L7499 HCPCS Level II code: Upper extremity prosthesis, not otherwise specified
L7499 is the HCPCS code for “Upper extremity prosthesis, not otherwise specified” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
L7499Upper extremity prosthesis, not otherwise specified
Short description: Upper extremity prosthes nos
HCPCS · United States
Medicare details
The indicators CMS publishes with L7499 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Carrier judgment
- Medicare pricing
- DMEPOS fee schedule – Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)
- Type of service
- Lump sum purchase of DME, prosthetics, orthotics
- BETOS category
- Prosthetic/Orthotic devices
- Added
- Jan 1, 1985
Where L7499 sits
- 1L codesOrthotics and prosthetics
- 2Active code L7499Upper extremity prosthesis, not otherwise specified
Source and release
- Data release
- HCPCS Level II · October 2026
- Effective date
- Oct 1, 2026
- Publisher
- CMS
This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.
Frequently asked questions
What does HCPCS code L7499 mean?
L7499 is the HCPCS code for “Upper extremity prosthesis, not otherwise specified” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover L7499?
CMS lists L7499’s Medicare coverage as “Carrier judgment” and its pricing as “DMEPOS fee schedule – Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.
Which HCPCS Level II release does this page use?
It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.
Codes beside L7499
All L codesL7401Addition to upper extremity prosthesis, above elbow disarticulation, ultralight material (titanium, carbon fiber or equal)L7402Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, ultralight material (titanium, carbon fiber or equal)L7403Addition to upper extremity prosthesis, below elbow/wrist disarticulation, acrylic materialL7404Addition to upper extremity prosthesis, above elbow disarticulation, acrylic materialL7405Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, acrylic materialL7406Addition to upper extremity prosthesis, user adjustable, mechanical, residual limb volume management system (with or without lamination kit)L7510Repair of prosthetic device, repair or replace minor partsL7520Repair prosthetic device, labor component, per 15 minutesL7600Prosthetic donning sleeve, any material, eachL7700Gasket or seal, for use with prosthetic socket insert, any type, eachL7900Male vacuum erection systemL7902Tension ring, for vacuum erection device, any type, replacement only, each