HCPCS L-codes — Orthotics & prosthetics
L-codes span orthotics and prosthetics — spinal and knee orthoses, ankle-foot orthoses, and lower-limb prosthetic components. Several off-the-shelf and custom-fabricated orthoses now require Medicare prior authorization.
933 active codes in the April 2026 HCPCS file. PA = on Medicare's required prior-authorization list · Fee schedule = April 2026 DMEPOS amounts published.
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| Code | Description | Flags |
|---|---|---|
| L6640 | Upper extremity additions, shoulder abduction joint, pair | Fee schedule |
| L6641 | Upper extremity addition, excursion amplifier, pulley type | Fee schedule |
| L6642 | Upper extremity addition, excursion amplifier, lever type | Fee schedule |
| L6645 | Upper extremity addition, shoulder flexion-abduction joint, each | Fee schedule |
| L6646 | Upper extremity addition, shoulder joint, multipositional locking, flexion, adjustable abduction friction control, for use with body powered or external powered system | Fee schedule |
| L6647 | Upper extremity addition, shoulder lock mechanism, body powered actuator | Fee schedule |
| L6648 | Upper extremity addition, shoulder lock mechanism, external powered actuator | Fee schedule |
| L6650 | Upper extremity addition, shoulder universal joint, each | Fee schedule |
| L6655 | Upper extremity addition, standard control cable, extra | Fee schedule |
| L6660 | Upper extremity addition, heavy duty control cable | Fee schedule |
| L6665 | Upper extremity addition, teflon, or equal, cable lining | Fee schedule |
| L6670 | Upper extremity addition, hook to hand, cable adapter | Fee schedule |
| L6672 | Upper extremity addition, harness, chest or shoulder, saddle type | Fee schedule |
| L6675 | Upper extremity addition, harness, (e.g., figure of eight type), single cable design | Fee schedule |
| L6676 | Upper extremity addition, harness, (e.g., figure of eight type), dual cable design | Fee schedule |
| L6677 | Upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow | Fee schedule |
| L6680 | Upper extremity addition, test socket, wrist disarticulation or below elbow | Fee schedule |
| L6682 | Upper extremity addition, test socket, elbow disarticulation or above elbow | Fee schedule |
| L6684 | Upper extremity addition, test socket, shoulder disarticulation or interscapular thoracic | Fee schedule |
| L6686 | Upper extremity addition, suction socket | Fee schedule |
| L6687 | Upper extremity addition, frame type socket, below elbow or wrist disarticulation | Fee schedule |
| L6688 | Upper extremity addition, frame type socket, above elbow or elbow disarticulation | Fee schedule |
| L6689 | Upper extremity addition, frame type socket, shoulder disarticulation | Fee schedule |
| L6690 | Upper extremity addition, frame type socket, interscapular-thoracic | Fee schedule |
| L6691 | Upper extremity addition, removable insert, each | Fee schedule |
| L6692 | Upper extremity addition, silicone gel insert or equal, with or without locking mechanism, each | Fee schedule |
| L6693 | Upper extremity addition, locking elbow, forearm counterbalance | Fee schedule |
| L6694 | Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanism | Fee schedule |
| L6695 | Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mechanism | Fee schedule |
| L6696 | Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code l6694 or l6695) | Fee schedule |
| L6697 | Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code l6694 or l6695) | Fee schedule |
| L6698 | Addition to upper extremity prosthesis, lock mechanism, excludes socket insert | Fee schedule |
| L6700 | Upper extremity addition, external powered feature, myoelectronic control module, additional emg inputs, pattern-recognition decoding intent movement | Fee schedule |
| L6703 | Terminal device, passive hand/mitt, any material, any size | Fee schedule |
| L6704 | Terminal device, sport/recreational/work attachment, any material, any size | Fee schedule |
| L6706 | Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined | Fee schedule |
| L6707 | Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined | Fee schedule |
| L6708 | Terminal device, hand, mechanical, voluntary opening, any material, any size | Fee schedule |
| L6709 | Terminal device, hand, mechanical, voluntary closing, any material, any size | Fee schedule |
| L6711 | Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined, pediatric | Fee schedule |
| L6712 | Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined, pediatric | Fee schedule |
| L6713 | Terminal device, hand, mechanical, voluntary opening, any material, any size, pediatric | Fee schedule |
| L6714 | Terminal device, hand, mechanical, voluntary closing, any material, any size, pediatric | Fee schedule |
| L6715 | Terminal device, multiple articulating digit, includes motor(s), initial issue or replacement | Fee schedule |
| L6721 | Terminal device, hook or hand, heavy duty, mechanical, voluntary opening, any material, any size, lined or unlined | Fee schedule |
| L6722 | Terminal device, hook or hand, heavy duty, mechanical, voluntary closing, any material, any size, lined or unlined | Fee schedule |
| L6805 | Addition to terminal device, modifier wrist unit | Fee schedule |
| L6810 | Addition to terminal device, precision pinch device | Fee schedule |
| L6880 | Electric hand, switch or myoelectric controlled, independently articulating digits, any grasp pattern or combination of grasp patterns, includes motor(s) | Fee schedule |
| L6881 | Automatic grasp feature, addition to upper limb electric prosthetic terminal device | Fee schedule |
| L6882 | Microprocessor control feature, addition to upper limb prosthetic terminal device | Fee schedule |
| L6883 | Replacement socket, below elbow/wrist disarticulation, molded to patient model, for use with or without external power | Fee schedule |
| L6884 | Replacement socket, above elbow/elbow disarticulation, molded to patient model, for use with or without external power | Fee schedule |
| L6885 | Replacement socket, shoulder disarticulation/interscapular thoracic, molded to patient model, for use with or without external power | Fee schedule |
| L6890 | Addition to upper extremity prosthesis, glove for terminal device, any material, prefabricated, includes fitting and adjustment | Fee schedule |
| L6895 | Addition to upper extremity prosthesis, glove for terminal device, any material, custom fabricated | Fee schedule |
| L6900 | Hand restoration (casts, shading and measurements included), partial hand, with glove, thumb or one finger remaining | Fee schedule |
| L6905 | Hand restoration (casts, shading and measurements included), partial hand, with glove, multiple fingers remaining | Fee schedule |
| L6910 | Hand restoration (casts, shading and measurements included), partial hand, with glove, no fingers remaining | Fee schedule |
| L6915 | Hand restoration (shading, and measurements included), replacement glove for above | Fee schedule |
| 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 | Fee schedule |
| L6925 | Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device | Fee schedule |
| L6930 | Below elbow, 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 | Fee schedule |
| L6935 | Below elbow, external power, self-suspended inner socket, removable forearm shell, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device | Fee schedule |
| L6940 | Elbow disarticulation, external power, molded inner socket, removable humeral shell, outside locking hinges, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device | Fee schedule |
| L6945 | Elbow disarticulation, external power, molded inner socket, removable humeral shell, outside locking hinges, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device | Fee schedule |
| L6950 | Above elbow, external power, molded inner socket, removable humeral shell, internal locking elbow, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device | Fee schedule |
| L6955 | Above elbow, external power, molded inner socket, removable humeral shell, internal locking elbow, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device | Fee schedule |
| L6960 | Shoulder disarticulation, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device | Fee schedule |
| L6965 | Shoulder disarticulation, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device | Fee schedule |
| L6970 | Interscapular-thoracic, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device | Fee schedule |
| L6975 | Interscapular-thoracic, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device | Fee schedule |
| L7007 | Electric hand, switch or myoelectric controlled, adult | Fee schedule |
| L7008 | Electric hand, switch or myoelectric, controlled, pediatric | Fee schedule |
| L7009 | Electric hook, switch or myoelectric controlled, adult | Fee schedule |
| L7040 | Prehensile actuator, switch controlled | Fee schedule |
| L7045 | Electric hook, switch or myoelectric controlled, pediatric | Fee schedule |
| L7170 | Electronic elbow, hosmer or equal, switch controlled | Fee schedule |
| L7180 | Electronic elbow, microprocessor sequential control of elbow and terminal device | Fee schedule |
| L7181 | Electronic elbow, microprocessor simultaneous control of elbow and terminal device | Fee schedule |
| L7185 | Electronic elbow, adolescent, variety village or equal, switch controlled | Fee schedule |
| L7186 | Electronic elbow, child, variety village or equal, switch controlled | Fee schedule |
| L7190 | Electronic elbow, adolescent, variety village or equal, myoelectronically controlled | Fee schedule |
| L7191 | Electronic elbow, child, variety village or equal, myoelectronically controlled | Fee schedule |
| L7259 | Electronic wrist rotator, any type | Fee schedule |
| L7360 | Six volt battery, each | Fee schedule |
| L7362 | Battery charger, six volt, each | Fee schedule |
| L7364 | Twelve volt battery, each | Fee schedule |
| L7366 | Battery charger, twelve volt, each | Fee schedule |
| L7367 | Lithium ion battery, rechargeable, replacement | Fee schedule |
| L7368 | Lithium ion battery charger, replacement only | Fee schedule |
| L7400 | Addition to upper extremity prosthesis, below elbow/wrist disarticulation, ultralight material (titanium, carbon fiber or equal) | Fee schedule |
| L7401 | Addition to upper extremity prosthesis, above elbow disarticulation, ultralight material (titanium, carbon fiber or equal) | Fee schedule |
| L7402 | Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, ultralight material (titanium, carbon fiber or equal) | Fee schedule |
| L7403 | Addition to upper extremity prosthesis, below elbow/wrist disarticulation, acrylic material | Fee schedule |
| L7404 | Addition to upper extremity prosthesis, above elbow disarticulation, acrylic material | Fee schedule |
| L7405 | Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, acrylic material | Fee schedule |
| L7406 | Addition to upper extremity prosthesis, user adjustable, mechanical, residual limb volume management system (with or without lamination kit) | Fee schedule |
| L7499 | Upper extremity prosthesis, not otherwise specified | |
| L7510 | Repair of prosthetic device, repair or replace minor parts | |
| L7520 | Repair prosthetic device, labor component, per 15 minutes | Fee schedule |
| L7600 | Prosthetic donning sleeve, any material, each | |
| L7700 | Gasket or seal, for use with prosthetic socket insert, any type, each | Fee schedule |
| L7900 | Male vacuum erection system | |
| L7902 | Tension ring, for vacuum erection device, any type, replacement only, each | |
| L8000 | Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type | Fee schedule |
| L8001 | Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral, any size, any type | Fee schedule |
| L8002 | Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral, any size, any type | Fee schedule |
| L8015 | External breast prosthesis garment, with mastectomy form, post mastectomy | Fee schedule |
| L8020 | Breast prosthesis, mastectomy form | Fee schedule |
| L8030 | Breast prosthesis, silicone or equal, without integral adhesive | Fee schedule |
| L8031 | Breast prosthesis, silicone or equal, with integral adhesive | Fee schedule |
| L8032 | Nipple prosthesis, prefabricated, reusable, any type, each | Fee schedule |
| L8033 | Nipple prosthesis, custom fabricated, reusable, any material, any type, each | |
| L8035 | Custom breast prosthesis, post mastectomy, molded to patient model | Fee schedule |
| L8039 | Breast prosthesis, not otherwise specified | |
| L8040 | Nasal prosthesis, provided by a non-physician | Fee schedule |
| L8041 | Midfacial prosthesis, provided by a non-physician | Fee schedule |
| L8042 | Orbital prosthesis, provided by a non-physician | Fee schedule |
| L8043 | Upper facial prosthesis, provided by a non-physician | Fee schedule |
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