{
"HCPCS": {
"HCPC": "L6036",
"LongDescription": "Prosthetic thumb, mechanical, can include metacarpophalangeal (mcp), interphalangeal (ip) joint(s), with or without locking mechanism, can include flexion or extension assist, any material, attachment, initial issue or replacement",
"ShortDescription": "Prosthetic thumb mechanical",
"PricingIndicators": {
"PricingIndicator": {
"PricingIndicatorName": "38",
"PricingIndicatorCode": "Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings) . Durable Medical Equipment, Prosthetics, Orthotics, Supplies And Surgical Dressings"
}
},
"MPI": "A",
"MultiplePricingIndicatorCode": "Not applicable as HCPCS priced under one methodology",
"CIMs": null,
"MCMs": "",
"Statute": null,
"LabCertifications": null,
"XReferences": null,
"Coverage": "C",
"CoverageDescription": "Carrier judgment",
"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": "20251001",
"ActionEffDate": "20251001",
"TermDate": null,
"ActionCode": "A",
"ActionCodeDescription": "Add procedure or modifier code"
}
}