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L6712 — Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined, pediatric

HCPCS Level II L-code · short descriptor: “Ped term dev, hook, vol clos”

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.

L6712 Medicare fee schedule (April 2026)

Base (no modifier) Prosthetics & orthotics

Medicare allowable ranges from $1487.69 to $1636.52 depending on state and rural status.

Former-CBA payment limits: ceiling $1815.54 · floor $1361.66

StateNon-ruralRural
AK$1487.69
AL$1532.52
AR$1532.40
AZ$1487.69
CA$1487.69
CO$1540.98
CT$1487.69
DC$1487.69
DE$1487.69
FL$1532.52
GA$1532.52
HI$1487.69
IA$1516.79
ID$1487.69
IL$1524.28
IN$1524.28
KS$1516.79
KY$1532.52
LA$1532.40
MA$1487.69
MD$1487.69
ME$1487.69
MI$1524.28
MN$1524.28
MO$1516.79
MS$1532.52
MT$1540.98
NC$1532.52
ND$1540.98
NE$1516.79
NH$1487.69
NJ$1487.69
NM$1532.40
NV$1487.69
NY$1487.69
OH$1524.28
OK$1532.40
OR$1487.69
PA$1487.69
PR$1636.52
RI$1487.69
SC$1532.52
SD$1540.98
TN$1532.52
TX$1532.40
UT$1540.98
VA$1487.69
VI$1636.52
VT$1487.69
WA$1487.69
WI$1524.28
WV$1487.69
WY$1540.98
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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