L6677 — Upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow
L6677 is a HCPCS Level II code for upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow. It belongs to the Orthotic and Prosthetic Procedures and Devices section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Carrier judgment
Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
Medically Unlikely Edits — units per day
The most units of L6677 Medicare will pay on one date of service. Bill more on a single line and it is denied. The limit is not the same in every setting, so the row that matters is the one matching the claim you are building.
- practitioner
- 0 — never payable MAI 3 — Date of Service Edit: Clinical · CMS Policy
- outpatient
- 2 units MAI 2 — Date of Service Edit: Policy · Anatomic Consideration
- DME supplier
- 2 units MAI 2 — Date of Service Edit: Policy · Anatomic Consideration
The adjudication indicator decides whether exceeding the limit is worth appealing at all: MAI 1 is a line edit you can support with documentation, MAI 3 is a date-of-service edit that is also appealable, and MAI 2 is absolute — no documentation overrides it. CMS MUE 2026Q3.
The CMS record for L6677
- Long descriptor
- Upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow
- Short descriptor
- Ue triple control harness
- Added
- January 1, 2006
- BETOS
- D1F
- Pricing indicator
- 38 — DMEPOS
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Orthotics, prosthetics, prosthetic devices and vision services. Price subject to floors and ceilings.
Codes adjacent to L6677
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If L6677 is not quite right, the correct code is very often within a few positions of it.
- L6650Upper extremity addition, shoulder universal joint, each
- L6655Upper extremity addition, standard control cable, extra
- L6660Upper extremity addition, heavy duty control cable
- L6665Upper extremity addition, teflon, or equal, cable lining
- L6670Upper extremity addition, hook to hand, cable adapter
- L6672Upper extremity addition, harness, chest or shoulder, saddle type
- L6675Upper extremity addition, harness, (e.g., figure of eight type), single cable design
- L6676Upper extremity addition, harness, (e.g., figure of eight type), dual cable design
- L6680Upper extremity addition, test socket, wrist disarticulation or below elbow
- L6682Upper extremity addition, test socket, elbow disarticulation or above elbow
- L6684Upper extremity addition, test socket, shoulder disarticulation or interscapular thoracic
- L6686Upper extremity addition, suction socket
- L6687Upper extremity addition, frame type socket, below elbow or wrist disarticulation
- L6688Upper extremity addition, frame type socket, above elbow or elbow disarticulation
- L6689Upper extremity addition, frame type socket, shoulder disarticulation
- L6690Upper extremity addition, frame type socket, interscapular-thoracic
Questions about L6677
What is HCPCS code L6677?
L6677 is a HCPCS Level II code for upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow. It sits in the Orthotic and Prosthetic Procedures and Devices section.
Does Medicare cover L6677?
The CMS HCPCS file marks L6677 as "Carrier judgment". Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.