Summary & Overview
HCPCS L6905: Hand Restoration, Partial Hand with Glove, Multiple Fingers Remaining
HCPCS Level II code L6905 covers fabrication and fitting of a partial hand restoration device—casts, shading, and measurements included—designed for patients with multiple remaining fingers and delivered with a glove. Nationally, this code matters because it documents specialized prosthetic services that support functional restoration, influences durable medical equipment billing, and informs coverage and payment decisions across public and private payers. Key payers addressed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare.
Readers will learn what the code denotes, where the service is typically provided, and how payers commonly approach coverage. The publication provides benchmarks and contextual policy notes relevant to prosthetics and orthotics billing, describes typical site-of-service settings, and summarizes variations in payer practices and coverage considerations. Clinical context covers the intent of the device—restoring hand form and function for partial hand conditions with multiple fingers remaining—and the procedural elements captured by the code (casts, shading, measurements, and delivery with a glove).
Data not available in the input: associated taxonomies, specific ICD-10 diagnosis mappings, related codes, and detailed payer-specific reimbursement rates.
Billing Code Overview
HCPCS Level II code L6905 describes hand restoration (casts, shading and measurements included), partial hand, with glove, multiple fingers remaining. This code represents fabrication and fitting of a prosthetic or restorative device intended to restore hand form and function for a partial hand amputation or congenital absence where multiple fingers remain.
Service Type: Prosthetic/Orthotic hand restoration
Typical Site of Service: Outpatient prosthetics/orthotics clinic or specialty durable medical equipment provider settings
Data not available in the input.
Clinical & Coding Specifications
Clinical Context
A 45-year-old patient presents to a prosthetics and orthotics clinic after a traumatic partial hand amputation that spared multiple fingers. The prosthetist conducts an initial evaluation including residual limb assessment, range of motion, and functional goals. Measurements and detailed casting of the partial hand are performed to fabricate a custom glove-style restoration prosthesis that accommodates the remaining digits. The workflow includes: initial consultation and functional needs assessment; casting and measurements (L6905 service) performed in-clinic; laboratory fabrication of the custom partial-hand glove; fitting and adjustments at a follow-up visit; and occupational therapy for training and device integration into activities of daily living. Typical sites of service are outpatient prosthetics/orthotics clinics, hospital-based prosthetics departments, and specialized rehabilitation centers. The typical patient scenario involves chronic post-amputation care, prosthetic fabrication after surgical stabilization, or replacement due to wear, with documentation including operative history, limb measurements, cast impressions, and functional goals.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
52 | Reduced services | Use when the cast/measurement or glove portion of the fabrication is partially performed or limited in scope |