Code Verification Review Requirement for Articulating Digit(s) and Prosthetic Hands
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On November 11, 2021, the DME MACs published an announcement on the coding guidance regarding the terminal devices upper extremity. The new announcement edited the previous guidance on the use of L6881 that was provided in November 2019. It was the auto grasp feature. The addition done to the L6881 automatic grasp feature made an addition to the electronic upper limb prosthetic terminal device. It unbundled the revision, including L6882 and the controlling microprocessor feature. What does This Mean? The joint DME MAC publication and PDAC Article mean the claims will be effective for services dated on and after January 1, 2022. The new code verification review also means the products that can be billed under the HCPCS (Healthcare Common Procedure Coding System) Codes are: • L6715 – terminal device - Multiple articulation digits - ...