L7259 HCPCS code: Electronic wrist rotator, any type
L7259 is the HCPCS Level II code for electronic wrist rotator, any type. The 2026 Medicare DMEPOS fee schedule pays $3,912.59 to $5,396.93 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 60% from 2022 to 2024 (45 to 72 services). In 2024, 49 suppliers billed Medicare for L7259 (purchases), serving 57 beneficiaries.
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 | 2015-01-01 |
| Last action effective | 2015-01-01 |
2026 Medicare DMEPOS fee schedule for L7259
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $3,912.59 | $5,396.93 | $5,216.79 | $3,912.59 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $5,047.16 | — |
| AL | — | $3,912.59 | — |
| AR | — | $4,700.78 | — |
| AZ | — | $4,939.22 | — |
| CA | — | $4,939.22 | — |
| CO | — | $4,720.94 | — |
| CT | — | $5,162.89 | — |
| DC | — | $5,104.76 | — |
| DE | — | $5,104.76 | — |
| FL | — | $3,912.59 | — |
| GA | — | $3,912.59 | — |
| HI | — | $5,396.93 | — |
| IA | — | $4,431.40 | — |
| ID | — | $5,094.65 | — |
| IL | — | $5,046.41 | — |
| IN | — | $5,046.41 | — |
| KS | — | $4,431.40 | — |
| KY | — | $3,912.59 | — |
| LA | — | $4,700.78 | — |
| MA | — | $5,162.89 | — |
| MD | — | $5,104.76 | — |
| ME | — | $5,162.89 | — |
| MI | — | $5,046.41 | — |
| MN | — | $5,046.41 | — |
| MO | — | $4,431.40 | — |
| MS | — | $3,912.59 | — |
| MT | — | $4,720.94 | — |
| NC | — | $3,912.59 | — |
| ND | — | $4,720.94 | — |
| NE | — | $4,431.40 | — |
| NH | — | $5,162.89 | — |
| NJ | — | $3,912.59 | — |
| NM | — | $4,700.78 | — |
| NV | — | $4,939.22 | — |
| NY | — | $3,912.59 | — |
| OH | — | $5,046.41 | — |
| OK | — | $4,700.78 | — |
| OR | — | $5,094.65 | — |
| PA | — | $5,104.76 | — |
| PR | — | $4,069.84 | — |
| RI | — | $5,162.89 | — |
| SC | — | $3,912.59 | — |
| SD | — | $4,720.94 | — |
| TN | — | $3,912.59 | — |
| TX | — | $4,700.78 | — |
| UT | — | $4,720.94 | — |
| VA | — | $5,104.76 | — |
| VI | — | $3,912.59 | — |
| VT | — | $5,162.89 | — |
| WA | — | $5,094.65 | — |
| WI | — | $5,046.41 | — |
| WV | — | $5,104.76 | — |
| WY | — | $4,720.94 | — |
How the L7259 fee compares
| Measure | Value |
|---|---|
| Rank among 1 L72 codes (lowest = 1) | 1 |
| Family fee range (average of state fees) | $4,699.88–$4,699.88 |
| Rural fee uplift | — |
Who bills L7259 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 49 |
| Referring clinicians | 58 |
| Medicare beneficiaries | 57 |
| States with claims | 1 |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 34 | 40 |
| 2023 | 54 | 63 |
| 2024 | 49 | 57 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for L7259, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 45 | 40 | $3,941.74 | $3,107.93 |
| 2023 | 76 | 63 | $4,311.51 | $3,262.67 |
| 2024 | 72 | 57 | $4,418.45 | $3,378.04 |
States with the most L7259 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Texas | 15 | $3,529.48 |
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 L7259
- 2026-01-01: Average state fee rose 2.0%: $4,607.72 to $4,699.88
- 2015-01-01: L7259 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 L7259?
L7259 is the HCPCS Level II code for electronic wrist rotator, any type. Short descriptor: "Electronic wrist rotator any".
How much does Medicare pay for L7259?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $3,912.59–$5,396.93. Rural fees can be higher.
Does Medicare cover L7259?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for L7259 change in 2026?
The average non-rural state fee moved from $4,607.72 in 2025 to $4,699.88 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of L7259 can be billed per day?
2 on DME suppliers; 2 on outpatient hospital claims (NCCI medically unlikely edits).
Related L72 codes
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 L7259
- Watch L7259 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for L7259
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.