HCPCS Code L6695

Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mechanism
Code effective Jan 01, 2005

HCPCS Section
Orthotic and Prosthetic Procedures, Devices

L6695 is a valid 2026 HCPCS code meaning Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mechanism or (Elbow socket ins use w/o lck) for short. HCPCS L6695 has been effective since 01/01/2005 and applies to Lump sum purchase of DME, prosthetics, orthotics.

HCPCS Code Details - L6695

HCPCS Level II Code
Section L - Orthotic and Prosthetic Procedures, Devices
HCPCS Code L6695
Description

Long description:
Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mechanism

Short description:
Elbow socket ins use w/o lck

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, 2005
Date added Added Jan 01, 2005

See also

  • HCPCS L3891 · Addition to upper extremity joint, wrist or elbow, concentric adjustable torsion style mechanism for custom fabricated orthotics only, each

  • HCPCS L3995 · Addition to upper extremity orthosis, sock, fracture or equal, each

  • HCPCS L6032 · Addition to upper extremity prosthesis, partial hand including fingers, ultralight material (titanium, carbon fiber or equal)

  • HCPCS L6033 · Addition to upper extremity prosthesis, partial hand including fingers, acrylic material

  • HCPCS L6611 · Addition to upper extremity prosthesis, external powered, additional switch, any type

  • HCPCS L6694 · Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanism

  • HCPCS L6696 · Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code l6694 or l6695)

  • HCPCS L6697 · Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code l6694 or l6695)

  • HCPCS L6698 · Addition to upper extremity prosthesis, lock mechanism, excludes socket insert

  • HCPCS L6890 · Addition to upper extremity prosthesis, glove for terminal device, any material, prefabricated, includes fitting and adjustment

  • HCPCS L6895 · Addition to upper extremity prosthesis, glove for terminal device, any material, custom fabricated

  • HCPCS L7400 · Addition to upper extremity prosthesis, below elbow/wrist disarticulation, ultralight material (titanium, carbon fiber or equal)

  • HCPCS L7401 · Addition to upper extremity prosthesis, above elbow disarticulation, ultralight material (titanium, carbon fiber or equal)

  • HCPCS L7402 · Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, ultralight material (titanium, carbon fiber or equal)

  • HCPCS L7403 · Addition to upper extremity prosthesis, below elbow/wrist disarticulation, acrylic material

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.