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HCPCS Level II · Orthotic and prosthetic procedures and devices

L8701Powered upper extremity range of motion assist device, elbow, wrist, hand with single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated

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Source: CMS HCPCS quarterly update, October 2026. Page updated September 29, 2026.

About L8701

L8701 is an HCPCS Level II code in the L series (orthotic and prosthetic procedures and devices), describing powered upper extremity range of motion assist device, elbow, wrist, hand with single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated.

It was added to HCPCS effective 01/01/2019, and its current record took effect 01/01/2024.

Its Medicare coverage code is "C", meaning coverage is left to the Medicare contractor's judgment.

Details

Short description
Ewh s/d uprt micro sensor
Date added
01/01/2019
Action effective
01/01/2024
BETOS
D1F

Related L87xx codes

Common questions about L8701

Is HCPCS L8701 still valid?

Yes. L8701 is active in the CMS October 2026 HCPCS file.

Does Medicare cover L8701?

Its coverage code is "C": coverage is left to the Medicare contractor's judgment. Check the local coverage determination for your region.