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See a sample rate comparisonHCPCS L6590 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Preparatory, shoulder disarticulation or interscapular thoracic, single wall socket, shoulder joint, locking elbow, friction wrist, chest strap, fair lead cable control, USMC or equal pylon, no cover, direct formed
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Preparatory Prosthetic, Upper Limbs |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for L6590 |
National average reimbursement for HCPCS L6590 by major payers:
$3,104.72
$1,887.97
$2,081.80
$4,406.68
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HCPCS L6590
5 of 25 sample ratesHigher to lower in this preview
Emory Crawford Long Hospital
Emory University
$5,617.62Published rateTy Cobb Healthcare System, Cobb Memorial Hospital
Community Services Group Inc
$1,875.42Published rateEmory Healthcare
$1,575.34Published rateMichael Guillette
Aztec Urgent Care LLC
$1,456.54Published rateHca Health Services Of Tennessee, Inc., Tristar Centennial Medical Center
$1,440.00Published rate
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See a sample payer proposalHCPCS L6590 vs. Other Preparatory Prosthetic, Upper Limbs Codes
The HCPCS L6590 code is part of the Prosthetic Procedures services used for Preparatory Prosthetic, Upper Limbs. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS L6590 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| L6588-HCPCS | High | Preparatory, shoulder disarticulation or interscapular thoracic, single wall plastic socket, shoulder joint, locking elbow, friction wrist, chest strap, fair lead cable control, USMC or equal pylon, no cover, molded to patient model |
| L6590-HCPCS | High | Preparatory, shoulder disarticulation or interscapular thoracic, single wall socket, shoulder joint, locking elbow, friction wrist, chest strap, fair lead cable control, USMC or equal pylon, no cover, direct formed |
| L6600-HCPCS | Moderate | Upper extremity additions, polycentric hinge, pair |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L6590. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L6590 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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