L6646 HCPCS Level II Code: Upper extremity addition, shoulder joint, multipositional locking, flexion, adjustable abduction friction control, for use with body powered or external powered system
HCPCS Level II code, maintained by CMS. Not a CPT code: CPT (HCPCS Level I) is a separate AMA code set that MedCoder does not publish. About HCPCS Level II
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Medicare Coverage & Payment
- CMS short descriptor: Multipo locking shoulder jnt
Source: CMS HCPCS Level II release. Coverage codes indicate how Medicare treats the code, not whether a specific claim will be paid; payer policy and documentation still govern.
Coding context
Guidelines, coding notes, decision aids, relationships (with MS-DRG and CCSR classification), hierarchy, HCC, coverage and the context map: what a coder reaches for after the core. Each section names whether it is official source data, a MedCoder-derived relationship or MedCoder editorial.
Contextual Map
Every relationship of L6646 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Nearest codes (40)
- L6610 — Upper extremity additions, flexible metal hinge, pair[Sibling]— CMS HCPCS Level II code set
- L6611 — Addition to upper extremity prosthesis, external powered, additional switch, any type[Sibling]— CMS HCPCS Level II code set
- L6615 — Upper extremity addition, disconnect locking wrist unit[Sibling]— CMS HCPCS Level II code set
- L6616 — Upper extremity addition, additional disconnect insert for locking wrist unit, each[Sibling]— CMS HCPCS Level II code set
- L6620 — Upper extremity addition, flexion/extension wrist unit, with or without friction[Sibling]— CMS HCPCS Level II code set
- L6621 — Upper extremity prosthesis addition, flexion/extension wrist with or without friction, for use with external powered terminal device[Sibling]— CMS HCPCS Level II code set
- L6623 — Upper extremity addition, spring assisted rotational wrist unit with latch release[Sibling]— CMS HCPCS Level II code set
- L6624 — Upper extremity addition, flexion/extension and rotation wrist unit[Sibling]— CMS HCPCS Level II code set
- and 32 more
Change history
- January 1, 2003 — Added to the code set [Change history]— CMS release files (code change ledger)
Reference
Index terms and tables, published questions and FAQ, every source behind this page with its release and checksum, the date-of-service check and the complete change history.
Sources for this page
Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.
- Code, descriptors, coverage and pricing attributes Official source data
- CMS HCPCS Alpha-Numeric (ANWEB) release — October 2026 quarterly update Release, file and checksum · Publisher’s page
- Change history and date-of-service validity Official source data
- CMS HCPCS quarterly update files, ingested into the change ledger Release, file and checksum · Publisher’s page
- Comparisons, relationships and the contextual map MedCoder-derived relationship
- Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
- Summary and FAQ answers MedCoder editorial explanation
- Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.
Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 20, 2026 · All releases and sources
Labels on this page: Official source data · MedCoder-derived relationship · MedCoder editorial explanation. How to read the labels · All data sources and release dates · CMS coding rules
Cite this page
Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.
MedCoder.ai. "L6646 — Upper extremity addition, shoulder joint, multipositional locking, flexion, adjustable abduction friction control, for use with body powered or external powered system." HCPCS Level II October 2026. https://medcoder.ai/hcpcs/code/l6646-upper-extremity-addition-shoulder-joint-multipositional-locking-flexion-adjustable-abduction
Change history
- January 1, 2003Added to the code setUpper extremity addition, shoulder joint, multipositional locking, flexion, adjustable abduction friction control, for use with body powered or external powered systemHCPCS 2003 changes
Nearest Codes in This Family
Official HCPCS Level II classifications closest to L6646 in its code family, with their registry titles.
- L6638 — Upper extremity addition to prosthesis, electric locking feature, only for use with manually powered elbow
- L6640 — Upper extremity additions, shoulder abduction joint, pair
- L6641 — Upper extremity addition, excursion amplifier, pulley type
- L6642 — Upper extremity addition, excursion amplifier, lever type
- L6645 — Upper extremity addition, shoulder flexion-abduction joint, each
- L6647 — Upper extremity addition, shoulder lock mechanism, body powered actuator
- L6648 — Upper extremity addition, shoulder lock mechanism, external powered actuator
- L6650 — Upper extremity addition, shoulder universal joint, each
- L6655 — Upper extremity addition, standard control cable, extra
- L6660 — Upper extremity addition, heavy duty control cable