L7402 Add ue prost s/d ultlite mat

Full Description

Addition to upper extremity prosthesis, shoulder disarticulation/interscapular

Code
L7402
Short Description
Add ue prost s/d ultlite mat
Section
L — Orthotic and Prosthetic Procedures
Pricing Indicator
38
Source: CMS HCPCS October 2026 quarterly release.

Last reviewed: September 2026