2020/2021 HCPCS Code L8702

Powered upper extremity range of motion assist device, elbow, wrist, hand, finger, single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated
Short Description Ewhf s/d uprt micro sensor
HCPCS Coverage Code C = Carrier judgment
HCPCS Action Code N = No maintenance for this code
HCPCS Action Effective Date October 01, 2020
HCPCS Code Added Date January 01, 2019
HCPCS Pricing Indicator Code 36 = Capped rental DME (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 R = Rental of DME
HCPCS Anesthesia Base Unit Quantity 0