The Centers for Medicare & Medicaid Services (CMS) have just released their final determinations from the Second Biannual 2025 Healthcare Common Procedure Coding System (HCPCS) code application meetings.The final determinations resulted in two new L-codes, one L-code having its descriptor changed, and three L-codes being deleted.

The two new L-codes will be valid for claims with dates of service on or after April 1, 2026.

New CodeCode Descriptor
L2221Addition to lower extremity orthosis, ankle system, microprocessor-controlled feature plantarflexion and/or dorsiflexion, includes power source
L5992All lower extremity prosthesis, foot shell for modular foot/non-solid ankle cushion heel (sach) replacement only

The updated L-code will be valid for claims with dates of service on or after April 1, 2026.

HCPCS CodeOld DescriptorNew Descriptor
L6028Partial hand, finger, and thumb prosthesis without prosthetic digit(s) /thumb, amputation at metacarpal level, including flexible or non-flexible interface, molded to patient model, including palm, for use without external power and/or passive prosthetic digit/thumb, not including inserts described by L6692Partial hand, finger, and thumb prosthesis without prosthetic digit(s) /thumb, amputation at metacarpal level, including flexible or non-flexible interface, molded to patient model, for use without external power and/or passive prosthetic digit/thumb, not including inserts described by L6692

The three deleted codes will no longer be valid for claims on or after April 1, 2026.

Deleted HCPCS CodeDescriptor
L6000Partial hand, thumb remaining
L6010Partial hand, little and/or ring finger remaining
L6020Partial hand, no finger remaining

The final determinations also finalized the Medicare fee schedule amounts for previously created codes: L5657, L6029, L6030, L6031, L6032, L6033 and L6037.

Questions? Contact Joe McTernan at jmcternan@AOPAnet.org or Devon Bernard at dbernard@AOPAnet.org.