L6038 — Addition to single prosthetic digit or thumb, mechanical, attachment, multiaxial and/or internal/external rotation/abduction/adduction mechanism, with or without locking feature, any material
HCPCS Level II L-code · short descriptor: “Multiax rotation attachment”
- 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.
L6038 Medicare fee schedule (April 2026)
Base (no modifier) Prosthetics & orthotics
Medicare allowable ranges from $337.60 to $445.54 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $425.96 | — |
| AL | $339.50 | — |
| AR | $369.56 | — |
| AZ | $398.60 | — |
| CA | $398.60 | — |
| CO | $385.93 | — |
| CT | $337.60 | — |
| DC | $348.08 | — |
| DE | $348.08 | — |
| FL | $339.50 | — |
| GA | $339.50 | — |
| HI | $445.54 | — |
| IA | $367.19 | — |
| ID | $366.62 | — |
| IL | $369.71 | — |
| IN | $369.71 | — |
| KS | $367.19 | — |
| KY | $339.50 | — |
| LA | $369.56 | — |
| MA | $337.60 | — |
| MD | $348.08 | — |
| ME | $337.60 | — |
| MI | $369.71 | — |
| MN | $369.71 | — |
| MO | $367.19 | — |
| MS | $339.50 | — |
| MT | $385.93 | — |
| NC | $339.50 | — |
| ND | $385.93 | — |
| NE | $367.19 | — |
| NH | $337.60 | — |
| NJ | $344.18 | — |
| NM | $369.56 | — |
| NV | $398.60 | — |
| NY | $344.18 | — |
| OH | $369.71 | — |
| OK | $369.56 | — |
| OR | $366.62 | — |
| PA | $348.08 | — |
| PR | $422.56 | — |
| RI | $337.60 | — |
| SC | $339.50 | — |
| SD | $385.93 | — |
| TN | $339.50 | — |
| TX | $369.56 | — |
| UT | $385.93 | — |
| VA | $348.08 | — |
| VI | $358.52 | — |
| VT | $337.60 | — |
| WA | $366.62 | — |
| WI | $369.71 | — |
| WV | $348.08 | — |
| WY | $385.93 | — |
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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