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L6031 — Replacement socket/interface, partial hand including fingers, molded to patient model, for use with or without external power

HCPCS Level II L-code · short descriptor: “Rep interface handfng molded”

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
Face-to-face & WOPD
Not on the required 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.

Order readiness — what the written order must contain

Every Medicare DMEPOS claim needs a Standard Written Order with all six elements (42 CFR 410.38(d)):

  • Beneficiary name or Medicare Beneficiary Identifier (MBI) (42 CFR 410.38(d)(1)(i)(A))
  • General description of the item (42 CFR 410.38(d)(1)(i)(B))
  • Quantity to be dispensed, if applicable (42 CFR 410.38(d)(1)(i)(C))
  • Order date (42 CFR 410.38(d)(1)(i)(D))
  • Treating practitioner name or NPI (42 CFR 410.38(d)(1)(i)(E))
  • Treating practitioner signature (42 CFR 410.38(d)(1)(i)(F))

Not on the F2F/WOPD list (April 13, 2026 update — 83 items). The standard written order must reach the supplier before claim submission.

Blank requirements checklist only — MyMedi-AI never collects or stores completed orders.

L6031 Medicare fee schedule (April 2026)

Base (no modifier) Prosthetics & orthotics

Medicare allowable ranges from $1202.16 to $1839.49 depending on state and rural status.

StateNon-ruralRural
AK$1569.94
AL$1602.89
AR$1536.46
AZ$1590.51
CA$1590.51
CO$1646.60
CT$1456.74
DC$1602.89
DE$1602.89
FL$1602.89
GA$1602.89
HI$1566.32
IA$1707.84
ID$1703.52
IL$1535.20
IN$1535.20
KS$1707.84
KY$1602.89
LA$1536.46
MA$1456.74
MD$1602.89
ME$1456.74
MI$1535.20
MN$1535.20
MO$1707.84
MS$1602.89
MT$1646.60
NC$1602.89
ND$1646.60
NE$1707.84
NH$1456.74
NJ$1602.89
NM$1536.46
NV$1590.51
NY$1602.89
OH$1535.20
OK$1536.46
OR$1703.52
PA$1602.89
PR$1839.49
RI$1456.74
SC$1602.89
SD$1646.60
TN$1602.89
TX$1536.46
UT$1646.60
VA$1602.89
VI$1202.16
VT$1456.74
WA$1703.52
WI$1535.20
WV$1602.89
WY$1646.60
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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