L6250 — Above elbow, molded double wall socket, internal locking elbow, forearm
L6250 is a HCPCS Level II code for above elbow, molded double wall socket, internal locking elbow, forearm. It belongs to the Orthotic and Prosthetic Procedures and Devices section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Carrier judgment
Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
Medically Unlikely Edits — units per day
The most units of L6250 Medicare will pay on one date of service. Bill more on a single line and it is denied. The limit is not the same in every setting, so the row that matters is the one matching the claim you are building.
- practitioner
- 0 — never payable MAI 3 — Date of Service Edit: Clinical · CMS Policy
- outpatient
- 2 units MAI 2 — Date of Service Edit: Policy · Anatomic Consideration
- DME supplier
- 2 units MAI 2 — Date of Service Edit: Policy · Anatomic Consideration
The adjudication indicator decides whether exceeding the limit is worth appealing at all: MAI 1 is a line edit you can support with documentation, MAI 3 is a date-of-service edit that is also appealable, and MAI 2 is absolute — no documentation overrides it. CMS MUE 2026Q3.
The CMS record for L6250
- Long descriptor
- Above elbow, molded double wall socket, internal locking elbow, forearm
- Short descriptor
- Elbow inter loc elbow forarm
- Added
- January 1, 1982
- BETOS
- D1F
- Pricing indicator
- 38 — DMEPOS
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Orthotics, prosthetics, prosthetic devices and vision services. Price subject to floors and ceilings.
Codes adjacent to L6250
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If L6250 is not quite right, the correct code is very often within a few positions of it.
- 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
- L6130Below elbow, molded double wall split socket, stump activated locking hinge, half cuff
- L6200Elbow disarticulation, molded socket, outside locking hinge, forearm
- L6205Elbow disarticulation, molded socket with expandable interface, outside locking hinges, forearm
- L6300Shoulder disarticulation, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm
- L6310Shoulder disarticulation, passive restoration (complete prosthesis)
- L6320Shoulder disarticulation, passive restoration (shoulder cap only)
- L6350Interscapular thoracic, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm
- L6360Interscapular thoracic, passive restoration (complete prosthesis)
- L6370Interscapular thoracic, passive restoration (shoulder cap only)
- L6380Immediate post surgical or early fitting, application of initial rigid dressing, including fitting alignment and suspension of components, and one cast change, wrist disarticulation or below elbow
- L6382Immediate post surgical or early fitting, application of initial rigid dressing including fitting alignment and suspension of components, and one cast change, elbow disarticulation or above elbow
Questions about L6250
What is HCPCS code L6250?
L6250 is a HCPCS Level II code for above elbow, molded double wall socket, internal locking elbow, forearm. It sits in the Orthotic and Prosthetic Procedures and Devices section.
Does Medicare cover L6250?
The CMS HCPCS file marks L6250 as "Carrier judgment". Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.