L6965 (1147)    PROSTHETIC HCPCS (661.1)

Name Value
HCPCS L6965
SHORT NAME SHLDR DISARTIC MYOELECTRONIC
CPT File: 81, IEN: 104840
ITEM
  • SHLDR DISARTIC MYOELECTRON/COMMERCIAL
STATUS ACTIVE
NPPD REPAIR CODE R30
NPPD NEW CODE 300 F
DESCRIPTION
  • SHOULDER DISARTICULATION, EXTERNAL POWER, MOLDED INNER SOCKET, REMOVABLE
  • SHOULDER SHELL, SHOULDER BULKHEAD, HUMERAL SECTION, MECHANICAL ELBOW, FOREARM,
  • OTTO BOCK OR EQUAL ELECTRODES, CABLES, TWO BATTERIES AND ONE CHARGER,
  • MYOELECTRONIC CONTROL OF TERMINAL DEVICE
CALCULATION FLAG 1