2025 HCPCS Code L6035

Single prosthetic digit, mechanical, can include metacarpophalangeal (mcp), proximal interphalangeal (pip), and/or distal interphalangeal (dip) joint(s), with or without locking mechanism, can include flexion or extension assist, any material, attachment, initial issue or replacement

TAGS: distal extension replacement interphalangeal initial prosthetic flexion metacarpophalangeal single issue locking include proximal
Short DescriptionProsthetic digit mechanical
HCPCS Action Code A - Add procedure or modifier code
HCPCS Coverage Code C - Carrier judgment
HCPCS Code Added Date October 01, 2025
HCPCS Action Effective Date October 01, 2025
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

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