hcpcs data

L6100

Below elbow, molded socket, flexible elbow hinge, triceps pad

Medicare: Carrier judgmentL seriesAdded January 01, 1982

What L6100 means

L6100 (Elb mold sock flex hinge pad) 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
Elb mold sock flex hinge pad
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
N = No maintenance for this code
Action effective date
January 01, 1996
Code added date
January 01, 1982
Data year
2026

Questions about L6100

What is HCPCS code L6100?

HCPCS code L6100 is a Level II code in the L series (Orthotic Procedures and services; Prosthetic Procedures). Its full description is: "Below elbow, molded socket, flexible elbow hinge, triceps pad"

Is L6100 a CPT code?

No. L6100 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 L6100?

The Medicare coverage code for L6100 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 L6100 added?

L6100 was added to the HCPCS code set on January 01, 1982. The most recent action on it (No maintenance for this code) took effect on January 01, 1996.

All L codes