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L6682 — Upper extremity addition, test socket, elbow disarticulation or above elbow

HCPCS Level II L-code · short descriptor: “Test sock elbw disart/above”

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.

L6682 Medicare fee schedule (April 2026)

Base (no modifier) Prosthetics & orthotics

Medicare allowable ranges from $314.04 to $970.82 depending on state and rural status.

Former-CBA payment limits: ceiling $418.71 · floor $314.04

StateNon-ruralRural
AK$382.72
AL$314.04
AR$370.84
AZ$377.08
CA$377.08
CO$327.93
CT$351.70
DC$318.33
DE$318.33
FL$314.04
GA$314.04
HI$409.26
IA$318.75
ID$370.53
IL$418.71
IN$418.71
KS$318.75
KY$314.04
LA$370.84
MA$351.70
MD$318.33
ME$351.70
MI$418.71
MN$418.71
MO$318.75
MS$314.04
MT$327.93
NC$314.04
ND$327.93
NE$318.75
NH$351.70
NJ$383.88
NM$370.84
NV$377.08
NY$383.88
OH$418.71
OK$370.84
OR$370.53
PA$318.33
PR$970.82
RI$351.70
SC$314.04
SD$327.93
TN$314.04
TX$370.84
UT$327.93
VA$318.33
VI$383.88
VT$351.70
WA$370.53
WI$418.71
WV$318.33
WY$327.93
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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