HCPCS Level II code L6955 describes an above-elbow external powered prosthesis with a molded inner socket, removable humeral shell, internal locking elbow and forearm, myoelectronic control of the terminal device, electrodes and cables, two batteries and one charger; service type is prosthetic upper-limb fabrication and provision and the typical site of service is prosthetics/orthotics clinic or specialized prosthetic laboratory where fitting, assembly, and device programming occur.

For related coverage guidance, see recent payer policy updates: Clinical Review Criteria — Lymphedema Therapy and Training (Complete Decongestive Therapy; LVA), Therapy Services — Electric Stimulation for Pain, Swelling and Function in a Clinic Setting, Site of Care: Outpatient Hospital Setting for Physical and Occupational Therapy.