal, switch controlled short Electron elbow adolescent sw MUE Location Value Ajudication Indicator Rationale PRA 0.0 3 Date of Service Edit: Clinical CMS Policy OPH 2.0 2 Date of Service Edit: Policy Anatomic Consideration DME 2.0 2 Date of Service Edit: Policy Anatomic Consideration

L7186 Electronic elbow, child, variety village or equal, switch controlled short Electron elbow child switch MUE Location Value Ajudication Indicator Rationale PRA 0.0 3 Date of Service Edit: Clinical CMS Policy OPH 2.0 2 Date of Service Edit: Policy Anatomic Consideration DME 2.0 2 Date of Service Edit: Policy Anatomic Consideration

L7190 Electronic elbow, adolescent, variety village or equal, myoelectronically controlled short Elbow adolescent myoelectron MUE Location Value Ajudication Indicator Rationale PRA 0.0 3 Date of Service Edit: Clinical CMS Policy OPH 2.0 2 Date of Service Edit: Policy Anatomic Consideration DME 2.0 2 Date of Service Edit: Policy Anatomic Consideration

L7191 Electronic elbow, child, variety village or equal, myoelectronically controlled short Elbow child myoelectronic ct MUE Location Value Ajudication Indicator Rationale PRA 0.0 3 Date of Service Edit: Clinical CMS Policy OPH 2.0 2 Date of Service Edit: Policy Anatomic Consideration DME 2.0 2 Date of Service Edit: Policy Anatomic Consideration