MyMedi-AI

L6810 — Addition to terminal device, precision pinch device

HCPCS Level II L-code · short descriptor: “Term dev precision pinch dev”

Code system
HCPCS Level II
Family
L — Orthotics & prosthetics
Medicare coverage status
Special coverage instructions apply
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.

L6810 Medicare fee schedule (April 2026)

Base (no modifier) Prosthetics & orthotics

Medicare allowable ranges from $228.36 to $304.48 depending on state and rural status.

Former-CBA payment limits: ceiling $304.48 · floor $228.36

StateNon-ruralRural
AK$265.09
AL$236.08
AR$304.48
AZ$266.48
CA$266.48
CO$269.54
CT$228.59
DC$240.21
DE$240.21
FL$236.08
GA$236.08
HI$283.47
IA$249.21
ID$245.02
IL$251.06
IN$251.06
KS$249.21
KY$236.08
LA$304.48
MA$228.59
MD$240.21
ME$228.59
MI$251.06
MN$251.06
MO$249.21
MS$236.08
MT$269.54
NC$236.08
ND$269.54
NE$249.21
NH$228.59
NJ$228.36
NM$304.48
NV$266.48
NY$228.36
OH$251.06
OK$304.48
OR$245.02
PA$240.21
PR$237.95
RI$228.59
SC$236.08
SD$269.54
TN$236.08
TX$304.48
UT$269.54
VA$240.21
VI$228.36
VT$228.59
WA$245.02
WI$251.06
WV$240.21
WY$269.54
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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