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2025 HCPCS code L8702

Powered upper extremity range of motion assist device for elbow, wrist, hand, and finger, incorporating a microprocessor, sensors, and other necessary components. Custom fabricated.

Medical necessity for L8702 is established when the device is essential for improving the patient's functional status and quality of life by restoring lost or diminished upper extremity range of motion and grasping ability due to qualifying medical conditions. This would generally be in cases where other treatments have been unsuccessful or are not feasible.

IMPORTANT:L8701 (similar device without finger component)

In simple words: This is a custom-made, powered arm brace that helps people move their elbow, wrist, hand, and fingers. It's used for those who have weakness or paralysis in their arm due to a stroke, nerve injury, or other trauma.The brace has sensors and a small computer that detect weak muscle signals and help the arm bend and grasp objects.

Powered 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. This code describes a custom-fabricated, powered orthosis designed to assist with range of motion in the elbow, wrist, hand, and finger. It includes microprocessors, sensors, and all necessary components for operation.The device is typically used for patients with weakened or paralyzed arms due to conditions like stroke, brachial plexus injury, or neuromuscular trauma. The device utilizes EMG signals from intact muscle tissue to control motors, facilitating support and movement of the limb.

Example 1: A patient post-stroke experiences limited mobility in their dominant arm, including difficulty with grasping objects. L8702 is used to provide support and assist with regaining functional movement in the elbow, wrist, hand, and fingers., An individual with a brachial plexus injury has weakened arm muscles.The L8702 device helps restore some arm function and range of motion, improving their ability to perform daily tasks., Following neuromuscular trauma, a patient has significantly reduced arm strength.The powered orthosis (L8702) assists with movement and grasping, promoting increased independence and participation in rehabilitation exercises.

Documentation should include details of the patient's condition (e.g., stroke, brachial plexus injury, neuromuscular trauma), the impact on their functional abilities, and the medical necessity for the powered orthosis.Records of evaluations, fittings, and adjustments should also be maintained.

** As of June 1, 2024, only products that have undergone mandatory code verification review and are listed on the PDAC contractor website's Product Classification List (PCL) can be billed using L8701 and L8702 for Medicare claims.This ensures that billed devices meet specific quality and functionality standards.

** Only Enterprise users with EHR integration can access case-specific answers. Click here to request access.

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