L7040 HCPCS code: Prehensile actuator, switch controlled
L7040 is the HCPCS Level II code for prehensile actuator, switch controlled. The 2026 Medicare DMEPOS fee schedule pays $3,451.37 to $4,601.82 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 2 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 | 1988-01-01 |
| Last action effective | 2007-01-01 |
2026 Medicare DMEPOS fee schedule for L7040
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $3,451.37 | $4,601.82 | $4,601.82 | $3,451.37 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $3,520.77 | — |
| AL | — | $3,451.37 | — |
| AR | — | $4,601.82 | — |
| AZ | — | $3,451.37 | — |
| CA | — | $3,451.37 | — |
| CO | — | $3,451.37 | — |
| CT | — | $3,557.00 | — |
| DC | — | $3,561.40 | — |
| DE | — | $3,561.40 | — |
| FL | — | $3,451.37 | — |
| GA | — | $3,451.37 | — |
| HI | — | $3,764.80 | — |
| IA | — | $3,542.09 | — |
| ID | — | $3,687.45 | — |
| IL | — | $3,745.35 | — |
| IN | — | $3,745.35 | — |
| KS | — | $3,542.09 | — |
| KY | — | $3,451.37 | — |
| LA | — | $4,601.82 | — |
| MA | — | $3,557.00 | — |
| MD | — | $3,561.40 | — |
| ME | — | $3,557.00 | — |
| MI | — | $3,745.35 | — |
| MN | — | $3,745.35 | — |
| MO | — | $3,542.09 | — |
| MS | — | $3,451.37 | — |
| MT | — | $3,451.37 | — |
| NC | — | $3,451.37 | — |
| ND | — | $3,451.37 | — |
| NE | — | $3,542.09 | — |
| NH | — | $3,557.00 | — |
| NJ | — | $3,735.30 | — |
| NM | — | $4,601.82 | — |
| NV | — | $3,451.37 | — |
| NY | — | $3,735.30 | — |
| OH | — | $3,745.35 | — |
| OK | — | $4,601.82 | — |
| OR | — | $3,687.45 | — |
| PA | — | $3,561.40 | — |
| PR | — | $3,908.56 | — |
| RI | — | $3,557.00 | — |
| SC | — | $3,451.37 | — |
| SD | — | $3,451.37 | — |
| TN | — | $3,451.37 | — |
| TX | — | $4,601.82 | — |
| UT | — | $3,451.37 | — |
| VA | — | $3,561.40 | — |
| VI | — | $3,735.30 | — |
| VT | — | $3,557.00 | — |
| WA | — | $3,687.45 | — |
| WI | — | $3,745.35 | — |
| WV | — | $3,561.40 | — |
| WY | — | $3,451.37 | — |
How the L7040 fee compares
| Measure | Value |
|---|---|
| Rank among 5 L70 codes (lowest = 1) | 2 |
| Family fee range (average of state fees) | $2,029.21–$7,305.18 |
| 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 L7040
- 2026-01-01: Average state fee rose 2.0%: $3,597.77 to $3,669.73
- 1988-01-01: L7040 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 L7040?
L7040 is the HCPCS Level II code for prehensile actuator, switch controlled. Short descriptor: "Prehensile actuator".
How much does Medicare pay for L7040?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $3,451.37–$4,601.82. Rural fees can be higher.
Does Medicare cover L7040?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for L7040 change in 2026?
The average non-rural state fee moved from $3,597.77 in 2025 to $3,669.73 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of L7040 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)
- L7009 — Electric hook, switch or myoelectric controlled, adult ($4,048.80–$5,731.07)
- 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 L7040
- Watch L7040 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for L7040
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.