L6028, Partial hand, finger, and thumb prosthesis without prosthetic digit(s) /thumb,HCPCS/CPT
Prior Auth Required
Code explicitly requires prior authorization (high confidence)
EVICORE-HPLAN-CIGNA_MEDICARE-268F28B96146, Cigna Medicare Advantage Durable Medical Equipment Code List - Effective 01/01/2025
UHC-POL-upper-extremity-prosthetic-devices, Upper Extremity Prosthetic Devices
AMBETTER-CP.MP.107, Durable Medical Equipment and Orthotics and Prosthetics Guidelines
UMR-POL-UMR-upper-extremity-prosthetic-devices, Upper Extremity Prosthetic Devices
SUREST-POL-SUREST-upper-extremity-prosthetic-devices, Upper Extremity Prosthetic Devices
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