L7499 |
 |
Upper extremity prosthesis, not otherwise specified
short | Upper extremity prosthes nos |
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 2.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup |
|
|
|
L7510 |
 |
Repair of prosthetic device, repair or replace minor parts
short | Prosthetic device repair rep |
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 4.0 | 3 Date of Service Edit: Clinical | Clinical: Data | OPH | 4.0 | 3 Date of Service Edit: Clinical | Clinical: Data | DME | 4.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
L7520 |
 |
Repair prosthetic device, labor component, per 15 minutes
short | Repair prosthesis per 15 min |
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
DME | 12.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
L7600 |
 |
Prosthetic donning sleeve, any material, each
short | Prosthetic donning sleeve |
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | DME | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|