3 commercial payer policies list L7404. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.
Free account. Policy pages stay open to everyone.
3 policies from 3 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of L7404 |
|---|---|---|
| Upper Extremity Prosthetic Devices | Apr 1, 2026 | Covered |
| Policy | Effective | Status of L7404 |
|---|---|---|
| Upper Extremity Prosthetic Devices | Apr 1, 2026 | Covered |
| Policy | Effective | Status of L7404 |
|---|---|---|
| Upper Extremity Prosthetic Devices | Apr 1, 2026 | Covered |