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L6388 — Immediate post surgical or early fitting, application of rigid dressing only

HCPCS Level II L-code · short descriptor: “Postop applicat rigid dsg on”

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.

L6388 Medicare fee schedule (April 2026)

Base (no modifier) Prosthetics & orthotics

Medicare allowable ranges from $464.61 to $717.61 depending on state and rural status.

Former-CBA payment limits: ceiling $717.61 · floor $538.21

StateNon-ruralRural
AK$662.60
AL$538.21
AR$611.64
AZ$669.26
CA$669.26
CO$618.94
CT$717.61
DC$538.21
DE$538.21
FL$538.21
GA$538.21
HI$708.50
IA$579.21
ID$621.13
IL$633.99
IN$633.99
KS$579.21
KY$538.21
LA$611.64
MA$717.61
MD$538.21
ME$717.61
MI$633.99
MN$633.99
MO$579.21
MS$538.21
MT$618.94
NC$538.21
ND$618.94
NE$579.21
NH$717.61
NJ$538.21
NM$611.64
NV$669.26
NY$538.21
OH$633.99
OK$611.64
OR$621.13
PA$538.21
PR$464.61
RI$717.61
SC$538.21
SD$618.94
TN$538.21
TX$611.64
UT$618.94
VA$538.21
VI$538.21
VT$717.61
WA$621.13
WI$633.99
WV$538.21
WY$618.94
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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