L6036 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
Short descriptor: Prosthetic thumb mechanical
Look up L6036 alongside ICD-10-CM diagnoses, the HCPCS Table of Drugs, and the AI coding assistant.
L6036 is the HCPCS Level II code for 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 (2026). It belongs to Section L — Orthotic & Prosthetic Procedures. Under Medicare, its coverage status is: Carrier judgment. Part B pricing methodology: Orthotics, prosthetics & vision services.
Classification & CMS Attributes
- Medicare Coverage
- Carrier judgment (code C)
- Part B Pricing
- Orthotics, prosthetics & vision services (indicator 38)
- Type of Service
- Lump-sum purchase of DME, prosthetics, orthotics
- Effective Date
- 2025-10-01
- 2026 Maintenance
- No change this year
References
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Reference L6036 with the canonical source and edition:
L6036 — 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. ICD-10 Coding Pro (HCPCS Level II 2026). https://icd10codingpro.com/hcpcs-codes/L6036
Canonical URL: https://icd10codingpro.com/hcpcs-codes/L6036