L6677 – Upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow

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

Active code Carrier judgment

HCPCS codeL6677
Long description
Upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow
Short description
Ue triple control harness
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, 2006
Last change
January 1, 2006 – No change

Frequently asked questions

What is HCPCS code L6677?

L6677 is a HCPCS Level II code for upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow.

Does Medicare cover L6677?

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.