L6805 — Addition to terminal device, modifier wrist unit
L6805 is a HCPCS Level II code for addition to terminal device, modifier wrist unit. It belongs to the Orthotic and Prosthetic Procedures and Devices section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Special coverage instructions apply
There are published conditions attached to this code. Check the applicable coverage policy before billing it: the code being valid is not the same as the service being covered.
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 L6805 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 L6805
- Long descriptor
- Addition to terminal device, modifier wrist unit
- Short descriptor
- Term dev modifier wrist unit
- Added
- January 1, 1985
- 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 L6805
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If L6805 is not quite right, the correct code is very often within a few positions of it.
- L6709Terminal device, hand, mechanical, voluntary closing, any material, any size
- L6711Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined, pediatric
- L6712Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined, pediatric
- L6713Terminal device, hand, mechanical, voluntary opening, any material, any size, pediatric
- L6714Terminal device, hand, mechanical, voluntary closing, any material, any size, pediatric
- L6715Terminal device, multiple articulating digit, includes motor(s), initial issue or replacement
- L6721Terminal device, hook or hand, heavy duty, mechanical, voluntary opening, any material, any size, lined or unlined
- L6722Terminal device, hook or hand, heavy duty, mechanical, voluntary closing, any material, any size, lined or unlined
- L6810Addition to terminal device, precision pinch device
- L6880Electric hand, switch or myoelectric controlled, independently articulating digits, any grasp pattern or combination of grasp patterns, includes motor(s)
- L6881Automatic grasp feature, addition to upper limb electric prosthetic terminal device
- L6882Microprocessor control feature, addition to upper limb prosthetic terminal device
- L6883Replacement socket, below elbow/wrist disarticulation, molded to patient model, for use with or without external power
- L6884Replacement socket, above elbow/elbow disarticulation, molded to patient model, for use with or without external power
- L6885Replacement socket, shoulder disarticulation/interscapular thoracic, molded to patient model, for use with or without external power
- L6890Addition to upper extremity prosthesis, glove for terminal device, any material, prefabricated, includes fitting and adjustment
Questions about L6805
What is HCPCS code L6805?
L6805 is a HCPCS Level II code for addition to terminal device, modifier wrist unit. It sits in the Orthotic and Prosthetic Procedures and Devices section.
Does Medicare cover L6805?
The CMS HCPCS file marks L6805 as "Special coverage instructions apply". There are published conditions attached to this code. Check the applicable coverage policy before billing it: the code being valid is not the same as the service being covered.