L6915 HCPCS code: Hand restoration (shading, and measurements included), replacement glove for above
L6915 is the HCPCS Level II code for hand restoration (shading, and measurements included), replacement glove for above. The 2026 Medicare DMEPOS fee schedule pays $766.41 to $1,092.76 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 1 of 16 L69 codes (family range $879.26–$21,728.39).
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 | 1982-01-01 |
| Last action effective | 1996-01-01 |
2026 Medicare DMEPOS fee schedule for L6915
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $766.41 | $1,092.76 | $1,021.87 | $766.41 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $1,021.98 | — |
| AL | — | $937.10 | — |
| AR | — | $766.41 | — |
| AZ | — | $988.45 | — |
| CA | — | $988.45 | — |
| CO | — | $766.41 | — |
| CT | — | $822.79 | — |
| DC | — | $766.41 | — |
| DE | — | $766.41 | — |
| FL | — | $937.10 | — |
| GA | — | $937.10 | — |
| HI | — | $1,092.76 | — |
| IA | — | $1,013.84 | — |
| ID | — | $888.95 | — |
| IL | — | $998.28 | — |
| IN | — | $998.28 | — |
| KS | — | $1,013.84 | — |
| KY | — | $937.10 | — |
| LA | — | $766.41 | — |
| MA | — | $822.79 | — |
| MD | — | $766.41 | — |
| ME | — | $822.79 | — |
| MI | — | $998.28 | — |
| MN | — | $998.28 | — |
| MO | — | $1,013.84 | — |
| MS | — | $937.10 | — |
| MT | — | $766.41 | — |
| NC | — | $937.10 | — |
| ND | — | $766.41 | — |
| NE | — | $1,013.84 | — |
| NH | — | $822.79 | — |
| NJ | — | $766.41 | — |
| NM | — | $766.41 | — |
| NV | — | $988.45 | — |
| NY | — | $766.41 | — |
| OH | — | $998.28 | — |
| OK | — | $766.41 | — |
| OR | — | $888.95 | — |
| PA | — | $766.41 | — |
| PR | — | $1,046.93 | — |
| RI | — | $822.79 | — |
| SC | — | $937.10 | — |
| SD | — | $766.41 | — |
| TN | — | $937.10 | — |
| TX | — | $766.41 | — |
| UT | — | $766.41 | — |
| VA | — | $766.41 | — |
| VI | — | $766.41 | — |
| VT | — | $822.79 | — |
| WA | — | $888.95 | — |
| WI | — | $998.28 | — |
| WV | — | $766.41 | — |
| WY | — | $766.41 | — |
How the L6915 fee compares
| Measure | Value |
|---|---|
| Rank among 16 L69 codes (lowest = 1) | 1 |
| Family fee range (average of state fees) | $879.26–$21,728.39 |
| 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 L6915
- 2026-01-01: Average state fee rose 2.0%: $862.02 to $879.26
- 1982-01-01: L6915 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 L6915?
L6915 is the HCPCS Level II code for hand restoration (shading, and measurements included), replacement glove for above. Short descriptor: "Hand restoration replacmnt g".
How much does Medicare pay for L6915?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $766.41–$1,092.76. Rural fees can be higher.
Does Medicare cover L6915?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for L6915 change in 2026?
The average non-rural state fee moved from $862.02 in 2025 to $879.26 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of L6915 can be billed per day?
2 on DME suppliers; 2 on outpatient hospital claims (NCCI medically unlikely edits).
Related L69 codes
- L6900 — Hand restoration (casts, shading and measurements included), partial hand, with glove, thumb or one finger remaining ($1,849.18–$2,681.07)
- L6905 — Hand restoration (casts, shading and measurements included), partial hand, with glove, multiple fingers remaining ($1,797.45–$2,880.98)
- L6910 — Hand restoration (casts, shading and measurements included), partial hand, with glove, no fingers remaining ($1,751.09–$3,997.14)
- L6920 — Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, otto bock or equal, switch, cables, two batteries and one charger, switch control of terminal device ($8,170.29–$10,469.46)
- L6925 — Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device ($8,819.66–$11,250.19)
- L6930 — Below elbow, external power, self-suspended inner socket, removable forearm shell, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device ($6,795.44–$10,435.11)
- L6935 — Below elbow, external power, self-suspended inner socket, removable forearm shell, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device ($8,604.01–$11,203.37)
- L6940 — Elbow disarticulation, external power, molded inner socket, removable humeral shell, outside locking hinges, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device ($10,741.21–$14,321.62)
- L6945 — Elbow disarticulation, external power, molded inner socket, removable humeral shell, outside locking hinges, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device ($12,487.36–$17,607.82)
- L6950 — Above elbow, external power, molded inner socket, removable humeral shell, internal locking elbow, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device ($12,096.21–$17,607.82)
- L6955 — Above elbow, external power, molded inner socket, removable humeral shell, internal locking elbow, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device ($14,454.65–$19,495.76)
- L6960 — Shoulder disarticulation, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device ($14,747.21–$19,662.94)
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Next steps
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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.