L6028 HCPCS code: 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
L6028 is the HCPCS Level II code for 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. Its Medicare coverage code is I (Not payable by Medicare): Medicare does not pay separately under this code; another code applies. The NCCI unit limit is 2 per day on DME suppliers.
Code details
| Field | Value |
|---|---|
| Section | L codes — Orthotic and prosthetic procedures and devices |
| Coverage code | I — Not payable by Medicare |
| Pricing indicator | 00 — Not separately priced by Medicare |
| BETOS category | D1F — Prosthetic and orthotic devices |
| Added | 2025-04-01 |
| Last action effective | 2025-10-01 |
Related codes Medicare does pay
Medicare does not pay under L6028. These codes in the same L60 family carry a current DMEPOS fee:
- 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
- L6026 — 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): $4,589.94–$6,119.92
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 L6028
- October 2025: Descriptor revised (Was: Partial hand including fingers, flexible or non-flexible interface, endoskeletal system, molded to patient model, for use without external power, not including inserts described by l6692)
- April 2025: Code appears in this HCPCS release
- 2025-10-01: Last CMS action: administrative data and long description changed
- 2025-04-01: L6028 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 L6028?
L6028 is the HCPCS Level II code for 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. Short descriptor: "Part hand finger metacar amp".
Does Medicare cover L6028?
Coverage code I — Not payable by Medicare. Medicare does not pay separately under this code; another code applies.
Which related codes does Medicare pay instead of L6028?
Codes in the same L60 family with a DMEPOS fee include L6000 ($1,145.38–$2,941.25), L6010 ($1,145.38–$3,328.97), L6020 ($1,186.07–$3,048.37). Check the item matches the code's descriptor before billing.
How many units of L6028 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
- L6026 — 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) ($4,589.94–$6,119.92)
- 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 L6028
- Watch L6028 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for L6028
Sources: CMS HCPCS Level II release October 2025; CMS DMEPOS fee schedule; 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.