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L6711 — Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined, pediatric

HCPCS Level II L-code · short descriptor: “Ped term dev, 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
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.

L6711 Medicare fee schedule (April 2026)

Base (no modifier) Prosthetics & orthotics

Medicare allowable ranges from $808.00 to $888.88 depending on state and rural status.

Former-CBA payment limits: ceiling $986.07 · floor $739.55

StateNon-ruralRural
AK$808.02
AL$832.33
AR$832.27
AZ$808.02
CA$808.02
CO$836.98
CT$808.00
DC$808.00
DE$808.00
FL$832.33
GA$832.33
HI$808.02
IA$823.81
ID$808.02
IL$827.85
IN$827.85
KS$823.81
KY$832.33
LA$832.27
MA$808.00
MD$808.00
ME$808.00
MI$827.85
MN$827.85
MO$823.81
MS$832.33
MT$836.98
NC$832.33
ND$836.98
NE$823.81
NH$808.00
NJ$808.00
NM$832.27
NV$808.02
NY$808.00
OH$827.85
OK$832.27
OR$808.02
PA$808.00
PR$888.88
RI$808.00
SC$832.33
SD$836.98
TN$832.33
TX$832.27
UT$836.98
VA$808.00
VI$888.88
VT$808.00
WA$808.02
WI$827.85
WV$808.00
WY$836.98
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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