HCPCS Level II · Orthotic and prosthetic procedures and devices
L7404Addition to upper extremity prosthesis, above elbow disarticulation, acrylic material
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Source: CMS HCPCS quarterly update, October 2026. Page updated September 29, 2026.
About L7404
L7404 is an HCPCS Level II code in the L series (orthotic and prosthetic procedures and devices), describing addition to upper extremity prosthesis, above elbow disarticulation, acrylic material.
It was added to HCPCS effective 01/01/2006.
Its Medicare coverage code is "C", meaning coverage is left to the Medicare contractor's judgment.
Details
- Short description
- Add ue prost a/e acrylic
- Date added
- 01/01/2006
- Action effective
- 01/01/2006
- BETOS
- D1F
Related L74xx codes
- L7400Addition to upper extremity prosthesis, below elbow/wrist disarticulation, ultralight material (titanium, carbon fiber or equal)
- L7401Addition to upper extremity prosthesis, above elbow disarticulation, ultralight material (titanium, carbon fiber or equal)
- L7402Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, ultralight material (titanium, carbon fiber or equal)
- L7403Addition to upper extremity prosthesis, below elbow/wrist disarticulation, acrylic material
- L7405Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, acrylic material
- L7406Addition to upper extremity prosthesis, user adjustable, mechanical, residual limb volume management system (with or without lamination kit)
- L7499Upper extremity prosthesis, not otherwise specified
Common questions about L7404
Is HCPCS L7404 still valid?
- Yes. L7404 is active in the CMS October 2026 HCPCS file.
Does Medicare cover L7404?
- Its coverage code is "C": coverage is left to the Medicare contractor's judgment. Check the local coverage determination for your region.