HCPCS code L6692 — Silicon gel insert w/wo lock.
Status: Active.
Effective Apr 1, 2025.
Source: CMS HCPCS Level II.
L6692
ActiveSilicon gel insert w/wo lock
Upper extremity addition, silicone gel insert or equal, with or without locking mechanism, each
Category:
Orthotics & Prosthetics
Section:
L-codes: Orthotic and Prosthetic Procedures
Effective:
Apr 1, 2025
Code type:
alphanumeric
OPPS Status:
A
— Paid under a separate fee schedule (not OPPS)
MUE — Medically Unlikely Edits
Maximum units of L6692 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.
| Service Type | Max Units / Day |
|---|---|
| DME Supplier | 2 |
| Outpatient Hospital | 2 |
| Practitioner Services | 0 |
Source: CMS Medicare NCCI Medically Unlikely Edits
Change History
Quarterly changes published by CMS. Revisions may affect the code description, coverage, or rate — review each quarter's changes before submitting claims.