L6628 – Upper extremity addition, quick disconnect hook adapter, otto bock or equal

HCPCS Level II code · L codes: Orthotic and Prosthetic Procedures and Devices

Active code Carrier judgment

HCPCS codeL6628
Long description
Upper extremity addition, quick disconnect hook adapter, otto bock or equal
Short description
Quick disconn hook adapter o
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
January 1, 1988
Last change
January 1, 1988 – No change

Frequently asked questions

What is HCPCS code L6628?

L6628 is a HCPCS Level II code for upper extremity addition, quick disconnect hook adapter, otto bock or equal.

Does Medicare cover L6628?

The HCPCS file lists coverage code C: Carrier judgment – coverage decided by the Medicare contractor. Coverage and payment also depend on local coverage determinations and the patient’s plan.

Nearby L codes

Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.