L7009 HCPCS code: Electric hook, switch or myoelectric controlled, adult
L7009 is the HCPCS Level II code for electric hook, switch or myoelectric controlled, adult. The 2026 Medicare DMEPOS fee schedule pays $4,048.80 to $5,731.07 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 8% from 2022 to 2024 (60 to 65 services). In 2024, 50 suppliers billed Medicare for L7009 (purchases), serving 56 beneficiaries. Its average fee ranks 4 of 5 L70 codes (family range $2,029.21–$7,305.18).
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 | 2007-01-01 |
| Last action effective | 2007-01-01 |
2026 Medicare DMEPOS fee schedule for L7009
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $4,048.80 | $5,731.07 | $5,731.07 | $4,298.30 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $4,048.80 | — |
| AL | — | $4,298.30 | — |
| AR | — | $5,731.07 | — |
| AZ | — | $4,298.30 | — |
| CA | — | $4,298.30 | — |
| CO | — | $4,411.15 | — |
| CT | — | $4,652.78 | — |
| DC | — | $4,540.82 | — |
| DE | — | $4,540.82 | — |
| FL | — | $4,298.30 | — |
| GA | — | $4,298.30 | — |
| HI | — | $4,329.40 | — |
| IA | — | $4,298.30 | — |
| ID | — | $4,619.30 | — |
| IL | — | $4,601.53 | — |
| IN | — | $4,601.53 | — |
| KS | — | $4,298.30 | — |
| KY | — | $4,298.30 | — |
| LA | — | $5,731.07 | — |
| MA | — | $4,652.78 | — |
| MD | — | $4,540.82 | — |
| ME | — | $4,652.78 | — |
| MI | — | $4,601.53 | — |
| MN | — | $4,601.53 | — |
| MO | — | $4,298.30 | — |
| MS | — | $4,298.30 | — |
| MT | — | $4,411.15 | — |
| NC | — | $4,298.30 | — |
| ND | — | $4,411.15 | — |
| NE | — | $4,298.30 | — |
| NH | — | $4,652.78 | — |
| NJ | — | $4,553.48 | — |
| NM | — | $5,731.07 | — |
| NV | — | $4,298.30 | — |
| NY | — | $4,553.48 | — |
| OH | — | $4,601.53 | — |
| OK | — | $5,731.07 | — |
| OR | — | $4,619.30 | — |
| PA | — | $4,540.82 | — |
| PR | — | $4,659.70 | — |
| RI | — | $4,652.78 | — |
| SC | — | $4,298.30 | — |
| SD | — | $4,411.15 | — |
| TN | — | $4,298.30 | — |
| TX | — | $5,731.07 | — |
| UT | — | $4,411.15 | — |
| VA | — | $4,540.82 | — |
| VI | — | $4,553.48 | — |
| VT | — | $4,652.78 | — |
| WA | — | $4,619.30 | — |
| WI | — | $4,601.53 | — |
| WV | — | $4,540.82 | — |
| WY | — | $4,411.15 | — |
How the L7009 fee compares
| Measure | Value |
|---|---|
| Rank among 5 L70 codes (lowest = 1) | 4 |
| Family fee range (average of state fees) | $2,029.21–$7,305.18 |
| Rural fee uplift | — |
Who bills L7009 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 50 |
| Referring clinicians | 56 |
| Medicare beneficiaries | 56 |
| States with claims | 0 |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 52 | 57 |
| 2023 | 43 | 52 |
| 2024 | 50 | 56 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for L7009, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 60 | 57 | $3,969.82 | $3,125.22 |
| 2023 | 60 | 52 | $4,344.04 | $3,405.72 |
| 2024 | 65 | 56 | $4,423.34 | $3,466.21 |
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 L7009
- 2026-01-01: Average state fee rose 2.0%: $4,493.59 to $4,583.47
- 2007-01-01: L7009 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 L7009?
L7009 is the HCPCS Level II code for electric hook, switch or myoelectric controlled, adult. Short descriptor: "Adult electric hook".
How much does Medicare pay for L7009?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $4,048.80–$5,731.07. Rural fees can be higher.
Does Medicare cover L7009?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for L7009 change in 2026?
The average non-rural state fee moved from $4,493.59 in 2025 to $4,583.47 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of L7009 can be billed per day?
2 on DME suppliers; 2 on outpatient hospital claims (NCCI medically unlikely edits).
Related L70 codes
- L7007 — Electric hand, switch or myoelectric controlled, adult ($4,016.52–$5,616.95)
- L7008 — Electric hand, switch or myoelectric, controlled, pediatric ($6,630.37–$8,840.49)
- L7040 — Prehensile actuator, switch controlled ($3,451.37–$4,601.82)
- L7045 — Electric hook, switch or myoelectric controlled, pediatric ($1,668.62–$2,638.38)
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 L7009
- Watch L7009 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for L7009
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.