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L6706 — Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined

HCPCS Level II L-code · short descriptor: “Term dev mech hook vol open”

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.

L6706 Medicare fee schedule (April 2026)

Base (no modifier) Prosthetics & orthotics

Medicare allowable ranges from $338.66 to $569.13 depending on state and rural status.

Former-CBA payment limits: ceiling $569.55 · floor $427.16

StateNon-ruralRural
AK$532.20
AL$427.16
AR$492.59
AZ$528.35
CA$528.35
CO$566.55
CT$489.64
DC$427.16
DE$427.16
FL$427.16
GA$427.16
HI$569.13
IA$499.74
ID$488.01
IL$515.91
IN$515.91
KS$499.74
KY$427.16
LA$492.59
MA$489.64
MD$427.16
ME$489.64
MI$515.91
MN$515.91
MO$499.74
MS$427.16
MT$566.55
NC$427.16
ND$566.55
NE$499.74
NH$489.64
NJ$427.16
NM$492.59
NV$528.35
NY$427.16
OH$515.91
OK$492.59
OR$488.01
PA$427.16
PR$338.66
RI$489.64
SC$427.16
SD$566.55
TN$427.16
TX$492.59
UT$566.55
VA$427.16
VI$427.16
VT$489.64
WA$488.01
WI$515.91
WV$427.16
WY$566.55
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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