HCPCS Code L6035

Single prosthetic digit, mechanical, can include metacarpophalangeal (mcp), proximal interphalangeal (pip), and/or distal interphalangeal (dip) joint(s), with or without locking mechanism, can include flexion or extension assist, any material, attachment, initial issue or replacement
Short DescriptionProsthetic digit mechanical
Year2026
Coverage CodeC = Carrier judgment
Action CodeA = Add procedure or modifier code
Action Effective DateOctober 01, 2025
Code Added DateOctober 01, 2025
Pricing Indicator38 = Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)
Type of ServiceP = Lump sum purchase of DME, prosthetics, orthotics