L6038 – Addition to single prosthetic digit or thumb, mechanical, attachment, multiaxial and/or internal/external rotation/abduction/adduction mechanism, with or without locking feature, any material

Long description

Addition to single prosthetic digit or thumb, mechanical, attachment, multiaxial and/or internal/external rotation/abduction/adduction mechanism, with or without locking feature, any material

Short description

Multiax rotation attachment

Pricing indicator

38 Orthotics, prosthetics, prosthetic devices & vision services

Medicare coverage

C Carrier judgment – coverage decided by the Medicare contractor

BETOS category

D1F Prosthetic/Orthotic devices

Added

October 1, 2025

Last change

October 1, 2025 – No change

Nearby L codes

• L6030 – Upper extremity addition, external frame, partial hand including fingers
• L6031 – Replacement socket/interface, partial hand including fingers, molded to patient model, for use with or without external power
• L6032 – Addition to upper extremity prosthesis, partial hand including fingers, ultralight material (titanium, carbon fiber or equal)
• L6033 – Addition to upper extremity prosthesis, partial hand including fingers, acrylic material
• L6034 – Partial hand, finger, and thumb prosthesis without prosthetic digit(s)/thumb, amputation at distal to metacarpal joint, including flexible or non-flexible interface, molded to patient model, for use without external power and/or passive prosthetic digit/thumb, not including inserts described by l6692
• L6035 – Single prosthetic digit, mechanical, can include metacarpophalangeal (mcp), proximal interphalangeal (pip), and/or distal interphalangeal (dip) joint(s), with or without locking mechanism, can include flexion or extension assist, any material, attachment, initial issue or replacement
• L6036 – Prosthetic thumb, mechanical, can include metacarpophalangeal (mcp), interphalangeal (ip) joint(s), with or without locking mechanism, can include flexion or extension assist, any material, attachment, initial issue or replacement
• L6037 – Immediate post-surgical or early fitting, application of initial rigid dressing, including fitting alignment and suspension of components, and one cast change, partial hand including fingers
• L6039 – Passive prosthetic digit or thumb prosthesis not including hand restoration partial hand, full or partial, custom made, any material, initial or replacement, per single passive prosthetic digit or thumb
• L6050 – Wrist disarticulation, molded socket, flexible elbow hinges, triceps pad
• L6055 – Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad
• L6100 – Below elbow, molded socket, flexible elbow hinge, triceps pad
• L6110 – Below elbow, molded socket, (muenster or northwestern suspension types)
• L6120 – Below elbow, molded double wall split socket, step-up hinges, half cuff
• L6130 – Below elbow, molded double wall split socket, stump activated locking hinge, half cuff
• L6200 – Elbow disarticulation, molded socket, outside locking hinge, forearm