2025 HCPCS code L6616
(Active) Effective Date: N/A Revision Date: N/A Prosthetics - Upper Extremity Prosthetic Additions L6600-L6698 Prosthetic Procedures L5000-L9900 Feed
Additional disconnect insert for a locking wrist unit of an upper extremity prosthesis.
Medical necessity is established by the patient's need for interchangeable terminal devices on their upper extremity prosthesis to improve function and quality of life.
Providers supplying and fitting upper extremity prostheses.
In simple words: This code covers an extra part for the wrist of an artificial arm that lets you easily switch out the hand or tool attached to it.
Upper extremity addition, additional disconnect insert for locking wrist unit, each. This code covers the supply of each additional disconnect insert for a locking wrist unit, allowing for changes to the terminal device of an upper extremity prosthesis.
Example 1: A patient with an existing upper extremity prosthesis requires an additional disconnect insert to accommodate different terminal devices for various activities., A patient receiving a new prosthesis is provided with multiple disconnect inserts for future flexibility in using different terminal devices., A patient's disconnect insert breaks or wears out, and a replacement is provided.
Documentation should support the medical necessity of the additional disconnect insert, specifying the patient's condition and functional needs.
- Specialties:Prosthetics, Orthotics, Physical Medicine and Rehabilitation
- Place of Service:Office, Outpatient Hospital, Other Place of Service