L6028 : HCPCS Code (2025) : JSON

L6028 : 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 l6692 ( Part hand finger metacar amp )

HCPCS Code : L6028 – JSON Data Format

                    
{
  "HCPCS": {
    "HCPC": "L6028",
    "LongDescription": "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 l6692",
    "ShortDescription": "Part hand finger metacar amp",
    "PricingIndicators": {
      "PricingIndicator": {
        "PricingIndicatorName": "00",
        "PricingIndicatorCode": "Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)"
      }
    },
    "MPI": "9",
    "MultiplePricingIndicatorCode": "Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')",
    "CIMs": null,
    "MCMs": "",
    "Statute": null,
    "LabCertifications": null,
    "XReferences": null,
    "Coverage": "I",
    "CoverageDescription": "Not payable by Medicare",
    "ASCPayGrp": null,
    "ASCPayGrpEffDate": null,
    "MOGPayGrp": null,
    "MOGPaymentGroupCode": null,
    "MOGPayInd": null,
    "MOGPaymentPolicyIndicator": null,
    "MOGEffDate": null,
    "ProcNote": null,
    "BETOS": "D1F",
    "BETOSDescription": "Prosthetic/Orthotic devices",
    "TypeOfServices": {
      "TypeOfService": {
        "TOS": "P",
        "TypeOfServiceCode": "Lump sum purchase of DME, prosthetics, orthotics"
      }
    },
    "AnestBaseUnits": "0",
    "CodeAddDate": "20250401",
    "ActionEffDate": "20251001",
    "TermDate": null,
    "ActionCode": "B",
    "ActionCodeDescription": "Change in both administrative data field and long description of procedure or modifier code"
  }
}