MyMedi-AI

L6715 — Terminal device, multiple articulating digit, includes motor(s), initial issue or replacement

HCPCS Level II L-code · short descriptor: “Term device, multi art digit”

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
5
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.

L6715 Medicare fee schedule (October 2026)

Base (no modifier) Prosthetics & orthotics

Medicare allowable ranges from $3794.37 to $4173.83 depending on state and rural status.

Former-CBA payment limits: ceiling $4631.65 · floor $3473.74

StateNon-ruralRural
AK$3794.37—
AL$3908.64—
AR$3908.27—
AZ$3794.37—
CA$3794.37—
CO$3938.07—
CT$3794.37—
DC$3794.37—
DE$3794.37—
FL$3908.64—
GA$3908.64—
HI$3794.37—
IA$3868.49—
ID$3794.37—
IL$3887.60—
IN$3887.60—
KS$3868.49—
KY$3908.64—
LA$3908.27—
MA$3794.37—
MD$3794.37—
ME$3794.37—
MI$3887.60—
MN$3887.60—
MO$3868.49—
MS$3908.64—
MT$3938.07—
NC$3908.64—
ND$3938.07—
NE$3868.49—
NH$3794.37—
NJ$3794.37—
NM$3908.27—
NV$3794.37—
NY$3794.37—
OH$3887.60—
OK$3908.27—
OR$3794.37—
PA$3794.37—
PR$4173.83—
RI$3794.37—
SC$3908.64—
SD$3938.07—
TN$3908.64—
TX$3908.27—
UT$3938.07—
VA$3794.37—
VI$4173.83—
VT$3794.37—
WA$3794.37—
WI$3887.60—
WV$3794.37—
WY$3938.07—
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 L6715 at 5 units per date of service (clinical). Units above the MUE deny — typically as CO-151. Rationale: Anatomic Consideration.

Common denial codes to watch

Related L-codes

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