L6704 HCPCS code: Terminal device, sport/recreational/work attachment, any material, any size
L6704 is the HCPCS Level II code for terminal device, sport/recreational/work attachment, any material, any size. The 2026 Medicare DMEPOS fee schedule pays $406.59 to $1,081.55 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 rose 28% from 2022 to 2024 (39 to 50 services). In 2024, 35 suppliers billed Medicare for L6704 (purchases), serving 38 beneficiaries. Its average fee ranks 3 of 14 L67 codes (family range $443.49–$29,510.19).
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 | 2007-01-01 |
| Last action effective | 2007-01-01 |
2026 Medicare DMEPOS fee schedule for L6704
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $406.59 | $1,081.55 | $955.95 | $716.96 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $1,011.43 | — |
| AL | — | $716.96 | — |
| AR | — | $949.50 | — |
| AZ | — | $955.95 | — |
| CA | — | $955.95 | — |
| CO | — | $881.38 | — |
| CT | — | $716.96 | — |
| DC | — | $716.96 | — |
| DE | — | $716.96 | — |
| FL | — | $716.96 | — |
| GA | — | $716.96 | — |
| HI | — | $1,081.55 | — |
| IA | — | $821.41 | — |
| ID | — | $767.20 | — |
| IL | — | $831.35 | — |
| IN | — | $831.35 | — |
| KS | — | $821.41 | — |
| KY | — | $716.96 | — |
| LA | — | $949.50 | — |
| MA | — | $716.96 | — |
| MD | — | $716.96 | — |
| ME | — | $716.96 | — |
| MI | — | $831.35 | — |
| MN | — | $831.35 | — |
| MO | — | $821.41 | — |
| MS | — | $716.96 | — |
| MT | — | $881.38 | — |
| NC | — | $716.96 | — |
| ND | — | $881.38 | — |
| NE | — | $821.41 | — |
| NH | — | $716.96 | — |
| NJ | — | $718.32 | — |
| NM | — | $949.50 | — |
| NV | — | $955.95 | — |
| NY | — | $718.32 | — |
| OH | — | $831.35 | — |
| OK | — | $949.50 | — |
| OR | — | $767.20 | — |
| PA | — | $716.96 | — |
| PR | — | $406.59 | — |
| RI | — | $716.96 | — |
| SC | — | $716.96 | — |
| SD | — | $881.38 | — |
| TN | — | $716.96 | — |
| TX | — | $949.50 | — |
| UT | — | $881.38 | — |
| VA | — | $716.96 | — |
| VI | — | $718.32 | — |
| VT | — | $716.96 | — |
| WA | — | $767.20 | — |
| WI | — | $831.35 | — |
| WV | — | $716.96 | — |
| WY | — | $881.38 | — |
How the L6704 fee compares
| Measure | Value |
|---|---|
| Rank among 14 L67 codes (lowest = 1) | 3 |
| Family fee range (average of state fees) | $443.49–$29,510.19 |
| Rural fee uplift | — |
Who bills L6704 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 35 |
| Referring clinicians | 38 |
| Medicare beneficiaries | 38 |
| States with claims | 0 |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 31 | 32 |
| 2023 | 31 | 33 |
| 2024 | 35 | 38 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for L6704, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 39 | 32 | $693.51 | $536.33 |
| 2023 | 37 | 33 | $741.27 | $570.37 |
| 2024 | 50 | 38 | $772.04 | $561.80 |
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 L6704
- 2026-01-01: Average state fee rose 2.0%: $785.66 to $801.37
- 2007-01-01: L6704 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 L6704?
L6704 is the HCPCS Level II code for terminal device, sport/recreational/work attachment, any material, any size. Short descriptor: "Term dev, sport/rec/work att".
How much does Medicare pay for L6704?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $406.59–$1,081.55. Rural fees can be higher.
Does Medicare cover L6704?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for L6704 change in 2026?
The average non-rural state fee moved from $785.66 in 2025 to $801.37 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of L6704 can be billed per day?
2 on DME suppliers; 2 on outpatient hospital claims (NCCI medically unlikely edits).
Related L67 codes
- L6700 — Upper extremity addition, external powered feature, myoelectronic control module, additional emg inputs, pattern-recognition decoding intent movement ($29,510.19–$29,510.19)
- L6703 — Terminal device, passive hand/mitt, any material, any size ($404.20–$530.65)
- L6706 — Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined ($338.66–$569.13)
- L6707 — Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined ($1,574.47–$2,192.08)
- L6708 — Terminal device, hand, mechanical, voluntary opening, any material, any size ($1,024.05–$1,602.22)
- L6709 — Terminal device, hand, mechanical, voluntary closing, any material, any size ($1,483.22–$2,438.58)
- L6711 — Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined, pediatric ($808.00–$888.88)
- L6712 — Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined, pediatric ($1,487.69–$1,636.52)
- L6713 — Terminal device, hand, mechanical, voluntary opening, any material, any size, pediatric ($1,877.68–$2,065.44)
- L6714 — Terminal device, hand, mechanical, voluntary closing, any material, any size, pediatric ($1,590.35–$1,749.37)
- L6715 — Terminal device, multiple articulating digit, includes motor(s), initial issue or replacement ($3,794.37–$4,173.83)
- L6721 — Terminal device, hook or hand, heavy duty, mechanical, voluntary opening, any material, any size, lined or unlined ($2,826.66–$3,109.40)
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Next steps
- Run a reimbursement report for a device billed under L6704
- Watch L6704 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for L6704
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.