Medica policy
Myoelectric Upper Limb Prosthetics and Orthotics
Myoelectric Upper Limb Prosthetics and Orthotics is a public Medica policy (effective Sep 1, 2026). It lists 34 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
View the original policy (PDF) ↗
- Payer
- Medica
- Effective
- Sep 1, 2026
- Line of business
- Commercial, Medicaid
- Source
- partner.medica.com
Codes in this policy
The CPT and HCPCS codes the policy names. A policy can name a code it excludes.
| Code | Other Medica policies |
|---|---|
| L6026 | Policies naming L6026 |
| L6611 | Policies naming L6611 |
| L6672 | Policies naming L6672 |
| L6680 | Policies naming L6680 |
| L6682 | Policies naming L6682 |
| L6684 | Policies naming L6684 |
| L6686 | Policies naming L6686 |
| L6687 | Policies naming L6687 |
| L6688 | Policies naming L6688 |
| L6689 | Policies naming L6689 |
| L6690 | Policies naming L6690 |
| L6715 | Policies naming L6715 |
| L6880 | Policies naming L6880 |
| L6881 | Policies naming L6881 |
| L6882 | Policies naming L6882 |
| L6890 | Policies naming L6890 |
| L6925 | Policies naming L6925 |
| L6935 | Policies naming L6935 |
| L6945 | Policies naming L6945 |
| L6950 | Policies naming L6950 |
| L6955 | Policies naming L6955 |
| L6965 | Policies naming L6965 |
| L6975 | Policies naming L6975 |
| L7007 | Policies naming L7007 |
| L7008 | Policies naming L7008 |
| L7009 | Policies naming L7009 |
| L7045 | Policies naming L7045 |
| L7180 | Policies naming L7180 |
| L7181 | Policies naming L7181 |
| L7190 | Policies naming L7190 |
| L7191 | Policies naming L7191 |
| L7259 | Policies naming L7259 |
| L8701 | Policies naming L8701 |
| L8702 | Policies naming L8702 |