2020/2021 HCPCS Code L7404

Addition to upper extremity prosthesis, above elbow disarticulation, acrylic material
Short Description Add ue prost a/e acrylic
HCPCS Coverage Code C = Carrier judgment
HCPCS Action Code N = No maintenance for this code
HCPCS Action Effective Date January 01, 2006
HCPCS Code Added Date January 01, 2006
HCPCS Pricing Indicator Code 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 Type Of Service Code P = Lump sum purchase of DME, prosthetics, orthotics
HCPCS Anesthesia Base Unit Quantity 0