L6026 — Transcarpal/metacarpal or partial hand disarticulation prosthesis, external power, self-suspended, inner socket with removable forearm section, electrodes and cables, two batteries, charger, myoelectric control of terminal device, excludes terminal device(s)
HCPCS Level II L-code · short descriptor: “Part hand myo exclu term dev”
- Code system
- HCPCS Level II
- Family
- L — Orthotics & prosthetics
- Medicare coverage status
- Carrier judgment — coverage decided by the DME MAC
- DMEPOS payment category
- Prosthetics & orthotics
- Prior authorization
- Not on Medicare required-PA list
- Status
- Active (April 2026 HCPCS)
Prior authorization
Not on the Medicare required-PA list as of the January 13, 2026 update (74 items). Medicare Advantage and commercial plans set their own prior-authorization rules for this code — verify per plan before delivery.
L6026 Medicare fee schedule (April 2026)
Base (no modifier) Prosthetics & orthotics
Medicare allowable ranges from $4589.94 to $6119.92 depending on state and rural status.
Former-CBA payment limits: ceiling $6119.92 · floor $4589.94
| State | Non-rural | Rural |
|---|---|---|
| AK | $5601.09 | — |
| AL | $6119.92 | — |
| AR | $4589.94 | — |
| AZ | $5673.74 | — |
| CA | $5673.74 | — |
| CO | $5831.20 | — |
| CT | $5179.23 | — |
| DC | $5177.21 | — |
| DE | $5177.21 | — |
| FL | $6119.92 | — |
| GA | $6119.92 | — |
| HI | $5322.69 | — |
| IA | $5763.38 | — |
| ID | $5346.36 | — |
| IL | $5356.25 | — |
| IN | $5356.25 | — |
| KS | $5763.38 | — |
| KY | $6119.92 | — |
| LA | $4589.94 | — |
| MA | $5179.23 | — |
| MD | $5177.21 | — |
| ME | $5179.23 | — |
| MI | $5356.25 | — |
| MN | $5356.25 | — |
| MO | $5763.38 | — |
| MS | $6119.92 | — |
| MT | $5831.20 | — |
| NC | $6119.92 | — |
| ND | $5831.20 | — |
| NE | $5763.38 | — |
| NH | $5179.23 | — |
| NJ | $4818.91 | — |
| NM | $4589.94 | — |
| NV | $5673.74 | — |
| NY | $4818.91 | — |
| OH | $5356.25 | — |
| OK | $4589.94 | — |
| OR | $5346.36 | — |
| PA | $5177.21 | — |
| PR | $5542.75 | — |
| RI | $5179.23 | — |
| SC | $6119.92 | — |
| SD | $5831.20 | — |
| TN | $6119.92 | — |
| TX | $4589.94 | — |
| UT | $5831.20 | — |
| VA | $5177.21 | — |
| VI | $5780.62 | — |
| VT | $5179.23 | — |
| WA | $5346.36 | — |
| WI | $5356.25 | — |
| WV | $5177.21 | — |
| WY | $5831.20 | — |
Amounts are the Medicare DMEPOS fee-schedule allowables effective April 2026.
Medicare typically pays 80% of the allowable after the Part B deductible; the patient owes 20%.
A 2% sequestration reduction applies to the Medicare share. Former competitive-bidding-area
adjustments and non-continental rates can differ — verify with your DME MAC.
Common denial codes to watch
Related L-codes
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