L6686 — Upper extremity addition, suction socket
HCPCS Level II L-code · short descriptor: “Suction socket”
- 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.
L6686 Medicare fee schedule (April 2026)
Base (no modifier) Prosthetics & orthotics
Medicare allowable ranges from $722.75 to $1361.04 depending on state and rural status.
Former-CBA payment limits: ceiling $963.67 · floor $722.75
| State | Non-rural | Rural |
|---|---|---|
| AK | $1002.04 | — |
| AL | $963.67 | — |
| AR | $793.42 | — |
| AZ | $963.67 | — |
| CA | $963.67 | — |
| CO | $722.75 | — |
| CT | $963.67 | — |
| DC | $793.56 | — |
| DE | $793.56 | — |
| FL | $963.67 | — |
| GA | $963.67 | — |
| HI | $1071.44 | — |
| IA | $722.75 | — |
| ID | $813.95 | — |
| IL | $844.29 | — |
| IN | $844.29 | — |
| KS | $722.75 | — |
| KY | $963.67 | — |
| LA | $793.42 | — |
| MA | $963.67 | — |
| MD | $793.56 | — |
| ME | $963.67 | — |
| MI | $844.29 | — |
| MN | $844.29 | — |
| MO | $722.75 | — |
| MS | $963.67 | — |
| MT | $722.75 | — |
| NC | $963.67 | — |
| ND | $722.75 | — |
| NE | $722.75 | — |
| NH | $963.67 | — |
| NJ | $733.33 | — |
| NM | $793.42 | — |
| NV | $963.67 | — |
| NY | $733.33 | — |
| OH | $844.29 | — |
| OK | $793.42 | — |
| OR | $813.95 | — |
| PA | $793.56 | — |
| PR | $1361.04 | — |
| RI | $963.67 | — |
| SC | $963.67 | — |
| SD | $722.75 | — |
| TN | $963.67 | — |
| TX | $793.42 | — |
| UT | $722.75 | — |
| VA | $793.56 | — |
| VI | $733.34 | — |
| VT | $963.67 | — |
| WA | $813.95 | — |
| WI | $844.29 | — |
| WV | $793.56 | — |
| WY | $722.75 | — |
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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