L6582 HCPCS code: Preparatory, wrist disarticulation or below elbow, single wall socket, friction wrist, flexible elbow hinges, figure of eight harness, humeral cuff, bowden cable control, usmc or equal pylon, no cover, direct formed
L6582 is the HCPCS Level II code for preparatory, wrist disarticulation or below elbow, single wall socket, friction wrist, flexible elbow hinges, figure of eight harness, humeral cuff, bowden cable control, usmc or equal pylon, no cover, direct formed. The 2026 Medicare DMEPOS fee schedule pays $1,684.94 to $2,664.98 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 1 of 9 L65 codes (family range $1,876.24–$6,041.39).
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 | 1988-01-01 |
| Last action effective | 1996-01-01 |
2026 Medicare DMEPOS fee schedule for L6582
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $1,684.94 | $2,664.98 | $2,246.59 | $1,684.94 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $1,721.89 | — |
| AL | — | $1,852.87 | — |
| AR | — | $1,865.69 | — |
| AZ | — | $1,684.94 | — |
| CA | — | $1,684.94 | — |
| CO | — | $2,246.59 | — |
| CT | — | $1,757.31 | — |
| DC | — | $1,684.94 | — |
| DE | — | $1,684.94 | — |
| FL | — | $1,852.87 | — |
| GA | — | $1,852.87 | — |
| HI | — | $1,841.19 | — |
| IA | — | $1,750.81 | — |
| ID | — | $1,752.48 | — |
| IL | — | $2,087.94 | — |
| IN | — | $2,087.94 | — |
| KS | — | $1,750.81 | — |
| KY | — | $1,852.87 | — |
| LA | — | $1,865.69 | — |
| MA | — | $1,757.31 | — |
| MD | — | $1,684.94 | — |
| ME | — | $1,757.31 | — |
| MI | — | $2,087.94 | — |
| MN | — | $2,087.94 | — |
| MO | — | $1,750.81 | — |
| MS | — | $1,852.87 | — |
| MT | — | $2,246.59 | — |
| NC | — | $1,852.87 | — |
| ND | — | $2,246.59 | — |
| NE | — | $1,750.81 | — |
| NH | — | $1,757.31 | — |
| NJ | — | $1,695.08 | — |
| NM | — | $1,865.69 | — |
| NV | — | $1,684.94 | — |
| NY | — | $1,695.08 | — |
| OH | — | $2,087.94 | — |
| OK | — | $1,865.69 | — |
| OR | — | $1,752.48 | — |
| PA | — | $1,684.94 | — |
| PR | — | $2,664.98 | — |
| RI | — | $1,757.31 | — |
| SC | — | $1,852.87 | — |
| SD | — | $2,246.59 | — |
| TN | — | $1,852.87 | — |
| TX | — | $1,865.69 | — |
| UT | — | $2,246.59 | — |
| VA | — | $1,684.94 | — |
| VI | — | $1,695.04 | — |
| VT | — | $1,757.31 | — |
| WA | — | $1,752.48 | — |
| WI | — | $2,087.94 | — |
| WV | — | $1,684.94 | — |
| WY | — | $2,246.59 | — |
How the L6582 fee compares
| Measure | Value |
|---|---|
| Rank among 9 L65 codes (lowest = 1) | 1 |
| Family fee range (average of state fees) | $1,876.24–$6,041.39 |
| 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 L6582
- 2026-01-01: Average state fee rose 2.0%: $1,839.45 to $1,876.24
- 1988-01-01: L6582 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 L6582?
L6582 is the HCPCS Level II code for preparatory, wrist disarticulation or below elbow, single wall socket, friction wrist, flexible elbow hinges, figure of eight harness, humeral cuff, bowden cable control, usmc or equal pylon, no cover, direct formed. Short descriptor: "Wrist/elbow bowden cbl dir f".
How much does Medicare pay for L6582?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $1,684.94–$2,664.98. Rural fees can be higher.
Does Medicare cover L6582?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for L6582 change in 2026?
The average non-rural state fee moved from $1,839.45 in 2025 to $1,876.24 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of L6582 can be billed per day?
2 on DME suppliers; 2 on outpatient hospital claims (NCCI medically unlikely edits).
Related L65 codes
- L6500 — Above elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping ($2,044.98–$4,948.96)
- L6550 — Shoulder disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping ($2,658.47–$7,452.41)
- L6570 — Interscapular thoracic, molded socket, endoskeletal system, including soft prosthetic tissue shaping ($3,169.88–$8,634.46)
- L6580 — Preparatory, wrist disarticulation or below elbow, single wall plastic socket, friction wrist, flexible elbow hinges, figure of eight harness, humeral cuff, bowden cable control, usmc or equal pylon, no cover, molded to patient model ($1,918.41–$2,486.04)
- L6584 — Preparatory, elbow disarticulation or above elbow, single wall plastic socket, friction wrist, locking elbow, figure of eight harness, fair lead cable control, usmc or equal pylon, no cover, molded to patient model ($2,505.80–$3,426.39)
- L6586 — Preparatory, elbow disarticulation or above elbow, single wall socket, friction wrist, locking elbow, figure of eight harness, fair lead cable control, usmc or equal pylon, no cover, direct formed ($2,305.78–$3,045.67)
- L6588 — Preparatory, shoulder disarticulation or interscapular thoracic, single wall plastic socket, shoulder joint, locking elbow, friction wrist, chest strap, fair lead cable control, usmc or equal pylon, no cover, molded to patient model ($3,460.36–$4,387.49)
- L6590 — Preparatory, shoulder disarticulation or interscapular thoracic, single wall socket, shoulder joint, locking elbow, friction wrist, chest strap, fair lead cable control, usmc or equal pylon, no cover, direct formed ($3,286.61–$3,970.24)
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Next steps
- Run a reimbursement report for a device billed under L6582
- Watch L6582 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for L6582
Sources: CMS HCPCS Level II release October 2026; 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.