Medical Policy Revision: Myoelectric Prosthetic Components for the Upper Limb

Effective June 22, 2015, Horizon Blue Cross Blue Shield of New Jersey will change the way we consider claims submitted for myoelectric prosthetic components.

Based on the guidelines of our revised medical policy, Myoelectric Prosthetic Components for the Upper Limb, HCPCS code L6680 when submitted on claims for dates of service June 22, 2015 and after will be denied as an investigational service/supply.

Review this revised policy in our online Medical Policy Manual.

Unless Horizon BCBSNJ gives written notice that all or part of the above changes have been cancelled or postponed, the changes will be applied to claims for dates of service June 22, 2015 and after.