L6050 HCPCS code: Wrist disarticulation, molded socket, flexible elbow hinges, triceps pad
L6050 is the HCPCS Level II code for wrist disarticulation, molded socket, flexible elbow hinges, triceps pad. The 2026 Medicare DMEPOS fee schedule pays $1,227.04 to $3,414.24 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. Medicare volume fell 25% from 2022 to 2024 (16 to 12 services). In 2024, 10 suppliers billed Medicare for L6050 (purchases), serving 11 beneficiaries. Its average fee ranks 4 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 | 1982-01-01 |
| Last action effective | 1996-01-01 |
2026 Medicare DMEPOS fee schedule for L6050
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $1,227.04 | $3,414.24 | $3,100.80 | $2,325.60 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $3,192.95 | — |
| AL | — | $2,325.60 | — |
| AR | — | $2,817.16 | — |
| AZ | — | $3,090.96 | — |
| CA | — | $3,090.96 | — |
| CO | — | $2,502.71 | — |
| CT | — | $2,576.40 | — |
| DC | — | $2,325.60 | — |
| DE | — | $2,325.60 | — |
| FL | — | $2,325.60 | — |
| GA | — | $2,325.60 | — |
| HI | — | $3,414.24 | — |
| IA | — | $2,788.78 | — |
| ID | — | $2,657.94 | — |
| IL | — | $3,060.84 | — |
| IN | — | $3,060.84 | — |
| KS | — | $2,788.78 | — |
| KY | — | $2,325.60 | — |
| LA | — | $2,817.16 | — |
| MA | — | $2,576.40 | — |
| MD | — | $2,325.60 | — |
| ME | — | $2,576.40 | — |
| MI | — | $3,060.84 | — |
| MN | — | $3,060.84 | — |
| MO | — | $2,788.78 | — |
| MS | — | $2,325.60 | — |
| MT | — | $2,502.71 | — |
| NC | — | $2,325.60 | — |
| ND | — | $2,502.71 | — |
| NE | — | $2,788.78 | — |
| NH | — | $2,576.40 | — |
| NJ | — | $2,713.15 | — |
| NM | — | $2,817.16 | — |
| NV | — | $3,090.96 | — |
| NY | — | $2,713.15 | — |
| OH | — | $3,060.84 | — |
| OK | — | $2,817.16 | — |
| OR | — | $2,657.94 | — |
| PA | — | $2,325.60 | — |
| PR | — | $1,227.04 | — |
| RI | — | $2,576.40 | — |
| SC | — | $2,325.60 | — |
| SD | — | $2,502.71 | — |
| TN | — | $2,325.60 | — |
| TX | — | $2,817.16 | — |
| UT | — | $2,502.71 | — |
| VA | — | $2,325.60 | — |
| VI | — | $2,713.15 | — |
| VT | — | $2,576.40 | — |
| WA | — | $2,657.94 | — |
| WI | — | $3,060.84 | — |
| WV | — | $2,325.60 | — |
| WY | — | $2,502.71 | — |
How the L6050 fee compares
| Measure | Value |
|---|---|
| Rank among 6 L60 codes (lowest = 1) | 4 |
| Family fee range (average of state fees) | $1,844.24–$5,456.06 |
| Rural fee uplift | — |
Who bills L6050 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 10 |
| Referring clinicians | 11 |
| Medicare beneficiaries | 11 |
| States with claims | 0 |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 14 | 14 |
| 2024 | 10 | 11 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for L6050, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 16 | 14 | $2,344.14 | $1,838.18 |
| 2024 | 12 | 11 | $2,634.57 | $1,945.44 |
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 L6050
- 2026-01-01: Average state fee rose 2.0%: $2,587.11 to $2,638.86
- 1982-01-01: L6050 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 L6050?
L6050 is the HCPCS Level II code for wrist disarticulation, molded socket, flexible elbow hinges, triceps pad. Short descriptor: "Wrst mld sck flx hng tri pad".
How much does Medicare pay for L6050?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $1,227.04–$3,414.24. Rural fees can be higher.
Does Medicare cover L6050?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for L6050 change in 2026?
The average non-rural state fee moved from $2,587.11 in 2025 to $2,638.86 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of L6050 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)
- 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
Building a device that would bill under a code like this? Caduvo matches a device description to HCPCS/CPT codes, Medicare coverage and payment, and the FDA pathway in one report.
Next steps
- Run a reimbursement report for a device billed under L6050
- Watch L6050 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for L6050
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.