HCPCS code L6039
Passive prosthetic digit or thumb prosthesis not including hand restoration partial hand, full or partial, custom made, any material, initial or replacement, per single passive prosthetic digit or thumb
What L6039 means
L6039 (Passive custom digit/thumb) belongs to the HCPCS Level II L series (Orthotic Procedures and services; Prosthetic Procedures). Its Medicare coverage status is Carrier judgment. Medicare coverage is left to the judgment of the local Medicare Administrative Contractor (MAC), so check your MAC's local coverage determinations.
Part B pricing: Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings).
Code details
- Short description
- Passive custom digit/thumb
- Coverage code
- C = Carrier judgment
- Pricing indicator
- 38 = Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)
- Multiple pricing indicator
- A = Not applicable as HCPCS priced under one methodology
- Type of service
- P = Lump sum purchase of DME, prosthetics, orthotics
- Action code
- A = Add procedure or modifier code
- Action effective date
- October 01, 2025
- Code added date
- October 01, 2025
- Data year
- 2026
Questions about L6039
What is HCPCS code L6039?
HCPCS code L6039 is a Level II code in the L series (Orthotic Procedures and services; Prosthetic Procedures). Its full description is: "Passive prosthetic digit or thumb prosthesis not including hand restoration partial hand, full or partial, custom made, any material, initial or replacement, per single passive prosthetic digit or thumb"
Is L6039 a CPT code?
No. L6039 is a HCPCS Level II code maintained by CMS, not a CPT (Level I) code from the American Medical Association. People often search for it as a CPT code because both code sets are reported on the same claims.
Does Medicare cover HCPCS code L6039?
The Medicare coverage code for L6039 is "Carrier judgment". Medicare coverage is left to the judgment of the local Medicare Administrative Contractor (MAC), so check your MAC's local coverage determinations.
When was HCPCS code L6039 added?
L6039 was added to the HCPCS code set on October 01, 2025. The most recent action on it (Add procedure or modifier code) took effect on October 01, 2025.
Nearby L codes
All L codes- L6034Partial hand, finger, and thumb prosthesis without prosthetic digit(s)/thumb, amputation at distal to metacarpal joint, including flexible or non-flexible interface, molded to patient model, for use without external power and/or passive prosthetic digit/thumb, not including inserts described by l6692
- L6035Single 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
- L6036Prosthetic 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
- L6037Immediate post-surgical or early fitting, application of initial rigid dressing, including fitting alignment and suspension of components, and one cast change, partial hand including fingers
- L6038Addition to single prosthetic digit or thumb, mechanical, attachment, multiaxial and/or internal/external rotation/abduction/adduction mechanism, with or without locking feature, any material
- L6050Wrist disarticulation, molded socket, flexible elbow hinges, triceps pad
- L6055Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad
- L6100Below elbow, molded socket, flexible elbow hinge, triceps pad
- L6110Below elbow, molded socket, (muenster or northwestern suspension types)
- L6120Below elbow, molded double wall split socket, step-up hinges, half cuff