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See a sample rate comparisonHCPCS L6689 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Upper extremity addition, frame type socket, shoulder disarticulation
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Upper Extremity Prosthetic Additions |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for L6689 |
National average reimbursement for HCPCS L6689 by major payers:
$806.43
$484.80
$523.14
$1,082.52
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HCPCS L6689
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$1,511.68Published rateUnilab Corporation, Quest Diagnostics Clinical Lab
$432.33Published rateHospital Authority Of Washington County, Washington County Regional Medical Center
Hospital Authority Of Washington County
$394.14Published rateNavicent Health Oconee, LLC, Navicent Health Baldwin
Navicent Health Oconee LLC
$373.48Published ratePatrick Reidy
Florida Gulf Coast Ear, Nose And Throat, LLC
$354.05Published rate
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See a sample payer proposalHCPCS L6689 vs. Other Upper Extremity Prosthetic Additions Codes
The HCPCS L6689 code is part of the Prosthetic Procedures services used for Upper Extremity Prosthetic Additions. 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 L6689 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 |
|---|---|---|
| L6688-HCPCS | Moderate | Upper extremity addition, frame type socket, above elbow or elbow disarticulation |
| L6689-HCPCS | Moderate | Upper extremity addition, frame type socket, shoulder disarticulation |
| L6690-HCPCS | Moderate | Upper extremity addition, frame type socket, interscapular-thoracic |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L6689. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L6689 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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