L6895 HCPCS code: Addition to upper extremity prosthesis, glove for terminal device, any material, custom fabricated
L6895 is the HCPCS Level II code for addition to upper extremity prosthesis, glove for terminal device, any material, custom fabricated. The 2026 Medicare DMEPOS fee schedule pays $327.22 to $911.47 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 fell 13% from 2022 to 2024 (90 to 78 services). In 2024, 45 suppliers billed Medicare for L6895 (purchases), serving 57 beneficiaries. Its average fee ranks 4 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 | 1986-01-01 |
| Last action effective | 2005-01-01 |
2026 Medicare DMEPOS fee schedule for L6895
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $327.22 | $911.47 | $911.47 | $683.61 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $651.37 | — |
| AL | — | $766.02 | — |
| AR | — | $683.61 | — |
| AZ | — | $683.61 | — |
| CA | — | $683.61 | — |
| CO | — | $698.69 | — |
| CT | — | $911.47 | — |
| DC | — | $757.88 | — |
| DE | — | $757.88 | — |
| FL | — | $766.02 | — |
| GA | — | $766.02 | — |
| HI | — | $696.49 | — |
| IA | — | $782.99 | — |
| ID | — | $759.01 | — |
| IL | — | $822.33 | — |
| IN | — | $822.33 | — |
| KS | — | $782.99 | — |
| KY | — | $766.02 | — |
| LA | — | $683.61 | — |
| MA | — | $911.47 | — |
| MD | — | $757.88 | — |
| ME | — | $911.47 | — |
| MI | — | $822.33 | — |
| MN | — | $822.33 | — |
| MO | — | $782.99 | — |
| MS | — | $766.02 | — |
| MT | — | $698.69 | — |
| NC | — | $766.02 | — |
| ND | — | $698.69 | — |
| NE | — | $782.99 | — |
| NH | — | $911.47 | — |
| NJ | — | $683.61 | — |
| NM | — | $683.61 | — |
| NV | — | $683.61 | — |
| NY | — | $683.61 | — |
| OH | — | $822.33 | — |
| OK | — | $683.61 | — |
| OR | — | $759.01 | — |
| PA | — | $757.88 | — |
| PR | — | $327.22 | — |
| RI | — | $911.47 | — |
| SC | — | $766.02 | — |
| SD | — | $698.69 | — |
| TN | — | $766.02 | — |
| TX | — | $683.61 | — |
| UT | — | $698.69 | — |
| VA | — | $757.88 | — |
| VI | — | $683.61 | — |
| VT | — | $911.47 | — |
| WA | — | $759.01 | — |
| WI | — | $822.33 | — |
| WV | — | $757.88 | — |
| WY | — | $698.69 | — |
How the L6895 fee compares
| Measure | Value |
|---|---|
| Rank among 10 L68 codes (lowest = 1) | 4 |
| Family fee range (average of state fees) | $247.58–$29,280.42 |
| Rural fee uplift | — |
Who bills L6895 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 45 |
| Referring clinicians | 59 |
| Medicare beneficiaries | 57 |
| States with claims | 1 |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 44 | 64 |
| 2023 | 40 | 53 |
| 2024 | 45 | 57 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for L6895, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 90 | 64 | $587.56 | $454.76 |
| 2023 | 73 | 53 | $634.80 | $495.26 |
| 2024 | 78 | 57 | $705.73 | $548.47 |
States with the most L6895 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Texas | 19 | $513.13 |
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 L6895
- 2026-01-01: Average state fee rose 2.0%: $737.59 to $752.34
- 1986-01-01: L6895 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 L6895?
L6895 is the HCPCS Level II code for addition to upper extremity prosthesis, glove for terminal device, any material, custom fabricated. Short descriptor: "Custom glove for term device".
How much does Medicare pay for L6895?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $327.22–$911.47. Rural fees can be higher.
Does Medicare cover L6895?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for L6895 change in 2026?
The average non-rural state fee moved from $737.59 in 2025 to $752.34 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of L6895 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)
- 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)
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 L6895
- Watch L6895 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for L6895
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.