HCPCS Level II · Orthotic and prosthetic procedures and devices
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
✓ Active
Source: CMS HCPCS quarterly update, October 2026. Page updated September 29, 2026.
About L6036
L6036 is an HCPCS Level II code in the L series (orthotic and prosthetic procedures and devices), describing 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.
It was added to HCPCS effective 10/01/2025.
Its Medicare coverage code is "C", meaning coverage is left to the Medicare contractor's judgment.
Details
- Short description
- Prosthetic thumb mechanical
- Date added
- 10/01/2025
- Action effective
- 10/01/2025
- BETOS
- D1F
Related L60xx codes
- L6026Transcarpal/metacarpal or partial hand disarticulation prosthesis, external power, self-suspended, inner socket with removable forearm section, electrodes and cables, two batteries, charger, myoelectric control of terminal device, excludes terminal device(s)
- L6028Partial hand, finger, and thumb prosthesis without prosthetic digit(s) /thumb, amputation at metacarpal level, 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
- L6029Upper extremity addition, test socket/interface, partial hand including fingers
- L6030Upper extremity addition, external frame, partial hand including fingers
- L6031Replacement socket/interface, partial hand including fingers, molded to patient model, for use with or without external power
- L6032Addition to upper extremity prosthesis, partial hand including fingers, ultralight material (titanium, carbon fiber or equal)
- L6033Addition to upper extremity prosthesis, partial hand including fingers, acrylic material
- 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
- 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
- L6039Passive 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
Common questions about L6036
Is HCPCS L6036 still valid?
- Yes. L6036 is active in the CMS October 2026 HCPCS file.
Does Medicare cover L6036?
- Its coverage code is "C": coverage is left to the Medicare contractor's judgment. Check the local coverage determination for your region.