MyMedi-AI

L6050 — Wrist disarticulation, molded socket, flexible elbow hinges, triceps pad

HCPCS Level II L-code · short descriptor: “Wrst mld sck flx hng tri pad”

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.

L6050 Medicare fee schedule (April 2026)

Base (no modifier) Prosthetics & orthotics

Medicare allowable ranges from $1227.04 to $3414.24 depending on state and rural status.

Former-CBA payment limits: ceiling $3100.80 · floor $2325.60

StateNon-ruralRural
AK$3192.95
AL$2325.60
AR$2817.16
AZ$3090.96
CA$3090.96
CO$2502.71
CT$2576.40
DC$2325.60
DE$2325.60
FL$2325.60
GA$2325.60
HI$3414.24
IA$2788.78
ID$2657.94
IL$3060.84
IN$3060.84
KS$2788.78
KY$2325.60
LA$2817.16
MA$2576.40
MD$2325.60
ME$2576.40
MI$3060.84
MN$3060.84
MO$2788.78
MS$2325.60
MT$2502.71
NC$2325.60
ND$2502.71
NE$2788.78
NH$2576.40
NJ$2713.15
NM$2817.16
NV$3090.96
NY$2713.15
OH$3060.84
OK$2817.16
OR$2657.94
PA$2325.60
PR$1227.04
RI$2576.40
SC$2325.60
SD$2502.71
TN$2325.60
TX$2817.16
UT$2502.71
VA$2325.60
VI$2713.15
VT$2576.40
WA$2657.94
WI$3060.84
WV$2325.60
WY$2502.71
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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