Summary & Overview
HCPCS L6910: Hand Restoration, Partial Hand with Glove, No Fingers Remaining
HCPCS Level II code L6910 denotes custom hand restoration for a partial hand with no remaining fingers, including casts, shading and measurements and an integrated glove. This prosthetic/restorative service is an essential element of rehabilitative and functional care for patients after high-level partial hand amputations and has implications for coverage, supplier qualification and patient outcomes nationwide. Key payers included in typical coverage discussions are Aetna, Blue Cross Blue Shield, Cigna, UnitedHealthcare and Medicare. Readers will find a concise description of the service represented by the code, typical sites of service, and the clinical context for use. The publication summarizes payer coverage patterns and common modifiers used with this code, benchmarks for device provisioning where available, and policy considerations that affect prior authorization and documentation requirements. It also outlines the clinical workflow—from assessment and casting to custom fabrication and fitting—and identifies areas where coding clarity and documentation drive reimbursement decisions. Data not available in the input is noted where payer-specific rates, associated taxonomies, ICD-10 pairings and related codes would normally appear.
Billing Code Overview
HCPCS Level II code L6910 describes hand restoration (casts, shading and measurements included), partial hand, with glove, no fingers remaining. This code represents the fabrication and delivery of a prosthetic or restorative device tailored for a partial hand amputation where no digits remain and a glove component is incorporated. The service type is prosthetic hand restoration and fitting, including molding, casting, shading and custom measurements. The typical site of service is outpatient prosthetics and orthotics clinics or specialty prosthetic fabrication laboratories associated with hospitals or private prosthetics providers.
Clinical & Coding Specifications
Clinical Context
A 54-year-old male presents to a prosthetics clinic after a traumatic partial hand amputation with no remaining fingers on the affected hand. The patient has healed residual limb tissue and intact wrist motion but requires a cosmetic and functional restoration to cover the distal forearm/partial hand and to provide a glove-like interface for a prosthetic socket. The prosthetist performs casts, measurements, and shading for a custom silicone or laminated partial-hand restoration with an integrated glove, and fits the final restoration in a clinic visit. Typical workflow: initial evaluation and measurement appointment (casts and detailed measurements recorded), fabrication planning (shade matching and material selection), prosthesis fabrication in the lab, and final fitting and adjustments in the clinic. Usual site of service is an outpatient prosthetics clinic or specialty orthotics and prosthetics facility; occasional fittings may occur in acute inpatient rehabilitation when early fitting is indicated. Common payors include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, BUCA, and Medicare.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | Unmodified procedure code | Standard submission when no modifier applies |
11 |