HCPCS Code L6628

Upper extremity addition, quick disconnect hook adapter, otto bock or equal
Code effective Jan 01, 1988

HCPCS Section
Orthotic and Prosthetic Procedures, Devices

L6628 is a valid 2026 HCPCS code meaning Upper extremity addition, quick disconnect hook adapter, otto bock or equal or (Quick disconn hook adapter o) for short. HCPCS L6628 has been effective since 01/01/1988 and applies to Lump sum purchase of DME, prosthetics, orthotics.


HCPCS Code Details - L6628

HCPCS Level II Code
Section L - Orthotic and Prosthetic Procedures, Devices
HCPCS Code L6628
Description

Long description:
Upper extremity addition, quick disconnect hook adapter, otto bock or equal

Short description:
Quick disconn hook adapter o

HCPCS Pricing indicator 38 - Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)
Multiple pricing indicator A - Not applicable as HCPCS priced under one methodology
Coverage code C - Carrier judgment
BETOS2 code D1F - Prosthetic/Orthotic devices
HCPCS Action code N - No maintenance for this code
Type of service P - Lump sum purchase of DME, prosthetics, orthotics
Effective date Effective Jan 01, 1988
Date added Added Jan 01, 1988

See also

  • HCPCS L6029 · Upper extremity addition, test socket/interface, partial hand including fingers

  • HCPCS L6030 · Upper extremity addition, external frame, partial hand including fingers

  • HCPCS L6615 · Upper extremity addition, disconnect locking wrist unit

  • HCPCS L6616 · Upper extremity addition, additional disconnect insert for locking wrist unit, each

  • HCPCS L6620 · Upper extremity addition, flexion/extension wrist unit, with or without friction

  • HCPCS L6623 · Upper extremity addition, spring assisted rotational wrist unit with latch release

  • HCPCS L6624 · Upper extremity addition, flexion/extension and rotation wrist unit

  • HCPCS L6625 · Upper extremity addition, rotation wrist unit with cable lock

  • HCPCS L6629 · Upper extremity addition, quick disconnect lamination collar with coupling piece, otto bock or equal

  • HCPCS L6630 · Upper extremity addition, stainless steel, any wrist

  • HCPCS L6632 · Upper extremity addition, latex suspension sleeve, each

  • HCPCS L6635 · Upper extremity addition, lift assist for elbow

  • HCPCS L6637 · Upper extremity addition, nudge control elbow lock

  • HCPCS L6641 · Upper extremity addition, excursion amplifier, pulley type

  • HCPCS L6642 · Upper extremity addition, excursion amplifier, lever type

1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”


HCPCS Level II codes and descriptors are approved and maintained jointly by the alpha-numeric editorial panel (consisting of CMS, the Health Insurance Association of America, and the Blue Cross and Blue Shield Association). — Updated 6/23/2026

CPT® is a registered trademark of the American Medical Association (AMA). All rights reserved.