MyMedi-AI

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
Face-to-face & WOPD
Not on the required list
MUE unit limit
2
Status
Active (HCPCS Level II October 2026)

Prior authorization

Not on the Medicare required-PA list (CMS Required Prior Authorization List — 74 items in force on 2026-10-25; 8 more from 2026-10-28; sources: CMS list updated 2026-01-13, CMS-6109-N (91 FR 47972)). 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 (CMS Required F2F & WOPD List — 83 items in force on 2026-10-25; 22 more from 2026-10-28; sources: CMS list effective 2026-04-13 (91 FR 1250), CMS-6109-N (91 FR 47972)). The standard written order must reach the supplier before claim submission.

Blank requirements checklist only — MyMedi-AI never collects or stores completed orders.

L6706 Medicare fee schedule (October 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 October 2026 (CMS DMEPOS Fee Schedule October 2026 (DME26-D)). 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.

Unit limit (MUE)

Medicare's Medically Unlikely Edit caps L6706 at 2 units per date of service (absolute). Units above the MUE deny — typically as CO-151. Rationale: Anatomic Consideration.

Common denial codes to watch

Related L-codes

Bill L6706 with confidence

Track prior-authorization requests with AI pre-fill and deadline tracking, and draft PA appeal letters — built for DME teams, PHI-free: no patient data is collected or stored.

Start free trial   Run a CMS-0057-F readiness check

Prefer DIY compliance? Self-audit documentation kits for DME suppliers →

Building an AI agent? Try the agent API in the playground — free PA-required lookups, L6706 included, and starter credits via POST /bot-marketplace/register.