L6026 HCPCS code: 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)
L6026 is the HCPCS Level II code for 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). The 2026 Medicare DMEPOS fee schedule pays $4,589.94 to $6,119.92 depending on the state. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. The NCCI unit limit is 2 per day on DME suppliers. Its average fee ranks 6 of 6 L60 codes (family range $1,844.24–$5,456.06).
Code details
| Field | Value |
|---|---|
| Section | L codes — Orthotic and prosthetic procedures and devices |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 38 — DMEPOS: orthotics, prosthetics, prosthetic devices and vision services |
| BETOS category | D1F — Prosthetic and orthotic devices |
| Added | 2015-01-01 |
| Last action effective | 2015-01-01 |
2026 Medicare DMEPOS fee schedule for L6026
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $4,589.94 | $6,119.92 | $6,119.92 | $4,589.94 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $5,601.09 | — |
| AL | — | $6,119.92 | — |
| AR | — | $4,589.94 | — |
| AZ | — | $5,673.74 | — |
| CA | — | $5,673.74 | — |
| CO | — | $5,831.20 | — |
| CT | — | $5,179.23 | — |
| DC | — | $5,177.21 | — |
| DE | — | $5,177.21 | — |
| FL | — | $6,119.92 | — |
| GA | — | $6,119.92 | — |
| HI | — | $5,322.69 | — |
| IA | — | $5,763.38 | — |
| ID | — | $5,346.36 | — |
| IL | — | $5,356.25 | — |
| IN | — | $5,356.25 | — |
| KS | — | $5,763.38 | — |
| KY | — | $6,119.92 | — |
| LA | — | $4,589.94 | — |
| MA | — | $5,179.23 | — |
| MD | — | $5,177.21 | — |
| ME | — | $5,179.23 | — |
| MI | — | $5,356.25 | — |
| MN | — | $5,356.25 | — |
| MO | — | $5,763.38 | — |
| MS | — | $6,119.92 | — |
| MT | — | $5,831.20 | — |
| NC | — | $6,119.92 | — |
| ND | — | $5,831.20 | — |
| NE | — | $5,763.38 | — |
| NH | — | $5,179.23 | — |
| NJ | — | $4,818.91 | — |
| NM | — | $4,589.94 | — |
| NV | — | $5,673.74 | — |
| NY | — | $4,818.91 | — |
| OH | — | $5,356.25 | — |
| OK | — | $4,589.94 | — |
| OR | — | $5,346.36 | — |
| PA | — | $5,177.21 | — |
| PR | — | $5,542.75 | — |
| RI | — | $5,179.23 | — |
| SC | — | $6,119.92 | — |
| SD | — | $5,831.20 | — |
| TN | — | $6,119.92 | — |
| TX | — | $4,589.94 | — |
| UT | — | $5,831.20 | — |
| VA | — | $5,177.21 | — |
| VI | — | $5,780.62 | — |
| VT | — | $5,179.23 | — |
| WA | — | $5,346.36 | — |
| WI | — | $5,356.25 | — |
| WV | — | $5,177.21 | — |
| WY | — | $5,831.20 | — |
How the L6026 fee compares
| Measure | Value |
|---|---|
| Rank among 6 L60 codes (lowest = 1) | 6 |
| Family fee range (average of state fees) | $1,844.24–$5,456.06 |
| Rural fee uplift | — |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 2 | Anatomic Consideration |
| outpatient hospital claims | 2 | Anatomic Consideration |
What changed for L6026
- 2026-01-01: Average state fee rose 2.0%: $5,349.08 to $5,456.06
- 2015-01-01: L6026 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code L6026?
L6026 is the HCPCS Level II code for 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). Short descriptor: "Part hand myo exclu term dev".
How much does Medicare pay for L6026?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $4,589.94–$6,119.92. Rural fees can be higher.
Does Medicare cover L6026?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for L6026 change in 2026?
The average non-rural state fee moved from $5,349.08 in 2025 to $5,456.06 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of L6026 can be billed per day?
2 on DME suppliers; 2 on outpatient hospital claims (NCCI medically unlikely edits).
Related L60 codes
- L6000 — Partial hand, thumb remaining ($1,145.38–$2,941.25)
- L6010 — Partial hand, little and/or ring finger remaining ($1,145.38–$3,328.97)
- L6020 — Partial hand, no finger remaining ($1,186.07–$3,048.37)
- L6025 — 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
- L6028 — Partial hand, finger, and thumb prosthesis without prosthetic digit(s)/thumb, amputation at metacarpal level, including flexible or non-flexible interface, molded to patient model, including palm, for use without external power and/or passive prosthetic digit/thumb, not including inserts described by l6692
- L6029 — Upper extremity addition, test socket/interface, partial hand including fingers
- 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
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Next steps
- Run a reimbursement report for a device billed under L6026
- Watch L6026 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for L6026
Sources: CMS HCPCS Level II release October 2025; CMS DMEPOS fee schedule 2026; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.