L6881 HCPCS code: Automatic grasp feature, addition to upper limb electric prosthetic terminal device
L6881 is the HCPCS Level II code for automatic grasp feature, addition to upper limb electric prosthetic terminal device. The 2026 Medicare DMEPOS fee schedule pays $4,913.43 to $5,404.74 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 5% from 2022 to 2024 (114 to 120 services). In 2024, 83 suppliers billed Medicare for L6881 (purchases), serving 99 beneficiaries. Its average fee ranks 9 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 | C — Carrier judgment |
| Pricing indicator | 38 — DMEPOS: orthotics, prosthetics, prosthetic devices and vision services |
| BETOS category | D1F — Prosthetic and orthotic devices |
| Added | 2002-01-01 |
| Last action effective | 2007-01-01 |
2026 Medicare DMEPOS fee schedule for L6881
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $4,913.43 | $5,404.74 | $5,996.11 | $4,497.09 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $4,913.43 | — |
| AL | — | $5,061.33 | — |
| AR | — | $5,060.90 | — |
| AZ | — | $4,913.43 | — |
| CA | — | $4,913.43 | — |
| CO | — | $5,089.25 | — |
| CT | — | $4,913.43 | — |
| DC | — | $4,913.43 | — |
| DE | — | $4,913.43 | — |
| FL | — | $5,061.33 | — |
| GA | — | $5,061.33 | — |
| HI | — | $4,913.43 | — |
| IA | — | $5,009.34 | — |
| ID | — | $4,913.43 | — |
| IL | — | $5,034.12 | — |
| IN | — | $5,034.12 | — |
| KS | — | $5,009.34 | — |
| KY | — | $5,061.33 | — |
| LA | — | $5,060.90 | — |
| MA | — | $4,913.43 | — |
| MD | — | $4,913.43 | — |
| ME | — | $4,913.43 | — |
| MI | — | $5,034.12 | — |
| MN | — | $5,034.12 | — |
| MO | — | $5,009.34 | — |
| MS | — | $5,061.33 | — |
| MT | — | $5,089.25 | — |
| NC | — | $5,061.33 | — |
| ND | — | $5,089.25 | — |
| NE | — | $5,009.34 | — |
| NH | — | $4,913.43 | — |
| NJ | — | $4,913.43 | — |
| NM | — | $5,060.90 | — |
| NV | — | $4,913.43 | — |
| NY | — | $4,913.43 | — |
| OH | — | $5,034.12 | — |
| OK | — | $5,060.90 | — |
| OR | — | $4,913.43 | — |
| PA | — | $4,913.43 | — |
| PR | — | $5,404.74 | — |
| RI | — | $4,913.43 | — |
| SC | — | $5,061.33 | — |
| SD | — | $5,089.25 | — |
| TN | — | $5,061.33 | — |
| TX | — | $5,060.90 | — |
| UT | — | $5,089.25 | — |
| VA | — | $4,913.43 | — |
| VI | — | $5,404.74 | — |
| VT | — | $4,913.43 | — |
| WA | — | $4,913.43 | — |
| WI | — | $5,034.12 | — |
| WV | — | $4,913.43 | — |
| WY | — | $5,089.25 | — |
How the L6881 fee compares
| Measure | Value |
|---|---|
| Rank among 10 L68 codes (lowest = 1) | 9 |
| Family fee range (average of state fees) | $247.58–$29,280.42 |
| Rural fee uplift | — |
Who bills L6881 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 83 |
| Referring clinicians | 97 |
| Medicare beneficiaries | 99 |
| States with claims | 1 |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 84 | 97 |
| 2023 | 98 | 125 |
| 2024 | 83 | 99 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for L6881, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 114 | 97 | $4,259.44 | $3,278.79 |
| 2023 | 148 | 125 | $4,665.72 | $3,615.99 |
| 2024 | 120 | 99 | $4,785.74 | $3,675.49 |
States with the most L6881 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Texas | 19 | $3,792.95 |
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 L6881
- 2026-01-01: Average state fee rose 2.0%: $4,910.80 to $5,009.01
- 2002-01-01: L6881 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 L6881?
L6881 is the HCPCS Level II code for automatic grasp feature, addition to upper limb electric prosthetic terminal device. Short descriptor: "Term dev auto grasp feature".
How much does Medicare pay for L6881?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $4,913.43–$5,404.74. Rural fees can be higher.
Does Medicare cover L6881?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for L6881 change in 2026?
The average non-rural state fee moved from $4,910.80 in 2025 to $5,009.01 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of L6881 can be billed per day?
2 on DME suppliers; 2 on outpatient hospital claims (NCCI medically unlikely edits).
Related L68 codes
- L6805 — Addition to terminal device, modifier wrist unit ($296.48–$554.72)
- 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)
- 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 L6881
- Watch L6881 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for L6881
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.