HCPCS Level II · Orthotic and prosthetic procedures and devices
L6890Addition to upper extremity prosthesis, glove for terminal device, any material, prefabricated, includes fitting and adjustment
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Source: CMS HCPCS quarterly update, October 2026. Page updated September 29, 2026.
About L6890
L6890 is an HCPCS Level II code in the L series (orthotic and prosthetic procedures and devices), describing addition to upper extremity prosthesis, glove for terminal device, any material, prefabricated, includes fitting and adjustment.
It was added to HCPCS effective 01/01/1986, and its current record took effect 01/01/2005.
Its Medicare coverage code is "C", meaning coverage is left to the Medicare contractor's judgment.
Details
- Short description
- Prefab glove for term device
- Date added
- 01/01/1986
- Action effective
- 01/01/2005
- BETOS
- D1F
Related L68xx codes
- L6805Addition to terminal device, modifier wrist unit
- 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
- L6895Addition to upper extremity prosthesis, glove for terminal device, any material, custom fabricated
Common questions about L6890
Is HCPCS L6890 still valid?
- Yes. L6890 is active in the CMS October 2026 HCPCS file.
Does Medicare cover L6890?
- Its coverage code is "C": coverage is left to the Medicare contractor's judgment. Check the local coverage determination for your region.