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L6895 - HCPCS Level II | Verity

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HCPCS Level IIprostheticsActive

L6895

Custom glove for term device

BETOS: D1F

Effective: 2005-01-01

Referenced in 2 policies

Description

Addition to upper extremity prosthesis, glove for terminal device, any material, custom fabricated

Coverage Policies

This code is referenced in 2 Medicare coverage policies

Sample Policies

AMBETTER-CP.MP.107PayerPolicy

covered

Durable Medical Equipment and Orthotics and Prosthetics Guidelines

AETNA-CPB-0399PayerPolicycovered

Upper Limb Prostheses

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About HCPCS Level II

Healthcare Common Procedure Coding System Level II codes for supplies, equipment, and non-physician services

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