L6805 HCPCS code: Addition to terminal device, modifier wrist unit
L6805 is the HCPCS Level II code for addition to terminal device, modifier wrist unit. The 2026 Medicare DMEPOS fee schedule pays $296.48 to $554.72 depending on the state. Its Medicare coverage code is D (Special coverage instructions apply): Medicare covers it when its national or local coverage criteria are met. The NCCI unit limit is 2 per day on DME suppliers. In 2022, 12 suppliers billed Medicare for L6805 (purchases), serving 12 beneficiaries. Its average fee ranks 3 of 10 L68 codes (family range $247.58–$29,280.42).
Code details
| Field | Value |
|---|---|
| Section | L codes — Orthotic and prosthetic procedures and devices |
| Coverage code | D — Special coverage instructions apply |
| Pricing indicator | 38 — DMEPOS: orthotics, prosthetics, prosthetic devices and vision services |
| BETOS category | D1F — Prosthetic and orthotic devices |
| Added | 1985-01-01 |
| Last action effective | 2007-01-01 |
2026 Medicare DMEPOS fee schedule for L6805
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $296.48 | $554.72 | $555.38 | $416.53 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $518.80 | — |
| AL | — | $416.53 | — |
| AR | — | $520.97 | — |
| AZ | — | $518.39 | — |
| CA | — | $518.39 | — |
| CO | — | $435.97 | — |
| CT | — | $442.69 | — |
| DC | — | $440.68 | — |
| DE | — | $440.68 | — |
| FL | — | $416.53 | — |
| GA | — | $416.53 | — |
| HI | — | $554.72 | — |
| IA | — | $532.91 | — |
| ID | — | $517.80 | — |
| IL | — | $472.26 | — |
| IN | — | $472.26 | — |
| KS | — | $532.91 | — |
| KY | — | $416.53 | — |
| LA | — | $520.97 | — |
| MA | — | $442.69 | — |
| MD | — | $440.68 | — |
| ME | — | $442.69 | — |
| MI | — | $472.26 | — |
| MN | — | $472.26 | — |
| MO | — | $532.91 | — |
| MS | — | $416.53 | — |
| MT | — | $435.97 | — |
| NC | — | $416.53 | — |
| ND | — | $435.97 | — |
| NE | — | $532.91 | — |
| NH | — | $442.69 | — |
| NJ | — | $488.94 | — |
| NM | — | $520.97 | — |
| NV | — | $518.39 | — |
| NY | — | $488.94 | — |
| OH | — | $472.26 | — |
| OK | — | $520.97 | — |
| OR | — | $517.80 | — |
| PA | — | $440.68 | — |
| PR | — | $296.48 | — |
| RI | — | $442.69 | — |
| SC | — | $416.53 | — |
| SD | — | $435.97 | — |
| TN | — | $416.53 | — |
| TX | — | $520.97 | — |
| UT | — | $435.97 | — |
| VA | — | $440.68 | — |
| VI | — | $488.93 | — |
| VT | — | $442.69 | — |
| WA | — | $517.80 | — |
| WI | — | $472.26 | — |
| WV | — | $440.68 | — |
| WY | — | $435.97 | — |
How the L6805 fee compares
| Measure | Value |
|---|---|
| Rank among 10 L68 codes (lowest = 1) | 3 |
| Family fee range (average of state fees) | $247.58–$29,280.42 |
| Rural fee uplift | — |
Who bills L6805 (2022)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 12 |
| Referring clinicians | 12 |
| Medicare beneficiaries | 12 |
| States with claims | 0 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for L6805, 2022–2022
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 16 | 12 | $412.26 | $325.18 |
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 L6805
- 2026-01-01: Average state fee rose 2.0%: $458.08 to $467.24
- 1985-01-01: L6805 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 L6805?
L6805 is the HCPCS Level II code for addition to terminal device, modifier wrist unit. Short descriptor: "Term dev modifier wrist unit".
How much does Medicare pay for L6805?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $296.48–$554.72. Rural fees can be higher.
Does Medicare cover L6805?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Did the Medicare fee for L6805 change in 2026?
The average non-rural state fee moved from $458.08 in 2025 to $467.24 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of L6805 can be billed per day?
2 on DME suppliers; 2 on outpatient hospital claims (NCCI medically unlikely edits).
Related L68 codes
- L6810 — Addition to terminal device, precision pinch device ($228.36–$304.48)
- L6880 — Electric hand, switch or myoelectric controlled, independently articulating digits, any grasp pattern or combination of grasp patterns, includes motor(s) ($28,715.00–$31,586.51)
- L6881 — Automatic grasp feature, addition to upper limb electric prosthetic terminal device ($4,913.43–$5,404.74)
- L6882 — Microprocessor control feature, addition to upper limb prosthetic terminal device ($3,727.07–$4,099.81)
- L6883 — Replacement socket, below elbow/wrist disarticulation, molded to patient model, for use with or without external power ($1,338.29–$2,590.31)
- L6884 — Replacement socket, above elbow/elbow disarticulation, molded to patient model, for use with or without external power ($1,429.03–$4,669.01)
- L6885 — Replacement socket, shoulder disarticulation/interscapular thoracic, molded to patient model, for use with or without external power ($1,533.73–$7,462.35)
- L6890 — Addition to upper extremity prosthesis, glove for terminal device, any material, prefabricated, includes fitting and adjustment ($208.23–$856.60)
- L6895 — Addition to upper extremity prosthesis, glove for terminal device, any material, custom fabricated ($327.22–$911.47)
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 L6805
- Watch L6805 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for L6805
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.