The Centers for Medicare & Medicaid Services (CMS) has added prosthetic hand-related L-Codes to the Healthcare Common Procedure Coding System (HCPCS).
L-6715, terminal device, multiple articulating digit, includes motor(s), initial issue or replacement; and L-6880, electric hand, switch or myolelectric controlled, independently articulating digits, any grasp pattern or combination of grasp patterns, includes motor(s), are added to the HCPCS file with an implementation date of July 2, 2012. The fee schedule amounts for these codes are effective for claims with dates of service on or after January 1, 2012. CMS says these items were paid on a local fee schedule basis prior to implementation of the fee schedule amounts established in accordance with this update.
Already processed claims for codes L-6715 and L-6880 with dates of service on or after January 1, 2012, may be adjusted to reflect the newly established fees if brought to the attention of the providerís Durable Medical Equipment Medicare Administrative Contractor (DME MAC).