HCPCS Code L6036

Prosthetic thumb, mechanical, can include metacarpophalangeal (mcp), interphalangeal (ip) joint(s), with or without locking mechanism, can include flexion or extension assist, any material, attachment, initial issue or replacement
Short DescriptionProsthetic thumb 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