Summary & Overview
HCPCS L6714: Pediatric Mechanical Voluntary-Closing Hand Terminal Device
HCPCS Level II code L6714 covers a pediatric mechanical, voluntary-closing hand terminal device used as a component of an upper-limb prosthetic system. Nationally, this code defines billing for prosthetic hand terminals for children and supports standardized reporting and reimbursement for pediatric prosthetic care. Accurate coding of this device matters for clinical continuity, durable medical equipment (DME) reimbursement, and access to appropriate prosthetic solutions for pediatric patients.
Key payers addressed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of what L6714 represents, common site-of-service contexts, and typical clinical scenarios where a pediatric mechanical voluntary-closing hand terminal device is used. The publication also summarizes benchmark considerations, expected coverage pathways across major payers, and relevant policy and billing implications that affect procurement and clinical supply chain decisions.
This summary is intended to inform clinicians, billing specialists, and policy analysts about the clinical function and billing classification of L6714, help align documentation with payer expectations, and provide context for further detail on modifiers, coverage nuances, and associated coding guidance.
Billing Code Overview
HCPCS Level II code L6714 describes a terminal device, hand, mechanical, voluntary closing, any material, any size, pediatric. This device is designed for pediatric patients and functions as a mechanical, voluntarily closing hand terminal device used as part of an upper-limb prosthetic system.
Service Type: Prosthetic upper extremity component
Typical Site of Service: Outpatient prosthetics clinic, orthotics and prosthetics (O&P) facility, or specialty pediatric clinic
Clinical & Coding Specifications
Clinical Context
A pediatric patient, age range typically 3–12 years, with an upper limb congenital difference (for example, radial longitudinal deficiency), traumatic partial hand amputation, or neuromuscular impairment affecting grasp presents to a pediatric prosthetics clinic. The prosthetist and pediatric orthotist perform an initial evaluation including limb measurements, functional assessment, and goal-setting for activities of daily living and play. The team orders a mechanical, voluntary-closing pediatric terminal device described by billing code L6714. The device is fabricated or selected for size, fitted in the clinic, and adjustments are made for cable routing, harnessing, and suspension. Follow-up visits include functional training with an occupational therapist, device tuning, and periodic replacement as the child grows or as wear occurs. Typical documented workflow: history and functional needs assessment -> limb and socket measurement -> device selection (L6714) -> fitting and alignment -> caregiver training and occupational therapy -> routine maintenance and replacement as needed. Typical site of service: outpatient prosthetics clinic, pediatric orthotics and prosthetics facility, or hospital-based prosthetics department. Service type: durable medical equipment/prosthetic device provision and fitting for a pediatric mechanical voluntary-closing hand terminal device.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 |