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L6382 — Immediate post surgical or early fitting, application of initial rigid dressing including fitting alignment and suspension of components, and one cast change, elbow disarticulation or above elbow

HCPCS Level II L-code · short descriptor: “Postop dsg cast chg elb dis/”

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.

L6382 Medicare fee schedule (April 2026)

Base (no modifier) Prosthetics & orthotics

Medicare allowable ranges from $1841.69 to $3426.39 depending on state and rural status.

Former-CBA payment limits: ceiling $2416.93 · floor $1812.70

StateNon-ruralRural
AK$2081.94
AL$2249.69
AR$1906.55
AZ$1992.22
CA$1992.22
CO$1937.58
CT$1871.92
DC$1915.40
DE$1915.40
FL$2249.69
GA$2249.69
HI$2226.24
IA$1841.69
ID$1970.81
IL$2076.05
IN$2076.05
KS$1841.69
KY$2249.69
LA$1906.55
MA$1871.92
MD$1915.40
ME$1871.92
MI$2076.05
MN$2076.05
MO$1841.69
MS$2249.69
MT$1937.58
NC$2249.69
ND$1937.58
NE$1841.69
NH$1871.92
NJ$2416.93
NM$1906.55
NV$1992.22
NY$2416.93
OH$2076.05
OK$1906.55
OR$1970.81
PA$1915.40
PR$3426.39
RI$1871.92
SC$2249.69
SD$1937.58
TN$2249.69
TX$1906.55
UT$1937.58
VA$1915.40
VI$2416.93
VT$1871.92
WA$1970.81
WI$2076.05
WV$1915.40
WY$1937.58
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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