2025 HCPCS Code L6890
Addition to upper extremity prosthesis, glove for terminal device, any material, prefabricated, includes fitting and adjustment
TAGS: terminal upper addition fitting glove extremity adjustment| Short Description | Prefab glove for term device |
| HCPCS Action Code | N - No maintenance for this code |
| HCPCS Coverage Code | C - Carrier judgment |
| HCPCS Code Added Date | January 01, 1986 |
| HCPCS Action Effective Date | January 01, 2005 |
| HCPCS Pricing Indicator Code | 38 - Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings) |
| HCPCS Type Of Service Code | P - Lump sum purchase of DME, prosthetics, orthotics |
| HCPCS Multiple Pricing Indicator Code | A - Not applicable as HCPCS priced under one methodology |
| HCPCS Anesthesia Base Unit Quantity | 0 |
| HCPCS Coverage Issues Manual Reference Section Number |
Check Similar HCPCS Codes
- L2126 - Kafo fem fx cast thermoplas
- L2128 - Kafo fem fx cast molded to p
- L2132 - Kafo femoral fx cast soft
- L2134 - Kafo fem fx cast semi-rigid
- L2136 - Kafo femoral fx cast rigid
- L2180 - Plas shoe insert w ank joint
- L2182 - Drop lock knee
- L2184 - Limited motion knee joint
- L2186 - Adj motion knee jnt lerman t
- L2188 - Quadrilateral brim
- L2190 - Waist belt
- L2192 - Pelvic band & belt thigh fla
- L2200 - Limited ankle motion ea jnt
- L2210 - Dorsiflexion assist each joi
- L2220 - Dorsi & plantar flex ass/res
- L2230 - Split flat caliper stirr & p
- L2232 - Rocker bottom, contact afo
- L2240 - Round caliper and plate atta
- L2250 - Foot plate molded stirrup at
- L2260 - Reinforced solid stirrup