L6386 HCPCS Level II code: Immediate post surgical or early fitting, each additional cast change and realignment
L6386 is the HCPCS code for “Immediate post surgical or early fitting, each additional cast change and realignment” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
L6386Immediate post surgical or early fitting, each additional cast change and realignment
Short description: Postop ea cast chg & realign
HCPCS · United States
Medicare details
The indicators CMS publishes with L6386 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Carrier judgment
- Medicare pricing
- DMEPOS fee schedule – Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)
- Type of service
- Lump sum purchase of DME, prosthetics, orthotics
- BETOS category
- Prosthetic/Orthotic devices
- Added
- Jan 1, 1988
Where L6386 sits
- 1L codesOrthotics and prosthetics
- 2Active code L6386Immediate post surgical or early fitting, each additional cast change and realignment
Source and release
- Data release
- HCPCS Level II · October 2026
- Effective date
- Oct 1, 2026
- Publisher
- CMS
This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.
Frequently asked questions
What does HCPCS code L6386 mean?
L6386 is the HCPCS code for “Immediate post surgical or early fitting, each additional cast change and realignment” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover L6386?
CMS lists L6386’s Medicare coverage as “Carrier judgment” and its pricing as “DMEPOS fee schedule – Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.
Which HCPCS Level II release does this page use?
It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.
Codes beside L6386
All L codesL6350Interscapular thoracic, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearmL6360Interscapular thoracic, passive restoration (complete prosthesis)L6370Interscapular thoracic, passive restoration (shoulder cap only)L6380Immediate post surgical or early fitting, application of initial rigid dressing, including fitting alignment and suspension of components, and one cast change, wrist…L6382Immediate post surgical or early fitting, application of initial rigid dressing including fitting alignment and suspension of components, and one cast change, elbow…L6384Immediate post surgical or early fitting, application of initial rigid dressing including fitting alignment and suspension of components, and one cast change, shoulder…L6388Immediate post surgical or early fitting, application of rigid dressing onlyL6400Below elbow, molded socket, endoskeletal system, including soft prosthetic tissue shapingL6450Elbow disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shapingL6500Above elbow, molded socket, endoskeletal system, including soft prosthetic tissue shapingL6550Shoulder disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shapingL6570Interscapular thoracic, molded socket, endoskeletal system, including soft prosthetic tissue shaping