List of HCPCS codes for: Orthotic/Prosthetic Procedures (L-codes) - Group L6

HCPCS Code	Short Description	Long Description
L6000	Part hand thumb rem	Partial hand, thumb remaining
L6010	Part hand little/ring	Partial hand, little and/or ring finger remaining
L6020	Part hand no fingers	Partial hand, no finger remaining
L6025	Part hand disart myoelectric	Transcarpal/metacarpal or partial hand disarticulation prosthesis, external power, self-suspended, inner socket with removable forearm section, electrodes and cables, two batteries, charger, myoelectric control of terminal device
L6026	Part hand myo exclu term dev	Transcarpal/metacarpal or partial hand disarticulation prosthesis, external power, self-suspended, inner socket with removable forearm section, electrodes and cables, two batteries, charger, myoelectric control of terminal device, excludes terminal device(s)
L6050	Wrst mld sck flx hng tri pad	Wrist disarticulation, molded socket, flexible elbow hinges, triceps pad
L6055	Wrst mold sock w/exp interfa	Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad
L6100	Elb mold sock flex hinge pad	Below elbow, molded socket, flexible elbow hinge, triceps pad
L6110	Elbow mold sock suspension t	Below elbow, molded socket, (muenster or northwestern suspension types)
L6120	Elbow mold doub splt soc ste	Below elbow, molded double wall split socket, step-up hinges, half cuff
L6130	Elbow stump activated lock h	Below elbow, molded double wall split socket, stump activated locking hinge, half cuff
L6200	Elbow mold outsid lock hinge	Elbow disarticulation, molded socket, outside locking hinge, forearm
L6205	Elbow molded w/ expand inter	Elbow disarticulation, molded socket with expandable interface, outside locking hinges, forearm
L6250	Elbow inter loc elbow forarm	Above elbow, molded double wall socket, internal locking elbow, forearm
L6300	Shlder disart int lock elbow	Shoulder disarticulation, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm
L6310	Shoulder passive restor comp	Shoulder disarticulation, passive restoration (complete prosthesis)
L6320	Shoulder passive restor cap	Shoulder disarticulation, passive restoration (shoulder cap only)
L6350	Thoracic intern lock elbow	Interscapular thoracic, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm
L6360	Thoracic passive restor comp	Interscapular thoracic, passive restoration (complete prosthesis)
L6370	Thoracic passive restor cap	Interscapular thoracic, passive restoration (shoulder cap only)
L6380	Postop dsg cast chg wrst/elb	Immediate post surgical or early fitting, application of initial rigid dressing, including fitting alignment and suspension of components, and one cast change, wrist disarticulation or below elbow
L6382	Postop dsg cast chg elb dis/	Immediate post surgical or early fitting, application of initial rigid dressing including fitting alignment and suspension of components, and one cast change, elbow disarticulation or above elbow
L6384	Postop dsg cast chg shlder/t	Immediate post surgical or early fitting, application of initial rigid dressing including fitting alignment and suspension of components, and one cast change, shoulder disarticulation or interscapular thoracic
L6386	Postop ea cast chg & realign	Immediate post surgical or early fitting, each additional cast change and realignment
L6388	Postop applicat rigid dsg on	Immediate post surgical or early fitting, application of rigid dressing only
L6400	Below elbow prosth tiss shap	Below elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping
L6450	Elb disart prosth tiss shap	Elbow disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping
L6500	Above elbow prosth tiss shap	Above elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping
L6550	Shldr disar prosth tiss shap	Shoulder disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping
L6570	Scap thorac prosth tiss shap	Interscapular thoracic, molded socket, endoskeletal system, including soft prosthetic tissue shaping
L6580	Wrist/elbow bowden cable mol	Preparatory, wrist disarticulation or below elbow, single wall plastic socket, friction wrist, flexible elbow hinges, figure of eight harness, humeral cuff, bowden cable control, usmc or equal pylon, no cover, molded to patient model
L6582	Wrist/elbow bowden cbl dir f	Preparatory, wrist disarticulation or below elbow, single wall socket, friction wrist, flexible elbow hinges, figure of eight harness, humeral cuff, bowden cable control, usmc or equal pylon, no cover, direct formed
L6584	Elbow fair lead cable molded	Preparatory, elbow disarticulation or above elbow, single wall plastic socket, friction wrist, locking elbow, figure of eight harness, fair lead cable control, usmc or equal pylon, no cover, molded to patient model
L6586	Elbow fair lead cable dir fo	Preparatory, elbow disarticulation or above elbow, single wall socket, friction wrist, locking elbow, figure of eight harness, fair lead cable control, usmc or equal pylon, no cover, direct formed
L6588	Shdr fair lead cable molded	Preparatory, shoulder disarticulation or interscapular thoracic, single wall plastic socket, shoulder joint, locking elbow, friction wrist, chest strap, fair lead cable control, usmc or equal pylon, no cover, molded to patient model
L6590	Shdr fair lead cable direct	Preparatory, shoulder disarticulation or interscapular thoracic, single wall socket, shoulder joint, locking elbow, friction wrist, chest strap, fair lead cable control, usmc or equal pylon, no cover, direct formed
L6600	Polycentric hinge pair	Upper extremity additions, polycentric hinge, pair
L6605	Single pivot hinge pair	Upper extremity additions, single pivot hinge, pair
L6610	Flexible metal hinge pair	Upper extremity additions, flexible metal hinge, pair
L6611	Additional switch, ext power	Addition to upper extremity prosthesis, external powered, additional switch, any type
L6615	Disconnect locking wrist uni	Upper extremity addition, disconnect locking wrist unit
L6616	Disconnect insert locking wr	Upper extremity addition, additional disconnect insert for locking wrist unit, each
L6620	Flexion/extension wrist unit	Upper extremity addition, flexion/extension wrist unit, with or without friction
L6621	Flex/ext wrist w/wo friction	Upper extremity prosthesis addition, flexion/extension wrist with or without friction, for use with external powered terminal device
L6623	Spring-ass rot wrst w/ latch	Upper extremity addition, spring assisted rotational wrist unit with latch release
L6624	Flex/ext/rotation wrist unit	Upper extremity addition, flexion/extension and rotation wrist unit
L6625	Rotation wrst w/ cable lock	Upper extremity addition, rotation wrist unit with cable lock
L6628	Quick disconn hook adapter o	Upper extremity addition, quick disconnect hook adapter, otto bock or equal
L6629	Lamination collar w/ couplin	Upper extremity addition, quick disconnect lamination collar with coupling piece, otto bock or equal
L6630	Stainless steel any wrist	Upper extremity addition, stainless steel, any wrist
L6632	Latex suspension sleeve each	Upper extremity addition, latex suspension sleeve, each
L6635	Lift assist for elbow	Upper extremity addition, lift assist for elbow
L6637	Nudge control elbow lock	Upper extremity addition, nudge control elbow lock
L6638	Elec lock on manual pw elbow	Upper extremity addition to prosthesis, electric locking feature, only for use with manually powered elbow
L6640	Shoulder abduction joint pai	Upper extremity additions, shoulder abduction joint, pair
L6641	Excursion amplifier pulley t	Upper extremity addition, excursion amplifier, pulley type
L6642	Excursion amplifier lever ty	Upper extremity addition, excursion amplifier, lever type
L6645	Shoulder flexion-abduction j	Upper extremity addition, shoulder flexion-abduction joint, each
L6646	Multipo locking shoulder jnt	Upper extremity addition, shoulder joint, multipositional locking, flexion, adjustable abduction friction control, for use with body powered or external powered system
L6647	Shoulder lock actuator	Upper extremity addition, shoulder lock mechanism, body powered actuator
L6648	Ext pwrd shlder lock/unlock	Upper extremity addition, shoulder lock mechanism, external powered actuator
L6650	Shoulder universal joint	Upper extremity addition, shoulder universal joint, each
L6655	Standard control cable extra	Upper extremity addition, standard control cable, extra
L6660	Heavy duty control cable	Upper extremity addition, heavy duty control cable
L6665	Teflon or equal cable lining	Upper extremity addition, teflon, or equal, cable lining
L6670	Hook to hand cable adapter	Upper extremity addition, hook to hand, cable adapter
L6672	Harness chest/shlder saddle	Upper extremity addition, harness, chest or shoulder, saddle type
L6675	Harness figure of 8 sing con	Upper extremity addition, harness, (e.g., figure of eight type), single cable design
L6676	Harness figure of 8 dual con	Upper extremity addition, harness, (e.g., figure of eight type), dual cable design
L6677	Ue triple control harness	Upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow
L6680	Test sock wrist disart/bel e	Upper extremity addition, test socket, wrist disarticulation or below elbow
L6682	Test sock elbw disart/above	Upper extremity addition, test socket, elbow disarticulation or above elbow
L6684	Test socket shldr disart/tho	Upper extremity addition, test socket, shoulder disarticulation or interscapular thoracic
L6686	Suction socket	Upper extremity addition, suction socket
L6687	Frame typ socket bel elbow/w	Upper extremity addition, frame type socket, below elbow or wrist disarticulation
L6688	Frame typ sock above elb/dis	Upper extremity addition, frame type socket, above elbow or elbow disarticulation
L6689	Frame typ socket shoulder di	Upper extremity addition, frame type socket, shoulder disarticulation
L6690	Frame typ sock interscap-tho	Upper extremity addition, frame type socket, interscapular-thoracic
L6691	Removable insert each	Upper extremity addition, removable insert, each
L6692	Silicone gel insert or equal	Upper extremity addition, silicone gel insert or equal, each
L6693	Lockingelbow forearm cntrbal	Upper extremity addition, locking elbow, forearm counterbalance
L6694	Elbow socket ins use w/lock	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
L6695	Elbow socket ins use w/o lck	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
L6696	Cus elbo skt in for con/atyp	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)
L6697	Cus elbo skt in not con/atyp	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)
L6698	Below/above elbow lock mech	Addition to upper extremity prosthesis, below elbow/above elbow, lock mechanism, excludes socket insert
L6703	Term dev, passive hand mitt	Terminal device, passive hand/mitt, any material, any size
L6704	Term dev, sport/rec/work att	Terminal device, sport/recreational/work attachment, any material, any size
L6706	Term dev mech hook vol open	Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined
L6707	Term dev mech hook vol close	Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined
L6708	Term dev mech hand vol open	Terminal device, hand, mechanical, voluntary opening, any material, any size
L6709	Term dev mech hand vol close	Terminal device, hand, mechanical, voluntary closing, any material, any size
L6711	Ped term dev, hook, vol open	Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined, pediatric
L6712	Ped term dev, hook, vol clos	Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined, pediatric
L6713	Ped term dev, hand, vol open	Terminal device, hand, mechanical, voluntary opening, any material, any size, pediatric
L6714	Ped term dev, hand, vol clos	Terminal device, hand, mechanical, voluntary closing, any material, any size, pediatric
L6715	Term device, multi art digit	Terminal device, multiple articulating digit, includes motor(s), initial issue or replacement
L6721	Hook/hand, hvy dty, vol open	Terminal device, hook or hand, heavy duty, mechanical, voluntary opening, any material, any size, lined or unlined
L6722	Hook/hand, hvy dty, vol clos	Terminal device, hook or hand, heavy duty, mechanical, voluntary closing, any material, any size, lined or unlined
L6805	Term dev modifier wrist unit	Addition to terminal device, modifier wrist unit
L6810	Term dev precision pinch dev	Addition to terminal device, precision pinch device
L6880	Elec hand ind art digits	Electric hand, switch or myoelectric controlled, independently articulating digits, any grasp pattern or combination of grasp patterns, includes motor(s)
L6881	Term dev auto grasp feature	Automatic grasp feature, addition to upper limb electric prosthetic terminal device
L6882	Microprocessor control uplmb	Microprocessor control feature, addition to upper limb prosthetic terminal device
L6883	Replc sockt below e/w disa	Replacement socket, below elbow/wrist disarticulation, molded to patient model, for use with or without external power
L6884	Replc sockt above elbow disa	Replacement socket, above elbow/elbow disarticulation, molded to patient model, for use with or without external power
L6885	Replc sockt shldr dis/interc	Replacement socket, shoulder disarticulation/interscapular thoracic, molded to patient model, for use with or without external power
L6890	Prefab glove for term device	Addition to upper extremity prosthesis, glove for terminal device, any material, prefabricated, includes fitting and adjustment
L6895	Custom glove for term device	Addition to upper extremity prosthesis, glove for terminal device, any material, custom fabricated
L6900	Hand restorat thumb/1 finger	Hand restoration (casts, shading and measurements included), partial hand, with glove, thumb or one finger remaining
L6905	Hand restoration multiple fi	Hand restoration (casts, shading and measurements included), partial hand, with glove, multiple fingers remaining
L6910	Hand restoration no fingers	Hand restoration (casts, shading and measurements included), partial hand, with glove, no fingers remaining
L6915	Hand restoration replacmnt g	Hand restoration (shading, and measurements included), replacement glove for above
L6920	Wrist disarticul switch ctrl	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
L6925	Wrist disart myoelectronic c	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
L6930	Below elbow switch control	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
L6935	Below elbow myoelectronic ct	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
L6940	Elbow disarticulation switch	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
L6945	Elbow disart myoelectronic c	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
L6950	Above elbow switch control	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
L6955	Above elbow myoelectronic ct	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
L6960	Shldr disartic switch contro	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
L6965	Shldr disartic myoelectronic	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
L6970	Interscapular-thor switch ct	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
L6975	Interscap-thor myoelectronic	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