As part of its annual fourth quarter update to the Healthcare Common Procedure Coding System (HCPCS) Level II code set, the Centers for Medicare & Medicaid Services (CMS) Coding Workgroup modified the long descriptions of L-6028, L-5673, L-5679, L-5783, and L-7406, which will be effective on October 1.
The revised and previous descriptions are as follows:
L-6028
Revised: Partial hand, finger, and thumb prosthesis without prosthetic digit(s)/thumb, amputation at metacarpal level, including flexible or non-flexible interface, molded to patient model, including palm, for use without external power and/or passive prosthetic digit/thumb, not including inserts described by L-6692
Previous: Partial hand including fingers, flexible or non-flexible interface, endoskeletal system, molded to patient model, for use without external power, not including inserts described by L-6692
L-5673
Revised: Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric, or equal, with or without perforations, with or without breathable material, for use with locking mechanism
Previous: Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanism
L-5679
Revised: Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric, or equal, with or without perforations, with or without breathable material, not for use with locking mechanism
Previous: Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mechanism
L-5783
Revised: Addition to lower extremity, user adjustable, mechanical, residual limb volume management system (with or without lamination kit)
Previous: Addition to lower extremity, user adjustable, mechanical, residual limb volume management system
L-7406
Revised: Addition to upper extremity prosthesis, user adjustable, mechanical, residual limb volume management system (with or without lamination kit)
Previous: Addition to upper extremity, user adjustable, mechanical, residual limb volume management system
To read the First Biannual (B1), 2025 HCPCS Coding Cycle document, visit the CMS website.
