L3965 (829) PROSTHETIC HCPCS (661.1)
Name
Value
HCPCS
L3965
SHORT NAME
SEO, MOBILE ARM,RANCHO TYPE
CPT
File: 81, IEN: 104840
ITEM
ARM SUPP ATT TO WC RANCHO /COMMERCIAL
STATUS
ACTIVE
NPPD REPAIR CODE
R40
NPPD NEW CODE
400 D
DESCRIPTION
SEO, MOBILE ARM SUPPORT ATTACHED TO WHEELCHAIR, BALANCED, ADJUSTABLE RANCHO TYPE