L6722 — Terminal device, hook or hand, heavy duty, mechanical, voluntary closing, any material, any size, lined or unlined
L6722 is a HCPCS Level II code for terminal device, hook or hand, heavy duty, mechanical, voluntary closing, any material, any size, lined or unlined. 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 L6722 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 L6722
- Long descriptor
- Terminal device, hook or hand, heavy duty, mechanical, voluntary closing, any material, any size, lined or unlined
- Short descriptor
- Hook/hand, hvy dty, vol clos
- Added
- January 1, 2009
- 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 L6722
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If L6722 is not quite right, the correct code is very often within a few positions of it.
- L6708Terminal device, hand, mechanical, voluntary opening, any material, any size
- L6709Terminal device, hand, mechanical, voluntary closing, any material, any size
- L6711Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined, pediatric
- L6712Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined, pediatric
- L6713Terminal device, hand, mechanical, voluntary opening, any material, any size, pediatric
- L6714Terminal device, hand, mechanical, voluntary closing, any material, any size, pediatric
- L6715Terminal device, multiple articulating digit, includes motor(s), initial issue or replacement
- L6721Terminal device, hook or hand, heavy duty, mechanical, voluntary opening, any material, any size, lined or unlined
- 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
Questions about L6722
What is HCPCS code L6722?
L6722 is a HCPCS Level II code for terminal device, hook or hand, heavy duty, mechanical, voluntary closing, any material, any size, lined or unlined. It sits in the Orthotic and Prosthetic Procedures and Devices section.
Does Medicare cover L6722?
The CMS HCPCS file marks L6722 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.