MyoPro® (Myomo, Inc.) Assist Device - Correct Coding - Revised

DME MAC Joint Publication

In 2014, the Durable Medical Equipment Medicare Administrative Contractors (DME MACs) evaluated the MyoPro^® upper extremity assist device and determined that it falls within the Durable Medical Equipment (DME) benefit category with claims considered for reimbursement under rental payment methodology (RR modifier use). Effective for dates of service on or after October 1, 2020, the code descriptors for the MyoPro^® upper extremity assist device have changed:

For the MyoPro 2^® Motion E and Motion W

L8701  POWERED UPPER EXTREMITY RANGE OF MOTION ASSIST DEVICE, ELBOW, WRIST, HAND WITH SINGLE OR DOUBLE UPRIGHT(S), INCLUDES MICROPROCESSOR, SENSORS, ALL COMPONENTS AND ACCESSORIES, CUSTOM FABRICATED

For the MyoPro 2^® Motion G

L8702  POWERED UPPER EXTREMITY RANGE OF MOTION ASSIST DEVICE, ELBOW, WRIST, HAND, FINGER, SINGLE OR DOUBLE UPRIGHT(S), INCLUDES MICROPROCESSOR, SENSORS, ALL COMPONENTS AND ACCESSORIES, CUSTOM FABRICATED

Correct coding is an essential element for correct claim payment. The PDAC contractor maintains a variety of resources to assist suppliers in determining the appropriate code for Medicare billing. For questions about correct coding, contact the PDAC Contact Center at 877-735-1326 during the hours of 9:30 a.m.-5:00 p.m. ET, Monday through Friday, or email the PDAC by completing the DME PDAC Contact Form located on the PDAC website.