2025 HCPCS code L6615
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Orthopedic - Prosthetic Procedures Upper Extremity Prosthetic Additions Feed
Supply of a disconnect locking wrist unit for an upper extremity prosthesis.
Modifiers may apply depending on the circumstances of service. Consult CMS guidelines for appropriate modifier usage.
Medical necessity is established by the patient's need for an upper extremity prosthesis with a disconnect locking wrist unit to facilitate the use of interchangeable terminal devices, improving functionality and enabling diverse activities of daily living.
The clinical responsibility involves supplying the disconnect locking wrist unit.The provider should ensure the device is appropriate for the patient's prosthesis and needs.Fitting and adjustment services are not included in this code and should be billed separately if performed.
In simple words: This code covers the cost of a special wrist piece for an artificial arm. This piece lets you easily switch out different hand attachments as needed.
HCPCS code L6615 represents the supply of a disconnect locking wrist unit designed for use with upper extremity prostheses. This unit allows for the easy removal and replacement of terminal devices (e.g., artificial hands) attached to the forearm of the prosthesis. The device facilitates interchangeability of terminal devices to accommodate different tasks or patient preferences.The code encompasses the supply of the wrist unit itself, not the fitting or adjustment services.
Example 1: A patient with a transradial amputation receives a new myoelectric prosthesis. The provider supplies a disconnect locking wrist unit to allow for easy interchange of terminal devices for various activities., A patient with an existing upper extremity prosthesis requires a replacement disconnect locking wrist unit due to damage or wear. The provider supplies the new unit. , A patient uses a body-powered prosthesis and requires multiple terminal devices for varying daily activities. The provider supplies a disconnect locking wrist unit to enable seamless transitions between the devices.
Documentation should include the patient's diagnosis, the type of prosthesis, the need for a disconnect locking wrist unit, and the specific device supplied.Any pre-existing documentation related to the prosthesis should be referenced.
** This code should not be reported if the disconnect locking wrist unit is part of a larger prosthesis assembly or kit that is reported under a different HCPCS code.
- Payment Status: Active
- Modifier TC rule: A Technical Component (TC) modifier is not applicable to this code as it represents supply only.
- Specialties:Prosthetics, Orthotics, Physical Medicine and Rehabilitation
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center