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L8701 Powered upper extremity range of motion assist device, elbow, wrist, hand with single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated
BackL8000Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type→L8001Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral, any size, any type→L8002Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral, any size, any type→L8015External breast prosthesis garment, with mastectomy form, post mastectomy→L8020Breast prosthesis, mastectomy form→L8030Breast prosthesis, silicone or equal, without integral adhesive, any type→L8031Breast prosthesis, silicone or equal, with integral adhesive, any type→L8032Nipple prosthesis, prefabricated, reusable, any type, each→L8033Nipple prosthesis, custom fabricated, reusable, any material, any type, each→L8035Custom breast prosthesis, post mastectomy, molded to patient model, any type→L8039Breast prosthesis, not otherwise specified→L8040Nasal prosthesis, provided by a non-physician→L8041Midfacial prosthesis, provided by a non-physician→L8042Orbital prosthesis, provided by a non-physician→L8043Upper facial prosthesis, provided by a non-physician→L8044Hemi-facial prosthesis, provided by a non-physician→L8045Auricular prosthesis, provided by a non-physician→L8046Partial facial prosthesis, provided by a non-physician→L8047Nasal septal prosthesis, provided by a non-physician→L8048Unspecified maxillofacial prosthesis, by report, provided by a non-physician→L8049Repair or modification of maxillofacial prosthesis, labor component, 15 minute increments, provided by a non-physician→L8300Truss, single with standard pad→L8310Truss, double with standard pads→L8320Truss, addition to standard pad, water pad→L8330Truss, addition to standard pad, scrotal pad→L8400Prosthetic sheath, below knee, each→L8410Prosthetic sheath, above knee, each→L8415Prosthetic sheath, upper limb, each→L8417Prosthetic sheath/sock, including a gel cushion layer, below knee or above knee, each→L8420Prosthetic sock, multiple ply, below knee, each→L8430Prosthetic sock, multiple ply, above knee, each→L8435Prosthetic sock, multiple ply, upper limb, each→L8440Prosthetic shrinker, below knee, each→L8460Prosthetic shrinker, above knee, each→L8465Prosthetic shrinker, upper limb, each→L8470Prosthetic sock, single ply, fitting, below knee, each→L8480Prosthetic sock, single ply, fitting, above knee, each→L8485Prosthetic sock, single ply, fitting, upper limb, each→L8499Unlisted procedure for miscellaneous prosthetic services→L8500Artificial larynx, any type→L8501Tracheostomy speaking valve→L8505Artificial larynx replacement battery / accessory, any type→L8507Tracheo-esophageal voice prosthesis, patient inserted, any type, each→L8509Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type→L8510Voice amplifier→L8511Insert for indwelling tracheoesophageal prosthesis, with or without valve, replacement only, each→L8512Gelatin capsules or equivalent, for use with tracheoesophageal voice prosthesis, replacement only, per 10→L8513Cleaning device used with tracheoesophageal voice prosthesis, pipet, brush, or equal, replacement only, each→L8514Tracheoesophageal puncture dilator, replacement only, each→L8515Gelatin capsule, application device for use with tracheoesophageal voice prosthesis, each→L8600Implantable breast prosthesis, silicone or equal→L8603Injectable bulking agent, collagen implant, urinary tract, 2.5 ml syringe, includes shipping and necessary supplies→L8604Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, urinary tract, 1 ml, includes shipping and necessary supplies→L8605Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, anal canal, 1 ml, includes shipping and necessary supplies→L8606Injectable bulking agent, synthetic implant, urinary tract, 1 ml syringe, includes shipping and necessary supplies→L8607Injectable bulking agent for vocal cord medialization, 0.1 ml, includes shipping and necessary supplies→L8608Miscellaneous external component, supply or accessory for use with the argus ii retinal prosthesis system→L8609Artificial cornea→L8610Ocular implant→L8612Aqueous shunt→L8613Ossicula implant→L8614Cochlear device, includes all internal and external components→L8615Headset/headpiece for use with cochlear implant device, replacement→L8616Microphone for use with cochlear implant device, replacement→L8617Transmitting coil for use with cochlear implant device, replacement→L8618Transmitter cable for use with cochlear implant device or auditory osseointegrated device, replacement→L8619Cochlear implant, external speech processor and controller, integrated system, replacement→L8621Zinc air battery for use with cochlear implant device and auditory osseointegrated sound processors, replacement, each→L8622Alkaline battery for use with cochlear implant device, any size, replacement, each→L8623Lithium ion battery for use with cochlear implant device speech processor, other than ear level, replacement, each→L8624Lithium ion battery for use with cochlear implant or auditory osseointegrated device speech processor, ear level, replacement, each→L8625External recharging system for battery for use with cochlear implant or auditory osseointegrated device, replacement only, each→L8627Cochlear implant, external speech processor, component, replacement→L8628Cochlear implant, external controller component, replacement→L8629Transmitting coil and cable, integrated, for use with cochlear implant device, replacement→L8630Metacarpophalangeal joint implant→L8631Metacarpal phalangeal joint replacement, two or more pieces, metal (e.g., stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon), for surgical implantation (all sizes, includes entire system)→L8641Metatarsal joint implant→L8642Hallux implant→L8658Interphalangeal joint spacer, silicone or equal, each→L8659Interphalangeal finger joint replacement, 2 or more pieces, metal (e.g., stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon) for surgical implantation, any size→L8670Vascular graft material, synthetic, implant→L8678Electrical stimulator supplies (external) for use with implantable neurostimulator, per month→L8679Implantable neurostimulator, pulse generator, any type→L8680Implantable neurostimulator electrode, each→L8681Patient programmer (external) for use with implantable programmable neurostimulator pulse generator, replacement only→L8682Implantable neurostimulator radiofrequency receiver→L8683Radiofrequency transmitter (external) for use with implantable neurostimulator radiofrequency receiver→L8684Radiofrequency transmitter (external) for use with implantable sacral root neurostimulator receiver for bowel and bladder management, replacement→L8685Implantable neurostimulator pulse generator, single array, rechargeable, includes extension→L8686Implantable neurostimulator pulse generator, single array, non-rechargeable, includes extension→L8687Implantable neurostimulator pulse generator, dual array, rechargeable, includes extension→L8688Implantable neurostimulator pulse generator, dual array, non-rechargeable, includes extension→L8689External recharging system for battery (internal) for use with implantable neurostimulator, replacement only→L8690Auditory osseointegrated device, includes all internal and external components→L8691Auditory osseointegrated device, external sound processor, excludes transducer/actuator, replacement only, each→L8692Auditory osseointegrated device, external sound processor, used without osseointegration, body worn, includes headband or other means of external attachment→L8693Auditory osseointegrated device abutment, any length, replacement only→L8694Auditory osseointegrated device, transducer/actuator, replacement only, each→L8695External recharging system for battery (external) for use with implantable neurostimulator, replacement only→L8697External accessory for use with implantable phrenic nerve stimulation device, replacement, each→L8698Miscellaneous component, supply or accessory for use with total artificial heart system→L8699Prosthetic implant, not otherwise specified→L8701Powered upper extremity range of motion assist device, elbow, wrist, hand with single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated→L8702Powered upper extremity range of motion assist device, elbow, wrist, hand, finger, single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated→L8720External lower extremity sensory prosthetic device, cutaneous stimulation of mechanoreceptors proximal to the ankle, per leg→L8721Receptor sole for use with l8720, replacement, each→
Procedure codeCODABLE
L8701
Powered upper extremity range of motion assist device, elbow, wrist, hand with single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated
- Part
- HCPCS Level II
- L
- Orthotic and Prosthetic Procedures and Devices
- L8
- L8000–L8721
Source
CMS — ICD-10-PCS FY2026, HCPCS Level II october 2026, Procedure Codes 2026.