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L6605 — Upper extremity additions, single pivot hinge, pair

HCPCS Level II L-code · short descriptor: “Single pivot hinge pair”

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.

L6605 Medicare fee schedule (April 2026)

Base (no modifier) Prosthetics & orthotics

Medicare allowable ranges from $133.09 to $425.09 depending on state and rural status.

Former-CBA payment limits: ceiling $302.33 · floor $226.75

StateNon-ruralRural
AK$397.58
AL$226.75
AR$302.33
AZ$302.33
CA$302.33
CO$226.75
CT$226.75
DC$227.07
DE$227.07
FL$226.75
GA$226.75
HI$425.09
IA$226.75
ID$234.74
IL$287.48
IN$287.48
KS$226.75
KY$226.75
LA$302.33
MA$226.75
MD$227.07
ME$226.75
MI$287.48
MN$287.48
MO$226.75
MS$226.75
MT$226.75
NC$226.75
ND$226.75
NE$226.75
NH$226.75
NJ$302.33
NM$302.33
NV$302.33
NY$302.33
OH$287.48
OK$302.33
OR$234.74
PA$227.07
PR$133.09
RI$226.75
SC$226.75
SD$226.75
TN$226.75
TX$302.33
UT$226.75
VA$227.07
VI$302.33
VT$226.75
WA$234.74
WI$287.48
WV$227.07
WY$226.75
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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