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L6680 — Upper extremity addition, test socket, wrist disarticulation or below elbow

HCPCS Level II L-code · short descriptor: “Test sock wrist disart/bel e”

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.

L6680 Medicare fee schedule (April 2026)

Base (no modifier) Prosthetics & orthotics

Medicare allowable ranges from $284.03 to $780.45 depending on state and rural status.

Former-CBA payment limits: ceiling $378.71 · floor $284.03

StateNon-ruralRural
AK$422.35
AL$284.03
AR$378.71
AZ$378.71
CA$378.71
CO$300.81
CT$289.03
DC$284.03
DE$284.03
FL$284.03
GA$284.03
HI$451.61
IA$294.97
ID$291.23
IL$378.71
IN$378.71
KS$294.97
KY$284.03
LA$378.71
MA$289.03
MD$284.03
ME$289.03
MI$378.71
MN$378.71
MO$294.97
MS$284.03
MT$300.81
NC$284.03
ND$300.81
NE$294.97
NH$289.03
NJ$357.93
NM$378.71
NV$378.71
NY$357.93
OH$378.71
OK$378.71
OR$291.23
PA$284.03
PR$780.45
RI$289.03
SC$284.03
SD$300.81
TN$284.03
TX$378.71
UT$300.81
VA$284.03
VI$357.93
VT$289.03
WA$291.23
WI$378.71
WV$284.03
WY$300.81
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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