L6960 Insurance Policy Changes

HCPCS L6960 is officially defined as "Shoulder disarticulation, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device." HCPCS L6960 is referenced in 1 tracked payer policy change from Michigan Medicaid - MDHHS. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for HCPCS L6960 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

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