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    v1.0.28
    OpenPayerBilling CodesProsthetic ProceduresHCPCS hcpcs-l7040-prehensile-actuator-switch-controlled
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    HCPCS Level II L7040: Prehensile Actuator, Switch Controlled

    HCPCS Level II code L7040 describes a prehensile actuator, switch controlled, an external upper-limb prosthetic component that provides grasping or holding function under user-activated switch control; service type is prosthetic component supply and fitting, and the typical site of service is prosthetics/orthotics clinic or outpatient prosthetics practice.

    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.

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    Clinical & Coding Specifications

    Clinical Context

    A typical patient is an adult or pediatric individual with upper limb amputation (partial hand or transradial) or severe hand dysfunction who requires an externally powered prehensile actuator under myoelectric or switch control to restore grasp. The clinical workflow begins with an evaluation by a prosthetist and a physiatrist or orthopedic surgeon to assess residual limb anatomy, skin condition, range of motion, and cognitive/neuromuscular ability to operate a switch-controlled device. Prosthetic training is scheduled to instruct the patient on use of the switch interface, donning/doffing, hygiene, and safety. Fabrication includes casting or digital scanning, component ordering (including the L7040 prehensile actuator, switch hardware, and interface), bench alignment, and a fitting visit for socket integration and switch placement. Follow-up includes adjustments, functional outcome assessment, and periodic maintenance visits, typically performed in an outpatient prosthetics clinic or rehabilitation center. Typical site of service: outpatient prosthetics/prosthetics laboratory, inpatient rehabilitation facility, or outpatient hospital clinic depending on patient needs and payer requirements.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    97760Orthotic management and training, initial encounter, upper extremity(s), lower extremity(s), and/or trunk, with training in use of deviceOften performed after delivery of an upper-limb prehensile actuator to train patient in switch control and functional use.
    97763Orthotic and prosthetic management and training, upper extremity prosthesis, initial encounter, with prosthesisUsed for prosthetic training specific to upper-extremity devices and documented functional goals.
    99070Supplies and materials (except spectacles), provided by the physician over and above those usually included with the office visitMay be used for additional non-custom supplies or disposables provided at fitting visits.
    20610Arthrocentesis, aspiration and/or injection; major joint or bursa (e.g., for management of residual limb pain prior to prosthetic fitting)Performed when managing residual limb issues or pain that affect prosthetic fitting.
    11055Paring or cutting of benign hyperkeratotic lesion(s) (separate entries may be used for skin prep)Used when skin care of the residual limb requires minor debridement prior to socket fitting.

    Related Modifiers

    8 rows

    ModifierDescriptionWhen to Use
    22Modifier –22 (Increased Procedural Services) is used when a reported procedure is substantially more extensive than normally required. The CPT Manual and CMS state it may be appended only when the…- When to use: Append modifier -22 to a procedural CPT code when the service performed is substantially more extensive than the usual service described by that code — i.e., the procedure required…
    50Modifier –50 (Bilateral Procedure) is appended to a CPT code when an identical procedure is performed on paired anatomical structures during the same operative session. The AMA states to add…- Use modifier -50 when the same CPT surgical, diagnostic, or radiology procedure is performed on paired anatomical structures (both sides of the body) during the same operative/session by the same…
    52Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
    53Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…
    62Modifier 62 indicates that two surgeons function as co‑surgeons, each performing distinct parts of the same primary surgical procedure. It is appended to the primary procedure code (and any…- Use modifier -62 when two surgeons act as co‑surgeons (both primary surgeons) on a single definitive primary procedure, each performing distinct parts of the same surgical procedure (append -62 to…
    78CPT modifier -78 indicates an unplanned, related return to the operating or procedure room by the same provider during the global postoperative period. It is appended when treatment for a…- Use modifier -78 when an unplanned, related complication during the original procedure’s global postoperative period requires the patient to return to a formal operating or procedure room and the…
    80CPT® Modifier 80 (Assistant Surgeon) is appended to a surgical CPT code when a physician (MD or DO) provides full, continuous assistance throughout the operative procedure. It is intended only for…- Use CPT Modifier -80 when a physician (MD or DO) serves as an assistant surgeon and provides full, continuous assistance throughout the entire operative procedure; append -80 to the surgical CPT…
    82Modifier 82 is appended to a surgical CPT code to indicate that an attending physician acted as an assistant because a qualified resident surgeon was unavailable. In teaching hospitals it documents…- When to use: Append modifier 82 in teaching-hospital settings to indicate a physician served as an assistant surgeon because a qualified resident surgeon was unavailable (includes situations where…

    Related Provider Taxonomies

    8 rows

    Taxonomy CodeSpecialtyNotes
    171M00000XCase Manager/Care CoordinatorA person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other servic…
    225600000XDance TherapistThe dance therapist, sometimes called a movement therapist, focuses on rhythmic body movements as a medium of physical and psychological change. Dance…
    103TC1900XCounseling PsychologistA psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at…
    261QM2800XMethadone ClinicAn entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with d…
    363AS0400XSurgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers · Physician Assistant
    163WX0200XOncology Registered NurseNursing Service Providers · Registered Nurse
    103TM1700XDeactivated - Psychologist Men & Masculinity
    207RH0002XHospice and Palliative Medicine (Internal Medicine) PhysicianAn internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illne…

    Related ICD-10-CM Codes

    27 rows

    ICD-10-CM CodeDescription
    G56.01Carpal tunnel syndrome, right upper limb
    G56.02Carpal tunnel syndrome, left upper limb
    G82.20Paraplegia, unspecified
    G82.50Quadriplegia, unspecified
    G83.4Cauda equina syndrome
    G83.9Paralytic syndrome, unspecified
    M24.571Contracture, right ankle
    M24.572Contracture, left ankle
    M25.531Pain in right wrist
    M25.532Pain in left wrist

    Showing 1–10 of 27

    Related Payer Policy Updates

    Specialty: Physical Medicine, Rehab & Therapies1 / 2

    3 rows

    PolicyPayerEffective Date
    Clinical Review Criteria — Lymphedema Therapy and Training (Complete Decongestive Therapy; LVA)Kaiser Permanente2026-09-01
    Therapy Services — Electric Stimulation for Pain, Swelling and Function in a Clinic SettingCigna2026-08-15
    Site of Care: Outpatient Hospital Setting for Physical and Occupational TherapyCigna2026-08-15

    Related Codes

    HCPCS-L5000-PARTIAL-FOOT-SHOE-INSERT-LONGITUDINAL-ARCH-TOE-FILLER

    HCPCS Level II L5000: Partial Foot Shoe Insert with Longitudinal Arch, Toe Filler

    HCPCS-L5010-PARTIAL-FOOT-MOLDED-SOCKET-ANKLE-HEIGHT-TOE-FILLER

    HCPCS L5010: Partial Foot Molded Socket, Ankle Height, With Toe Filler

    HCPCS-L5020-PARTIAL-FOOT-MOLDED-SOCKET-TIBIAL-TUBERCLE-TOE-FILLER

    HCPCS L5020: Partial Foot Molded Socket with Toe Filler

    HCPCS-L5050-ANKLE-SYMES-MOLDED-SOCKET-SACH-FOOT

    HCPCS L5050: Ankle/Symes Molded Socket with SACH Foot

    HCPCS-L5060-ANKLE-SYMES-METAL-FRAME-MOLDED-LEATHER-SOCKET-ARTICULATED-ANKLE-FOOT

    HCPCS L5060: Ankle/Symes Metal Frame with Molded Leather Socket

    HCPCS-L5100-BELOW-KNEE-MOLDED-SOCKET-SHIN-SACH-FOOT

    HCPCS Level II L5100: Below-Knee Molded Socket with Shin and SACH Foot

    HCPCS-L5105-BELOW-KNEE-PLASTIC-SOCKET-SACH-FOOT

    HCPCS L5105: Below-Knee Plastic Socket Prosthesis with SACH Foot

    HCPCS-L5150-KNEE-DISARTICULATION-MOLDED-SOCKET-EXTERNAL-KNEE-SACH-FOOT

    HCPCS L5150: Knee Disarticulation Molded Socket with External Knee and SACH Foot

    HCPCS-L5160-KNEE-DISARTICULATION-MOLDED-SOCKET-BENT-KNEE-SACH-FOOT

    HCPCS Level II L5160: Knee Disarticulation Molded Socket, Bent Knee Configuration

    HCPCS-L5200-ABOVE-KNEE-MOLDED-SOCKET-SINGLE-AXIS-KNEE-SACH-FOOT

    HCPCS Level II L5200: Above-knee Prosthesis with Molded Socket and Single-axis Knee

    Showing 1–10 of 472

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    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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