L6920 — Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, otto bock or equal, switch, cables, two batteries and one charger, switch control of terminal device
HCPCS Level II L-code · short descriptor: “Wrist disarticul switch ctrl”
- 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
- 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.
L6920 Medicare fee schedule (April 2026)
Base (no modifier) Prosthetics & orthotics
Medicare allowable ranges from $8170.29 to $10469.46 depending on state and rural status.
Former-CBA payment limits: ceiling $10893.72 · floor $8170.29
| State | Non-rural | Rural |
|---|---|---|
| AK | $9230.82 | — |
| AL | $8170.29 | — |
| AR | $8971.39 | — |
| AZ | $9127.55 | — |
| CA | $9127.55 | — |
| CO | $9931.59 | — |
| CT | $9337.30 | — |
| DC | $9436.79 | — |
| DE | $9436.79 | — |
| FL | $8170.29 | — |
| GA | $8170.29 | — |
| HI | $9870.54 | — |
| IA | $9192.07 | — |
| ID | $9526.30 | — |
| IL | $10315.01 | — |
| IN | $10315.01 | — |
| KS | $9192.07 | — |
| KY | $8170.29 | — |
| LA | $8971.39 | — |
| MA | $9337.30 | — |
| MD | $9436.79 | — |
| ME | $9337.30 | — |
| MI | $10315.01 | — |
| MN | $10315.01 | — |
| MO | $9192.07 | — |
| MS | $8170.29 | — |
| MT | $9931.59 | — |
| NC | $8170.29 | — |
| ND | $9931.59 | — |
| NE | $9192.07 | — |
| NH | $9337.30 | — |
| NJ | $8170.29 | — |
| NM | $8971.39 | — |
| NV | $9127.55 | — |
| NY | $8170.29 | — |
| OH | $10315.01 | — |
| OK | $8971.39 | — |
| OR | $9526.30 | — |
| PA | $9436.79 | — |
| PR | $10469.46 | — |
| RI | $9337.30 | — |
| SC | $8170.29 | — |
| SD | $9931.59 | — |
| TN | $8170.29 | — |
| TX | $8971.39 | — |
| UT | $9931.59 | — |
| VA | $9436.79 | — |
| VI | $8170.29 | — |
| VT | $9337.30 | — |
| WA | $9526.30 | — |
| WI | $10315.01 | — |
| WV | $9436.79 | — |
| WY | $9931.59 | — |
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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