Correct Billing for Upper Limb Prosthesis with L6895 instead of L7499 - Revised

The Durable Medical Equipment Medicare Administrative Contractors (DME MACs), have discovered suppliers billing Healthcare Common Procedure Coding System (HCPCS) code L7499, (UPPER EXTREMITY PROSTHESIS, NOT OTHERWISE SPECIFIED) for upper limb prosthetic cosmetic features such as: coloring, veins, hair, etc. Suppliers should be billing HCPCS code L6895 (ADDITION TO UPPER EXTREMITY PROSTHESIS, GLOVE FOR TERMINAL DEVICE, ANY MATERIAL, CUSTOM FABRICATED).

Read the complete advisory article, Correct Billing for Upper Limb Prosthesis with L6895 instead of L7499 - Revised.