L6885 HCPCS code: Replacement socket, shoulder disarticulation/interscapular thoracic, molded to patient model, for use with or without external power
L6885 is the HCPCS Level II code for replacement socket, shoulder disarticulation/interscapular thoracic, molded to patient model, for use with or without external power. The 2026 Medicare DMEPOS fee schedule pays $1,533.73 to $7,462.35 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 8 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 | 2006-01-01 |
| Last action effective | 2006-01-01 |
2026 Medicare DMEPOS fee schedule for L6885
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $1,533.73 | $7,462.35 | $5,199.26 | $3,899.44 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $6,978.69 | — |
| AL | — | $4,312.59 | — |
| AR | — | $3,899.44 | — |
| AZ | — | $5,199.26 | — |
| CA | — | $5,199.26 | — |
| CO | — | $3,899.44 | — |
| CT | — | $3,899.44 | — |
| DC | — | $3,936.67 | — |
| DE | — | $3,936.67 | — |
| FL | — | $4,312.59 | — |
| GA | — | $4,312.59 | — |
| HI | — | $7,462.35 | — |
| IA | — | $3,933.40 | — |
| ID | — | $5,199.26 | — |
| IL | — | $5,199.26 | — |
| IN | — | $5,199.26 | — |
| KS | — | $3,933.40 | — |
| KY | — | $4,312.59 | — |
| LA | — | $3,899.44 | — |
| MA | — | $3,899.44 | — |
| MD | — | $3,936.67 | — |
| ME | — | $3,899.44 | — |
| MI | — | $5,199.26 | — |
| MN | — | $5,199.26 | — |
| MO | — | $3,933.40 | — |
| MS | — | $4,312.59 | — |
| MT | — | $3,899.44 | — |
| NC | — | $4,312.59 | — |
| ND | — | $3,899.44 | — |
| NE | — | $3,933.40 | — |
| NH | — | $3,899.44 | — |
| NJ | — | $3,899.44 | — |
| NM | — | $3,899.44 | — |
| NV | — | $5,199.26 | — |
| NY | — | $3,899.44 | — |
| OH | — | $5,199.26 | — |
| OK | — | $3,899.44 | — |
| OR | — | $5,199.26 | — |
| PA | — | $3,936.67 | — |
| PR | — | $1,533.73 | — |
| RI | — | $3,899.44 | — |
| SC | — | $4,312.59 | — |
| SD | — | $3,899.44 | — |
| TN | — | $4,312.59 | — |
| TX | — | $3,899.44 | — |
| UT | — | $3,899.44 | — |
| VA | — | $3,936.67 | — |
| VI | — | $3,899.44 | — |
| VT | — | $3,899.44 | — |
| WA | — | $5,199.26 | — |
| WI | — | $5,199.26 | — |
| WV | — | $3,936.67 | — |
| WY | — | $3,899.44 | — |
How the L6885 fee compares
| Measure | Value |
|---|---|
| Rank among 10 L68 codes (lowest = 1) | 8 |
| Family fee range (average of state fees) | $247.58–$29,280.42 |
| 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 L6885
- 2026-01-01: Average state fee rose 2.0%: $4,258.40 to $4,343.57
- 2006-01-01: L6885 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 L6885?
L6885 is the HCPCS Level II code for replacement socket, shoulder disarticulation/interscapular thoracic, molded to patient model, for use with or without external power. Short descriptor: "Replc sockt shldr dis/interc".
How much does Medicare pay for L6885?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $1,533.73–$7,462.35. Rural fees can be higher.
Does Medicare cover L6885?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for L6885 change in 2026?
The average non-rural state fee moved from $4,258.40 in 2025 to $4,343.57 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of L6885 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)
- 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)
- 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)
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Next steps
- Run a reimbursement report for a device billed under L6885
- Watch L6885 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for L6885
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.