L6711 HCPCS code: Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined, pediatric
L6711 is the HCPCS Level II code for terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined, pediatric. The 2026 Medicare DMEPOS fee schedule pays $808.00 to $888.88 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 4 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 | 2009-01-01 |
| Last action effective | 2009-01-01 |
2026 Medicare DMEPOS fee schedule for L6711
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $808.00 | $888.88 | $986.07 | $739.55 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $808.02 | — |
| AL | — | $832.33 | — |
| AR | — | $832.27 | — |
| AZ | — | $808.02 | — |
| CA | — | $808.02 | — |
| CO | — | $836.98 | — |
| CT | — | $808.00 | — |
| DC | — | $808.00 | — |
| DE | — | $808.00 | — |
| FL | — | $832.33 | — |
| GA | — | $832.33 | — |
| HI | — | $808.02 | — |
| IA | — | $823.81 | — |
| ID | — | $808.02 | — |
| IL | — | $827.85 | — |
| IN | — | $827.85 | — |
| KS | — | $823.81 | — |
| KY | — | $832.33 | — |
| LA | — | $832.27 | — |
| MA | — | $808.00 | — |
| MD | — | $808.00 | — |
| ME | — | $808.00 | — |
| MI | — | $827.85 | — |
| MN | — | $827.85 | — |
| MO | — | $823.81 | — |
| MS | — | $832.33 | — |
| MT | — | $836.98 | — |
| NC | — | $832.33 | — |
| ND | — | $836.98 | — |
| NE | — | $823.81 | — |
| NH | — | $808.00 | — |
| NJ | — | $808.00 | — |
| NM | — | $832.27 | — |
| NV | — | $808.02 | — |
| NY | — | $808.00 | — |
| OH | — | $827.85 | — |
| OK | — | $832.27 | — |
| OR | — | $808.02 | — |
| PA | — | $808.00 | — |
| PR | — | $888.88 | — |
| RI | — | $808.00 | — |
| SC | — | $832.33 | — |
| SD | — | $836.98 | — |
| TN | — | $832.33 | — |
| TX | — | $832.27 | — |
| UT | — | $836.98 | — |
| VA | — | $808.00 | — |
| VI | — | $888.88 | — |
| VT | — | $808.00 | — |
| WA | — | $808.02 | — |
| WI | — | $827.85 | — |
| WV | — | $808.00 | — |
| WY | — | $836.98 | — |
How the L6711 fee compares
| Measure | Value |
|---|---|
| Rank among 14 L67 codes (lowest = 1) | 4 |
| Family fee range (average of state fees) | $443.49–$29,510.19 |
| 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 L6711
- 2026-01-01: Average state fee rose 2.0%: $807.59 to $823.74
- 2009-01-01: L6711 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 L6711?
L6711 is the HCPCS Level II code for terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined, pediatric. Short descriptor: "Ped term dev, hook, vol open".
How much does Medicare pay for L6711?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $808.00–$888.88. Rural fees can be higher.
Does Medicare cover L6711?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for L6711 change in 2026?
The average non-rural state fee moved from $807.59 in 2025 to $823.74 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of L6711 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)
- L6704 — Terminal device, sport/recreational/work attachment, any material, any size ($406.59–$1,081.55)
- 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)
- 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 L6711
- Watch L6711 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for L6711
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.