2019 HCPCS Codes > L Codes >


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)

  • Effective Date: 2005-01-01
  • Medicare Coverage Status: Carrier Judgement
  • BETOS Classification: Prosthestic/Orthotic devices

Medicare Fees (ceiling): $1559.05

L6696       L6698