L7401 Add ue prost a/e ultlite mat

Full Description

Addition to upper extremity prosthesis, above elbow disarticulation, ultralight

Code
L7401
Short Description
Add ue prost a/e ultlite mat
Section
L — Orthotic and Prosthetic Procedures
Pricing Indicator
38
Source: CMS HCPCS October 2026 quarterly release.

Last reviewed: September 2026