L6696 HCPCS - ADDITION TO UPPER EXTREMITY PROSTHESIS, BELOW ELBOW/ABOVE ELBOW, CUSTOM FABRICATED SOCKET INSERT FOR CONGENITAL OR ATYPICAL TRAUMATIC AMPUTEE, SILICONE GEL, ELASTOMERIC OR EQUAL, FOR USE WITH OR WITHOUT LOCKING MECHANISM, INITIAL ONLY (FOR OTHER THAN INITIAL, USE CODE L6694 OR L6695)

Code Information

HCPCS Code: L6696

Sequence Number: 0010

Short Description: Cus elbo skt in for con/atyp

Long Description: Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code l6694 or l6695)

Code Added Date: 1/1/2005

Action Code: N - No maintenance for this code

Action Effective Date: 1/1/2005

Classification: Orthotic/Prosthetic Procedures

Coding System: HCPCS

Code Type

Berenson-Eggers Type Of Service Code:	D1F - Prosthetic/Orthotic devices
Type Of Service Code:	P - Lump sum purchase of DME, prosthetics, orthotics

Billing Information

Pricing Indicator Code:	38 - Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)
Multiple Pricing Indicator Code:	A - Not applicable as HCPCS priced under one methodology
Coverage Issues Manual Reference Section Number:	N/A
Medicare Carriers Manual Reference Section Number:	N/A
Coverage Code:	C - Carrier judgment

HCPCS Record

Field Name	Field Value
Healthcare Common Procedure Coding System Code	L6696
HCPCS Sequence Number	0010
HCPCS Record Identification Code	3 - First line of procedure record also contains detail information in positions 92-275
HCPCS Long Description	Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code l6694 or l6695)
HCPCS Short Description	Cus elbo skt in for con/atyp
HCPCS Pricing Indicator Code 1	38 - Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)
HCPCS Multiple Pricing Indicator Code	A - Not applicable as HCPCS priced under one methodology
HCPCS Coverage Code	C - Carrier judgment
HCPCS Berenson-Eggers Type Of Service Code	D1F - Prosthetic/Orthotic devices
HCPCS Type Of Service Code 1	P - Lump sum purchase of DME, prosthetics, orthotics
HCPCS Anesthesia Base Unit Quantity	0
HCPCS Code Added Date	1/1/2005
HCPCS Action Effective Date	1/1/2005
HCPCS Action Code	N - No maintenance for this code

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This page was last updated on: 1/1/2018