L7404 Add ue prost a/e acrylic

Full Description

Addition to upper extremity prosthesis, above elbow disarticulation, acrylic

Code
L7404
Short Description
Add ue prost a/e acrylic
Section
L — Orthotic and Prosthetic Procedures
Pricing Indicator
38
Source: CMS HCPCS October 2026 quarterly release.

Last reviewed: September 2026