L8701 HCPCS code: Powered upper extremity range of motion assist device, elbow, wrist, hand with single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated
L8701 is the HCPCS Level II code for powered upper extremity range of motion assist device, elbow, wrist, hand with single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated. The 2026 Medicare DMEPOS fee schedule pays $34,970.13 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 1 per day on DME suppliers.
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 | 2019-01-01 |
| Last action effective | 2024-01-01 |
2026 Medicare DMEPOS fee schedule for L8701
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $34,970.13 | $34,970.13 | $41,964.16 | $31,473.12 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $34,970.13 | — |
| AL | — | $34,970.13 | — |
| AR | — | $34,970.13 | — |
| AZ | — | $34,970.13 | — |
| CA | — | $34,970.13 | — |
| CO | — | $34,970.13 | — |
| CT | — | $34,970.13 | — |
| DC | — | $34,970.13 | — |
| DE | — | $34,970.13 | — |
| FL | — | $34,970.13 | — |
| GA | — | $34,970.13 | — |
| HI | — | $34,970.13 | — |
| IA | — | $34,970.13 | — |
| ID | — | $34,970.13 | — |
| IL | — | $34,970.13 | — |
| IN | — | $34,970.13 | — |
| KS | — | $34,970.13 | — |
| KY | — | $34,970.13 | — |
| LA | — | $34,970.13 | — |
| MA | — | $34,970.13 | — |
| MD | — | $34,970.13 | — |
| ME | — | $34,970.13 | — |
| MI | — | $34,970.13 | — |
| MN | — | $34,970.13 | — |
| MO | — | $34,970.13 | — |
| MS | — | $34,970.13 | — |
| MT | — | $34,970.13 | — |
| NC | — | $34,970.13 | — |
| ND | — | $34,970.13 | — |
| NE | — | $34,970.13 | — |
| NH | — | $34,970.13 | — |
| NJ | — | $34,970.13 | — |
| NM | — | $34,970.13 | — |
| NV | — | $34,970.13 | — |
| NY | — | $34,970.13 | — |
| OH | — | $34,970.13 | — |
| OK | — | $34,970.13 | — |
| OR | — | $34,970.13 | — |
| PA | — | $34,970.13 | — |
| PR | — | $34,970.13 | — |
| RI | — | $34,970.13 | — |
| SC | — | $34,970.13 | — |
| SD | — | $34,970.13 | — |
| TN | — | $34,970.13 | — |
| TX | — | $34,970.13 | — |
| UT | — | $34,970.13 | — |
| VA | — | $34,970.13 | — |
| VI | — | $34,970.13 | — |
| VT | — | $34,970.13 | — |
| WA | — | $34,970.13 | — |
| WI | — | $34,970.13 | — |
| WV | — | $34,970.13 | — |
| WY | — | $34,970.13 | — |
How the L8701 fee compares
| Measure | Value |
|---|---|
| Rank among 2 L87 codes (lowest = 1) | 1 |
| Family fee range (average of state fees) | $34,970.13–$68,801.71 |
| Rural fee uplift | — |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | Nature of Equipment |
| outpatient hospital claims | 1 | Nature of Equipment |
What changed for L8701
- 2026-01-01: Average state fee rose 2.0%: $34,284.44 to $34,970.13
- 2019-01-01: L8701 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 L8701?
L8701 is the HCPCS Level II code for powered upper extremity range of motion assist device, elbow, wrist, hand with single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated. Short descriptor: "Ewh s/d uprt micro sensor".
How much does Medicare pay for L8701?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $34,970.13. Rural fees can be higher.
Does Medicare cover L8701?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for L8701 change in 2026?
The average non-rural state fee moved from $34,284.44 in 2025 to $34,970.13 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of L8701 can be billed per day?
1 on DME suppliers; 1 on outpatient hospital claims (NCCI medically unlikely edits).
Related L87 codes
- L8702 — Powered upper extremity range of motion assist device, elbow, wrist, hand, finger, single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated ($68,801.71–$68,801.71)
- L8720 — External lower extremity sensory prosthetic device, cutaneous stimulation of mechanoreceptors proximal to the ankle, per leg
- L8721 — Receptor sole for use with l8720, replacement, each
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Next steps
- Run a reimbursement report for a device billed under L8701
- Watch L8701 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for L8701
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.