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L codes: orthotics and prosthetics

935 active HCPCS Level II codes from the L section (orthotic and prosthetic procedures and devices), each with its own reference page built from the October 2026 CMS files. Of these, 863 are on the DMEPOS fee schedule, 921 have a published MUE and 545 are listed in an LCD or billing article; 364 have enough joined data and search demand to be indexed.

Compiled from CMS files by the QuickIntell RCM Editorial Team · Data effective · Method: reference methodology · Report a data correction

Data currency: HCPCS Level II file: October 2026 (effective October 1, 2026); PFS relative value file: RVU26D, released August 26, 2026 (effective October 1, 2026); DMEPOS fee schedule: DME26-D (October 2026) (effective October 1, 2026); NCCI MUE tables: 2026 Q4 (effective October 1, 2026); NCCI PTP edits: v323r0 (2026 Q4) (effective October 1, 2026); OPPS Addendum B: October 2026 (effective October 1, 2026). Next CMS release: January 1, 2027 (quarterly update) for the HCPCS Level II file and DMEPOS fee schedule and NCCI MUE tables and NCCI PTP edits and OPPS Addendum B; RVU27A with the CY2027 PFS final rule, effective January 1, 2027 for the PFS relative value file.

Most searched codes in this range

Monthly US Google searches for the bare code (Google Ads, measured October 9, 2026) show which codes coders and billers look up most; search demand is one input to which pages are indexed and which the hub lists first.

L codes: orthotics and prosthetics: codes with the most Google searches
CodeShort descriptorMedicare amountSearches / month
L4361Pneuma/vac walk boot pre ots$424.241,300
L3908Who cock-up nonmolde pre ots$89.821,000
L1833Ko adj jnt pos r sup pre ots$556.31880
L3000Ft insert ucb berkeley shell$459.83880
L3670So acro/clav can web pre ots$169.54880
L0650LSO sc r ant/pos pnl pre ots$922.75720
L1010Ctlso axilla sling$102.83720
L1902AFO ankle gauntlet pre ots$122.31720
L3809Whfo w/o joints pre ots$333.11720
L0637LSO sc r ant/pos pnl pre cst$1,718.13480

Codes in this range

The table lists the 364 codes in this range whose reference pages are indexed; the other 571 active codes follow as a list and keep their own pages for lookups. The Medicare amount is the national figure the page leads with.

L codes: orthotics and prosthetics with an indexed reference page
CodeDescriptorMedicare amountBasisMUE (setting)OPPS SI
L0112Cranial cervical orthosis, congenital torticollis type, with or without soft interface material, adjustable range of motion joint, custom fabricated$2,048.79DMEPOS ceiling1 (DME supplier)A
L0120Cervical, flexible, non-adjustable, prefabricated, off-the-shelf (foam collar)$40.66DMEPOS ceiling1 (DME supplier)A
L0140Cervical, semi-rigid, adjustable (plastic collar)$98.08DMEPOS ceiling1 (DME supplier)A
L0150Cervical, semi-rigid, adjustable molded chin cup (plastic collar with mandibular/occipital piece)$165.57DMEPOS ceiling1 (DME supplier)A
L0170Cervical, collar, molded to patient model$988.11DMEPOS ceiling1 (DME supplier)A
L0172Cervical, collar, semi-rigid thermoplastic foam, two-piece, prefabricated, off-the-shelf$194.52DMEPOS ceiling1 (DME supplier)A
L0174Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf$420.89DMEPOS ceiling1 (DME supplier)A
L0180Cervical, multiple post collar, occipital/mandibular supports, adjustable$567.70DMEPOS ceiling1 (DME supplier)A
L0190Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars (somi, guilford, taylor types)$758.97DMEPOS ceiling1 (DME supplier)A
L0200Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars, and thoracic extension$791.22DMEPOS ceiling1 (DME supplier)A
L0450Tlso, flexible, provides trunk support, upper thoracic region, produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s), includes shoulder straps and closures, prefabricated, off-the-shelf$145.10DMEPOS highest state fee1 (DME supplier)A
L0454Tlso flexible, provides trunk support, extends from sacrococcygeal junction to above t-9 vertebra, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s), includes shoulder straps and closures, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise$507.68DMEPOS ceiling1 (DME supplier)A
L0456Tlso, flexible, provides trunk support, thoracic region, rigid posterior panel and soft anterior apron, extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on the intervertebral disks, includes straps and closures, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise$1,455.88DMEPOS ceiling1 (DME supplier)A
L0457Tlso, flexible, provides trunk support, thoracic region, rigid posterior panel and soft anterior apron, extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on the intervertebral disks, includes straps and closures, prefabricated, off-the-shelf$772.46DMEPOS highest state fee1 (DME supplier)A
L0458Tlso, triplanar control, modular segmented spinal system, two rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior extends from the symphysis pubis to the xiphoid, soft liner, restricts gross trunk motion in the sagittal, coronal, and transverse planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated, includes fitting and adjustment$1,305.49DMEPOS ceiling1 (DME supplier)A
L0460Tlso, triplanar control, modular segmented spinal system, two rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior extends from the symphysis pubis to the sternal notch, soft liner, restricts gross trunk motion in the sagittal, coronal, and transverse planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise$1,469.43DMEPOS ceiling1 (DME supplier)A
L0462Tlso, triplanar control, modular segmented spinal system, three rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior extends from the symphysis pubis to the sternal notch, soft liner, restricts gross trunk motion in the sagittal, coronal, and transverse planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated, includes fitting and adjustment$1,827.72DMEPOS ceiling1 (DME supplier)A
L0464Tlso, triplanar control, modular segmented spinal system, four rigid plastic shells, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to the sternal notch, soft liner, restricts gross trunk motion in sagittal, coronal, and transverse planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated, includes fitting and adjustment$2,175.86DMEPOS ceiling1 (DME supplier)A
L0472Tlso, triplanar control, hyperextension, rigid anterior and lateral frame extends from symphysis pubis to sternal notch with two anterior components (one pubic and one sternal), posterior and lateral pads with straps and closures, limits spinal flexion, restricts gross trunk motion in sagittal, coronal, and transverse planes, includes fitting and shaping the frame, prefabricated, includes fitting and adjustment$619.52DMEPOS ceiling1 (DME supplier)A
L0482Tlso, triplanar control, one piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to sternal notch, anterior or posterior opening, restricts gross trunk motion in sagittal, coronal, and transverse planes, includes a carved plaster or cad-cam model, custom fabricated$2,375.96DMEPOS ceiling1 (DME supplier)A
L0486Tlso, triplanar control, two piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to sternal notch, lateral strength is enhanced by overlapping plastic, restricts gross trunk motion in the sagittal, coronal, and transverse planes, includes a carved plaster or cad-cam model, custom fabricated$2,888.80DMEPOS ceiling1 (DME supplier)A
L0621Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf$76.50DMEPOS highest state fee1 (DME supplier)A
L0625Lumbar orthosis, flexible, provides lumbar support, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include pendulous abdomen design, shoulder straps, stays, prefabricated, off-the-shelf$42.80DMEPOS highest state fee1 (DME supplier)A
L0626Lumbar orthosis, sagittal control, with rigid posterior panel(s), posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise$114.12DMEPOS ceiling1 (DME supplier)A
L0627Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise$601.87DMEPOS ceiling1 (DME supplier)A
L0628Lumbar-sacral orthosis, flexible, provides lumbo-sacral support, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include stays, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf$65.17DMEPOS highest state fee1 (DME supplier)A
L0637Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise$1,718.13DMEPOS ceiling1 (DME supplier)A
L0638Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, custom fabricated$1,930.64DMEPOS ceiling1 (DME supplier)A
L0639Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces intracavitary pressure to reduce load on the intervertebral discs, overall strength is provided by overlapping rigid material and stabilizing closures, includes straps, closures, may include soft interface, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise$1,718.13DMEPOS ceiling1 (DME supplier)A
L0640Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces intracavitary pressure to reduce load on the intervertebral discs, overall strength is provided by overlapping rigid material and stabilizing closures, includes straps, closures, may include soft interface, pendulous abdomen design, custom fabricated$1,531.74DMEPOS ceiling1 (DME supplier)A
L0641Lumbar orthosis, sagittal control, with rigid posterior panel(s), posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf$60.55DMEPOS highest state fee1 (DME supplier)A
L0642Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf$319.33DMEPOS highest state fee1 (DME supplier)A
L0648Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf$797.49DMEPOS highest state fee1 (DME supplier)A
L0649Lumbar-sacral orthosis, sagittal-coronal control, with rigid posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf$222.77DMEPOS highest state fee1 (DME supplier)A
L0650Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf$922.75DMEPOS highest state fee1 (DME supplier)A
L0651Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces intracavitary pressure to reduce load on the intervertebral discs, overall strength is provided by overlapping rigid material and stabilizing closures, includes straps, closures, may include soft interface, pendulous abdomen design, prefabricated, off-the-shelf$922.75DMEPOS highest state fee1 (DME supplier)A
L0984Protective body sock, prefabricated, off-the-shelf, each$91.72DMEPOS ceiling0 (DME supplier)A
L1000Cervical-thoracic-lumbar-sacral orthosis (ctlso) (milwaukee), inclusive of furnishing initial orthosis, including model$3,110.63DMEPOS ceiling1 (DME supplier)A
L1001Cervical thoracic lumbar sacral orthosis, immobilizer, infant size, prefabricated, includes fitting and adjustment—none in these files1 (DME supplier)A
L1005Tension based scoliosis orthosis and accessory pads, includes fitting and adjustment$4,685.17DMEPOS ceiling1 (DME supplier)A
L1006Scoliosis orthosis, sagittal-coronal control provided by a rigid lateral frame, extends from axilla to trochanter, includes all accessory pads, straps and interface, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise$1,570.91DMEPOS ceiling1 (DME supplier)A
L1010Addition to cervical-thoracic-lumbar-sacral orthosis (ctlso) or scoliosis orthosis, axilla sling$102.83DMEPOS ceiling2 (DME supplier)A
L1100Addition to ctlso or scoliosis orthosis, ring flange, plastic or leather$243.66DMEPOS ceiling2 (DME supplier)A
L1110Addition to ctlso or scoliosis orthosis, ring flange, plastic or leather, molded to patient model$391.31DMEPOS ceiling2 (DME supplier)A
L1120Addition to ctlso, scoliosis orthosis, cover for upright, each$60.85DMEPOS ceiling3 (DME supplier)A
L1200Thoracic-lumbar-sacral-orthosis (tlso), inclusive of furnishing initial orthosis only$2,400.62DMEPOS ceiling1 (DME supplier)A
L1210Addition to tlso, (low profile), lateral thoracic extension$400.90DMEPOS ceiling2 (DME supplier)A
L1220Addition to tlso, (low profile), anterior thoracic extension$339.44DMEPOS ceiling1 (DME supplier)A
L1250Addition to tlso, (low profile), anterior asis pad$110.69DMEPOS ceiling2 (DME supplier)A
L1300Other scoliosis procedure, body jacket molded to patient model$2,559.37DMEPOS ceiling1 (DME supplier)A
L1600Hip orthosis, abduction control of hip joints, flexible, frejka type with cover, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an inidividual with expertise$197.44DMEPOS ceiling1 (DME supplier)A
L1620Hip orthosis, abduction control of hip joints, flexible, (pavlik harness), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise$205.28DMEPOS ceiling1 (DME supplier)A
L1630Hip orthosis, abduction control of hip joints, semi-flexible (von rosen type), custom fabricated$259.63DMEPOS ceiling1 (DME supplier)A
L1660Hip orthosis, abduction control of hip joints, static, plastic, prefabricated, includes fitting and adjustment$262.21DMEPOS ceiling1 (DME supplier)A
L1681Hip orthosis, bilateral hip joints and thigh cuffs, adjustable flexion, extension, abduction control of hip joint, postoperative hip abduction type, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise$2,795.26DMEPOS highest state fee1 (DME supplier)A
L1686Hip orthosis, abduction control of hip joint, postoperative hip abduction type, prefabricated, includes fitting and adjustment$1,397.63DMEPOS ceiling1 (DME supplier)A
L1690Combination, bilateral, lumbo-sacral, hip, femur orthosis providing adduction and internal rotation control, prefabricated, includes fitting and adjustment$2,830.66DMEPOS ceiling1 (DME supplier)A
L1810Knee orthosis, elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise$150.89DMEPOS ceiling2 (DME supplier)A
L1812Knee orthosis, elastic with joints, prefabricated, off-the-shelf$85.71DMEPOS highest state fee2 (DME supplier)A
L1820Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise$198.66DMEPOS ceiling2 (DME supplier)A
L1821Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, off the shelf$198.66DMEPOS ceiling2 (DME supplier)A
L1830Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf$77.23DMEPOS highest state fee2 (DME supplier)A
L1831Knee orthosis, locking knee joint(s), positional orthosis, prefabricated, includes fitting and adjustment$430.82DMEPOS ceiling2 (DME supplier)A
L1832Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise$931.51DMEPOS ceiling2 (DME supplier)A
L1833Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf$556.31DMEPOS highest state fee2 (DME supplier)A
L1834Knee orthosis, without knee joint, rigid, custom fabricated$1,189.36DMEPOS ceiling2 (DME supplier)A
L1836Knee orthosis, rigid, without joint(s), includes soft interface material, prefabricated, off-the-shelf$109.20DMEPOS highest state fee2 (DME supplier)A
L1840Knee orthosis, derotation, medial-lateral, anterior cruciate ligament, custom fabricated$1,408.80DMEPOS ceiling2 (DME supplier)A
L1843Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise$1,313.43DMEPOS ceiling2 (DME supplier)A
L1844Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, custom fabricated$2,436.24DMEPOS ceiling2 (DME supplier)A
L1845Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise$1,252.32DMEPOS ceiling2 (DME supplier)A
L1846Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, custom fabricated$1,711.62DMEPOS ceiling2 (DME supplier)A
L1850Knee orthosis, swedish type, prefabricated, off-the-shelf$251.50DMEPOS highest state fee2 (DME supplier)A
L1851Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf$734.28DMEPOS highest state fee2 (DME supplier)A
L1852Knee orthosis (ko), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf$700.49DMEPOS highest state fee2 (DME supplier)A
L1900Ankle foot orthosis, spring wire, dorsiflexion assist calf band, custom fabricated$413.34DMEPOS ceiling2 (DME supplier)A
L1902Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf$122.31DMEPOS ceiling2 (DME supplier)A
L1904Ankle orthosis, ankle gauntlet or similar, with or without joints, custom fabricated$720.48DMEPOS ceiling2 (DME supplier)A
L1906Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf$184.26DMEPOS ceiling2 (DME supplier)A
L1907Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated$823.67DMEPOS ceiling2 (DME supplier)A
L1920Ankle foot orthosis, single upright with static or adjustable stop (phelps or perlstein type), custom fabricated$535.64DMEPOS ceiling2 (DME supplier)A
L1930Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment$362.45DMEPOS ceiling2 (DME supplier)A
L1932Ankle foot orthosis, rigid anterior tibial section, total carbon fiber or equal material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise$1,306.25DMEPOS ceiling2 (DME supplier)A
L1933Ankle foot orthosis, rigid anterior tibial section, total carbon fiber or equal material, prefabricated, off-the-shelf$1,306.25DMEPOS ceiling2 (DME supplier)A
L1940Ankle foot orthosis, plastic or other material, custom fabricated$757.73DMEPOS ceiling2 (DME supplier)A
L1945Ankle foot orthosis, plastic, rigid anterior tibial section (floor reaction), custom fabricated$1,418.31DMEPOS ceiling2 (DME supplier)A
L1950Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic, custom fabricated$1,141.23DMEPOS ceiling2 (DME supplier)A
L1951Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic or other material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise$1,229.35DMEPOS ceiling2 (DME supplier)A
L1952Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic or other material, prefabricated, off-the-shelf$1,229.35DMEPOS ceiling2 (DME supplier)A
L1960Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated$849.26DMEPOS ceiling2 (DME supplier)A
L1970Ankle foot orthosis, plastic with ankle joint, custom fabricated$1,090.24DMEPOS ceiling2 (DME supplier)A
L1971Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise$686.13DMEPOS ceiling2 (DME supplier)A
L1990Ankle foot orthosis, double upright free plantar dorsiflexion, solid stirrup, calf band/cuff (double bar 'bk' orthosis), custom fabricated$682.96DMEPOS ceiling2 (DME supplier)A
L2000Knee ankle foot orthosis, single upright, free knee, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'ak' orthosis), custom fabricated$1,554.06DMEPOS ceiling2 (DME supplier)A
L2005Knee ankle foot orthosis, any material, single or double upright, stance control, automatic lock and swing phase release, any type activation, includes ankle joint, any type, custom fabricated$5,999.81DMEPOS ceiling2 (DME supplier)A
L2006Knee ankle foot device, any material, single or double upright, swing and stance phase microprocessor control with adjustability, includes all components (e.g., sensors, batteries, charger), any type activation, with or without ankle joint(s), custom fabricated$40,619.86DMEPOS highest state fee2 (DME supplier)A
L2010Knee ankle foot orthosis, single upright, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'ak' orthosis), without knee joint, custom fabricated$1,416.67DMEPOS ceiling2 (DME supplier)A
L2020Knee ankle foot orthosis, double upright, free ankle, solid stirrup, thigh and calf bands/cuffs (double bar 'ak' orthosis), custom fabricated$1,789.03DMEPOS ceiling2 (DME supplier)A
L2030Knee ankle foot orthosis, double upright, free ankle, solid stirrup, thigh and calf bands/cuffs, (double bar 'ak' orthosis), without knee joint, custom fabricated$1,552.14DMEPOS ceiling2 (DME supplier)A
L2035Knee ankle foot orthosis, full plastic, static (pediatric size), without free motion ankle, prefabricated, includes fitting and adjustment$255.18DMEPOS ceiling2 (DME supplier)A
L2036Knee ankle foot orthosis, full plastic, double upright, with or without free motion knee, with or without free motion ankle, custom fabricated$2,842.66DMEPOS ceiling2 (DME supplier)A
L2040Hip knee ankle foot orthosis, torsion control, bilateral rotation straps, pelvic band/belt, custom fabricated$272.03DMEPOS ceiling1 (DME supplier)A
L2050Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, hip joint, pelvic band/belt, custom fabricated$729.86DMEPOS ceiling1 (DME supplier)A
L2060Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, ball bearing hip joint, pelvic band/ belt, custom fabricated$889.56DMEPOS ceiling1 (DME supplier)A
L2070Hip knee ankle foot orthosis, torsion control, unilateral rotation straps, pelvic band/belt, custom fabricated$206.05DMEPOS ceiling1 (DME supplier)A
L2112Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, soft, prefabricated, includes fitting and adjustment$714.85DMEPOS ceiling2 (DME supplier)A
L2114Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, semi-rigid, prefabricated, includes fitting and adjustment$889.32DMEPOS ceiling2 (DME supplier)A
L2116Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, rigid, prefabricated, includes fitting and adjustment$1,090.74DMEPOS ceiling2 (DME supplier)A
L2136Kafo, fracture orthosis, femoral fracture cast orthosis, rigid, prefabricated, includes fitting and adjustment$1,811.94DMEPOS ceiling2 (DME supplier)A
L2200Addition to lower extremity, limited ankle motion, each joint$72.84DMEPOS ceiling4 (DME supplier)A
L2210Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint$102.99DMEPOS ceiling4 (DME supplier)A
L2220Addition to lower extremity, dorsiflexion and plantar flexion assist/resist, each joint$125.47DMEPOS ceiling4 (DME supplier)A
L2230Addition to lower extremity, split flat caliper stirrups and plate attachment$117.56DMEPOS ceiling2 (DME supplier)A
L2232Addition to lower extremity orthosis, rocker bottom for total contact ankle foot orthosis, for custom fabricated orthosis only$143.26DMEPOS ceiling2 (DME supplier)A
L2250Addition to lower extremity, foot plate, molded to patient model, stirrup attachment$544.42DMEPOS ceiling2 (DME supplier)A
L2265Addition to lower extremity, long tongue stirrup$180.44DMEPOS ceiling2 (DME supplier)A
L2270Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad$82.28DMEPOS ceiling2 (DME supplier)A
L2275Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined$192.15DMEPOS ceiling2 (DME supplier)A
L2280Addition to lower extremity, molded inner boot$693.78DMEPOS ceiling2 (DME supplier)A
L2300Addition to lower extremity, abduction bar (bilateral hip involvement), jointed, adjustable$412.52DMEPOS ceiling1 (DME supplier)A
L2320Addition to lower extremity, non-molded lacer, for custom fabricated orthosis only$315.25DMEPOS ceiling2 (DME supplier)A
L2330Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only$601.62DMEPOS ceiling2 (DME supplier)A
L2340Addition to lower extremity, pre-tibial shell, molded to patient model$684.77DMEPOS ceiling2 (DME supplier)A
L2350Addition to lower extremity, prosthetic type, (bk) socket, molded to patient model, (used for 'ptb' 'afo' orthoses)$1,365.23DMEPOS ceiling2 (DME supplier)A
L2360Addition to lower extremity, extended steel shank$79.27DMEPOS ceiling2 (DME supplier)A
L2397Addition to lower extremity orthosis, suspension sleeve$172.19DMEPOS ceiling4 (DME supplier)A
L2405Addition to knee joint, drop lock, each$127.62DMEPOS ceiling4 (DME supplier)A
L2425Addition to knee joint, disc or dial lock for adjustable knee flexion, each joint$209.83DMEPOS ceiling4 (DME supplier)A
L2500Addition to lower extremity, thigh/weight bearing, gluteal/ ischial weight bearing, ring$483.36DMEPOS ceiling2 (DME supplier)A
L2550Addition to lower extremity, thigh/weight bearing, high roll cuff$440.05DMEPOS ceiling2 (DME supplier)A
L2600Addition to lower extremity, pelvic control, hip joint, clevis type, or thrust bearing, free, each$314.68DMEPOS ceiling2 (DME supplier)A
L2620Addition to lower extremity, pelvic control, hip joint, heavy duty, each$409.67DMEPOS ceiling2 (DME supplier)A
L2624Addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction control, each$507.36DMEPOS ceiling2 (DME supplier)A
L2630Addition to lower extremity, pelvic control, band and belt, unilateral$379.40DMEPOS ceiling1 (DME supplier)A
L2640Addition to lower extremity, pelvic control, band and belt, bilateral$514.89DMEPOS ceiling1 (DME supplier)A
L2650Addition to lower extremity, pelvic and thoracic control, gluteal pad, each$183.86DMEPOS ceiling2 (DME supplier)A
L2755Addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthosis only$191.26DMEPOS ceiling8 (DME supplier)A
L2768Orthotic side bar disconnect device, per bar$190.71DMEPOS ceiling4 (DME supplier)A
L2780Addition to lower extremity orthosis, non-corrosive finish, per bar$103.70DMEPOS ceiling8 (DME supplier)A
L2795Addition to lower extremity orthosis, knee control, full kneecap$130.19DMEPOS ceiling2 (DME supplier)A
L2800Addition to lower extremity orthosis, knee control, knee cap, medial or lateral pull, for use with custom fabricated orthosis only$163.43DMEPOS ceiling2 (DME supplier)A
L2810Addition to lower extremity orthosis, knee control, condylar pad$119.67DMEPOS ceiling4 (DME supplier)A
L2820Addition to lower extremity orthosis, soft interface for molded plastic, below knee section$133.05DMEPOS ceiling2 (DME supplier)A
L2830Addition to lower extremity orthosis, soft interface for molded plastic, above knee section$143.94DMEPOS ceiling2 (DME supplier)A
L2840Addition to lower extremity orthosis, tibial length sock, fracture or equal, each$66.94DMEPOS ceiling0 (DME supplier)A
L2850Addition to lower extremity orthosis, femoral length sock, fracture or equal, each$94.86DMEPOS ceiling0 (DME supplier)A
L2999Lower extremity orthoses, not otherwise specified—none in these files0 (practitioner)A
L3000Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each$459.83DMEPOS ceiling2 (DME supplier)A
L3001Foot, insert, removable, molded to patient model, spenco, each$193.61DMEPOS ceiling2 (DME supplier)A
L3002Foot, insert, removable, molded to patient model, plastazote or equal, each$236.41DMEPOS ceiling2 (DME supplier)A
L3003Foot, insert, removable, molded to patient model, silicone gel, each$255.07DMEPOS ceiling2 (DME supplier)A
L3010Foot, insert, removable, molded to patient model, longitudinal arch support, each$255.07DMEPOS ceiling2 (DME supplier)A
L3020Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each$290.42DMEPOS ceiling2 (DME supplier)A
L3030Foot, insert, removable, formed to patient foot, each$111.71DMEPOS ceiling2 (DME supplier)A
L3031Foot, insert/plate, removable, addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, each$179.71DMEPOS ceiling2 (DME supplier)A
L3040Foot, arch support, removable, premolded, longitudinal, each$68.89DMEPOS ceiling2 (DME supplier)A
L3060Foot, arch support, removable, premolded, longitudinal/ metatarsal, each$107.96DMEPOS ceiling2 (DME supplier)A
L3100Hallus-valgus night dynamic splint, prefabricated, off-the-shelf$63.29DMEPOS ceiling2 (DME supplier)A
L3150Foot, abduction rotation bar, without shoes$119.15DMEPOS ceiling1 (DME supplier)A
L3170Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each$74.48DMEPOS ceiling2 (DME supplier)A
L3224Orthopedic footwear, woman's shoe, oxford, used as an integral part of a brace (orthosis)$90.10DMEPOS ceiling2 (DME supplier)A
L3225Orthopedic footwear, man's shoe, oxford, used as an integral part of a brace (orthosis)$103.64DMEPOS ceiling2 (DME supplier)A
L3230Orthopedic footwear, custom shoe, depth inlay, each—none in these files0 (practitioner)A
L3300Lift, elevation, heel, tapered to metatarsals, per inch$76.33DMEPOS ceiling4 (DME supplier)A
L3310Lift, elevation, heel and sole, neoprene, per inch$119.15DMEPOS ceiling4 (DME supplier)A
L3332Lift, elevation, inside shoe, tapered, up to one-half inch$107.96DMEPOS ceiling2 (DME supplier)A
L3334Lift, elevation, heel, per inch$55.85DMEPOS ceiling4 (DME supplier)A
L3350Heel wedge$33.50DMEPOS ceiling2 (DME supplier)A
L3360Sole wedge, outside sole$52.13DMEPOS ceiling2 (DME supplier)A
L3400Metatarsal bar wedge, rocker$59.58DMEPOS ceiling2 (DME supplier)A
L3410Metatarsal bar wedge, between sole$135.91DMEPOS ceiling2 (DME supplier)A
L3430Heel, counter, plastic reinforced$234.58DMEPOS ceiling2 (DME supplier)A
L3450Heel, sach cushion type$154.51DMEPOS ceiling2 (DME supplier)A
L3500Orthopedic shoe addition, insole, leather$42.82DMEPOS ceiling2 (DME supplier)A
L3540Orthopedic shoe addition, sole, full$74.48DMEPOS ceiling2 (DME supplier)A
L3560Orthopedic shoe addition, toe tap, horseshoe$33.50DMEPOS ceiling2 (DME supplier)A
L3600Transfer of an orthosis from one shoe to another, caliper plate, existing$111.71DMEPOS ceiling2 (DME supplier)A
L3620Transfer of an orthosis from one shoe to another, solid stirrup, existing$111.71DMEPOS ceiling2 (DME supplier)A
L3650Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf$88.92DMEPOS ceiling1 (DME supplier)A
L3660Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf$154.10DMEPOS ceiling—A
L3670Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf$169.54DMEPOS ceiling—A
L3671Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment$1,200.40DMEPOS ceiling1 (DME supplier)A
L3674Shoulder orthosis, abduction positioning (airplane design), thoracic component and support bar, with or without nontorsion joint/turnbuckle, may include soft interface, straps, custom fabricated, includes fitting and adjustment$1,574.72DMEPOS ceiling1 (DME supplier)A
L3702Elbow orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment$384.69DMEPOS ceiling2 (DME supplier)A
L3710Elbow orthosis, elastic with metal joints, prefabricated, off-the-shelf$185.34DMEPOS ceiling2 (DME supplier)A
L3720Elbow orthosis, double upright with forearm/arm cuffs, free motion, custom fabricated$980.65DMEPOS ceiling2 (DME supplier)A
L3730Elbow orthosis, double upright with forearm/arm cuffs, extension/ flexion assist, custom fabricated$1,351.54DMEPOS ceiling2 (DME supplier)A
L3740Elbow orthosis, double upright with forearm/arm cuffs, adjustable position lock with active control, custom fabricated$1,602.37DMEPOS ceiling2 (DME supplier)A
L3760Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise$666.21DMEPOS ceiling2 (DME supplier)A
L3761Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, off-the-shelf$666.21DMEPOS ceiling2 (DME supplier)A
L3762Elbow orthosis, rigid, without joints, includes soft interface material, prefabricated, off-the-shelf$143.25DMEPOS ceiling2 (DME supplier)A
L3763Elbow wrist hand orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment$980.75DMEPOS ceiling2 (DME supplier)A
L3765Elbow wrist hand finger orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment$1,708.21DMEPOS ceiling2 (DME supplier)A
L3806Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, custom fabricated, includes fitting and adjustment$605.15DMEPOS ceiling2 (DME supplier)A
L3807Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise$333.11DMEPOS ceiling2 (DME supplier)A
L3808Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment$496.49DMEPOS ceiling2 (DME supplier)A
L3809Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type$333.11DMEPOS ceiling2 (DME supplier)A
L3900Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, wrist or finger driven, custom fabricated$1,940.02DMEPOS ceiling2 (DME supplier)A
L3901Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, cable driven, custom fabricated$2,409.40DMEPOS ceiling2 (DME supplier)A
L3905Wrist hand orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment$1,321.16DMEPOS ceiling2 (DME supplier)A
L3906Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment$592.42DMEPOS ceiling2 (DME supplier)A
L3908Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf$89.82DMEPOS ceiling2 (DME supplier)A
L3912Hand finger orthosis (hfo), flexion glove with elastic finger control, prefabricated, off-the-shelf$142.19DMEPOS ceiling2 (DME supplier)A
L3913Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment$360.81DMEPOS ceiling2 (DME supplier)A
L3915Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise$708.16DMEPOS ceiling2 (DME supplier)A
L3916Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf$708.16DMEPOS ceiling2 (DME supplier)A
L3921Hand finger orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment$427.91DMEPOS ceiling2 (DME supplier)A
L3923Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise$130.42DMEPOS ceiling2 (DME supplier)A
L3924Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf$130.42DMEPOS ceiling2 (DME supplier)A
L3925Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), non torsion joint/spring, extension/flexion, may include soft interface material, prefabricated, off-the-shelf$74.01DMEPOS ceiling4 (DME supplier)A
L3927Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), without joint/spring, extension/flexion (e.g., static or ring type), may include soft interface material, prefabricated, off-the-shelf$46.60DMEPOS ceiling4 (DME supplier)A
L3929Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise$117.20DMEPOS ceiling2 (DME supplier)A
L3930Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, off-the-shelf$117.20DMEPOS ceiling2 (DME supplier)A
L3931Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, includes fitting and adjustment$273.39DMEPOS ceiling2 (DME supplier)A
L3933Finger orthosis, without joints, may include soft interface, custom fabricated, includes fitting and adjustment$284.23DMEPOS ceiling3 (DME supplier)A
L3935Finger orthosis, nontorsion joint, may include soft interface, custom fabricated, includes fitting and adjustment$294.32DMEPOS ceiling3 (DME supplier)A
L3960Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment$1,101.88DMEPOS ceiling1 (DME supplier)A
L3961Shoulder elbow wrist hand orthosis, shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment$2,238.26DMEPOS ceiling1 (DME supplier)A
L3962Shoulder elbow wrist hand orthosis, abduction positioning, erb's palsey design, prefabricated, includes fitting and adjustment$1,075.74DMEPOS ceiling1 (DME supplier)A
L3980Upper extremity fracture orthosis, humeral, prefabricated, includes fitting and adjustment$463.50DMEPOS ceiling2 (DME supplier)A
L3981Upper extremity fracture orthosis, humeral, prefabricated, includes shoulder cap design, with or without joints, forearm section, may include soft interface, straps, includes fitting and adjustments$1,341.30DMEPOS ceiling2 (DME supplier)A
L3982Upper extremity fracture orthosis, radius/ulnar, prefabricated, includes fitting and adjustment$559.71DMEPOS ceiling2 (DME supplier)A
L3984Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment$516.04DMEPOS ceiling2 (DME supplier)A
L3995Addition to upper extremity orthosis, sock, fracture or equal, each$49.02DMEPOS ceiling4 (DME supplier)A
L3999Upper limb orthosis, not otherwise specified—none in these files0 (practitioner)A
L4000Replace girdle for spinal orthosis (ctlso or so)$1,953.57DMEPOS ceiling1 (DME supplier)A
L4002Replacement strap, any orthosis, includes all components, any length, any type—none in these files8 (DME supplier)A
L4050Replace molded calf lacer, for custom fabricated orthosis only$632.54DMEPOS ceiling2 (DME supplier)A
L4060Replace high roll cuff$486.92DMEPOS ceiling2 (DME supplier)A
L4205Repair of orthotic device, labor component, per 15 minutes$49.16DMEPOS highest state fee8 (DME supplier)A
L4210Repair of orthotic device, repair or replace minor parts—none in these files0 (practitioner)A
L4350Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf$136.95DMEPOS ceiling2 (DME supplier)A
L4360Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise$424.24DMEPOS ceiling2 (DME supplier)A
L4361Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf$424.24DMEPOS ceiling2 (DME supplier)A
L4386Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise$232.08DMEPOS ceiling2 (DME supplier)A
L4387Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf$232.08DMEPOS ceiling2 (DME supplier)A
L4396Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise$245.21DMEPOS ceiling2 (DME supplier)A
L4397Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf$245.21DMEPOS ceiling2 (DME supplier)A
L4398Foot drop splint, recumbent positioning device, prefabricated, off-the-shelf$112.89DMEPOS ceiling2 (DME supplier)A
L4631Ankle foot orthosis, walking boot type, varus/valgus correction, rocker bottom, anterior tibial shell, soft interface, custom arch support, plastic or other material, includes straps and closures, custom fabricated$2,257.57DMEPOS ceiling2 (DME supplier)A
L5000Partial foot, shoe insert with longitudinal arch, toe filler$824.75DMEPOS ceiling2 (DME supplier)A
L5010Partial foot, molded socket, ankle height, with toe filler$1,987.27DMEPOS ceiling2 (DME supplier)A
L5020Partial foot, molded socket, tibial tubercle height, with toe filler$3,234.86DMEPOS ceiling2 (DME supplier)A
L5050Ankle, symes, molded socket, sach foot$3,746.12DMEPOS ceiling2 (DME supplier)A
L5060Ankle, symes, metal frame, molded leather socket, articulated ankle/foot$4,508.51DMEPOS ceiling2 (DME supplier)A
L5100Below knee, molded socket, shin, sach foot$3,793.78DMEPOS ceiling2 (DME supplier)A
L5200Above knee, molded socket, single axis constant friction knee, shin, sach foot$5,392.36DMEPOS ceiling2 (DME supplier)A
L5210Above knee, short prosthesis, no knee joint ('stubbies'), with foot blocks, no ankle joints, each$3,960.98DMEPOS ceiling2 (DME supplier)A
L5301Below knee, molded socket, shin, sach foot, endoskeletal system$3,747.87DMEPOS ceiling2 (DME supplier)A
L5312Knee disarticulation (or through knee), molded socket, single axis knee, pylon, sach foot, endoskeletal system$5,384.23DMEPOS ceiling2 (DME supplier)A
L5321Above knee, molded socket, open end, sach foot, endoskeletal system, single axis knee$5,364.98DMEPOS ceiling2 (DME supplier)A
L5331Hip disarticulation, canadian type, molded socket, endoskeletal system, hip joint, single axis knee, sach foot$7,591.65DMEPOS ceiling2 (DME supplier)A
L5341Hemipelvectomy, canadian type, molded socket, endoskeletal system, hip joint, single axis knee, sach foot$8,249.73DMEPOS ceiling2 (DME supplier)A
L5450Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, below knee$665.02DMEPOS ceiling2 (DME supplier)A
L5460Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, above knee$890.08DMEPOS ceiling2 (DME supplier)A
L5500Initial, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, plaster socket, direct formed$2,096.44DMEPOS ceiling2 (DME supplier)A
L5520Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, direct formed$2,347.37DMEPOS ceiling2 (DME supplier)A
L5540Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, laminated socket, molded to model$2,954.45DMEPOS ceiling2 (DME supplier)A
L5590Preparatory, above knee - knee disarticulation ischial level socket, non-alignable system, pylon no cover, sach foot, laminated socket, molded to model$3,924.01DMEPOS ceiling2 (DME supplier)A
L5611Addition to lower extremity, endoskeletal system, above knee - knee disarticulation, 4 bar linkage, with friction swing phase control$2,629.97DMEPOS ceiling2 (DME supplier)A
L5620Addition to lower extremity, test socket, below knee$453.81DMEPOS ceiling4 (DME supplier)A
L5624Addition to lower extremity, test socket, above knee$593.44DMEPOS ceiling4 (DME supplier)A
L5629Addition to lower extremity, below knee, acrylic socket$518.74DMEPOS ceiling2 (DME supplier)A
L5630Addition to lower extremity, symes type, expandable wall socket$732.58DMEPOS ceiling2 (DME supplier)A
L5631Addition to lower extremity, above knee or knee disarticulation, acrylic socket$717.21DMEPOS ceiling2 (DME supplier)A
L5637Addition to lower extremity, below knee, total contact$471.56DMEPOS ceiling2 (DME supplier)A
L5640Addition to lower extremity, knee disarticulation, leather socket$1,043.77DMEPOS ceiling2 (DME supplier)A
L5645Addition to lower extremity, below knee, flexible inner socket, external frame$1,302.42DMEPOS ceiling2 (DME supplier)A
L5647Addition to lower extremity, below knee suction socket$1,298.45DMEPOS ceiling2 (DME supplier)A
L5649Addition to lower extremity, ischial containment/narrow m-l socket$3,107.85DMEPOS ceiling2 (DME supplier)A
L5650Additions to lower extremity, total contact, above knee or knee disarticulation socket$796.88DMEPOS ceiling2 (DME supplier)A
L5651Addition to lower extremity, above knee, flexible inner socket, external frame$1,960.29DMEPOS ceiling2 (DME supplier)A
L5652Addition to lower extremity, suction suspension, above knee or knee disarticulation socket$711.66DMEPOS ceiling2 (DME supplier)A
L5657Addition to lower extremity prosthesis, manual/automated adjustable air, fluid, gel or equal socket insert for limb volume management, any materials$367.58DMEPOS ceiling2 (DME supplier)A
L5668Addition to lower extremity, below knee, molded distal cushion$164.84DMEPOS ceiling2 (DME supplier)A
L5671Addition to lower extremity, below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert$811.94DMEPOS ceiling2 (DME supplier)A
L5673Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric, or equal, with or without perforations, with or without breathable material, for use with locking mechanism$1,090.75DMEPOS ceiling4 (DME supplier)A
L5681Addition to lower extremity, below knee/above knee, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code l5673 or l5679)$1,929.74DMEPOS ceiling2 (DME supplier)A
L5683Addition to lower extremity, below knee/above knee, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code l5673 or l5679)$1,929.74DMEPOS ceiling2 (DME supplier)A
L5685Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or without valve, any material, each$187.86DMEPOS ceiling4 (DME supplier)A
L5700Replacement, socket, below knee, molded to patient model$4,470.21DMEPOS ceiling2 (DME supplier)A
L5701Replacement, socket, above knee/knee disarticulation, including attachment plate, molded to patient model$5,550.13DMEPOS ceiling2 (DME supplier)A
L5704Custom shaped protective cover, below knee$859.51DMEPOS ceiling2 (DME supplier)A
L5705Custom shaped protective cover, above knee$1,516.32DMEPOS ceiling2 (DME supplier)A
L5781Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system$5,868.42DMEPOS ceiling2 (DME supplier)A
L5783Addition to lower extremity, user adjustable, mechanical, residual limb volume management system (with or without lamination kit)$3,780.08DMEPOS ceiling2 (DME supplier)A
L5827Endoskeletal knee-shin system, single axis, electromechanical swing and stance phase control, with or without shock absorption and stance extension damping$8,056.12DMEPOS highest state fee2 (DME supplier)A
L5828Addition, endoskeletal knee-shin system, single axis, fluid swing and stance phase control$4,609.59DMEPOS ceiling2 (DME supplier)A
L5845Addition, endoskeletal, knee-shin system, stance flexion feature, adjustable$2,628.83DMEPOS ceiling2 (DME supplier)A
L5848Addition to endoskeletal knee-shin system, fluid stance extension, dampening feature, with or without adjustability$1,577.15DMEPOS ceiling2 (DME supplier)A
L5850Addition, endoskeletal system, above knee or hip disarticulation, knee extension assist$208.81DMEPOS ceiling2 (DME supplier)A
L5856Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type$35,259.71DMEPOS ceiling2 (DME supplier)A
L5859Addition to lower extremity prosthesis, endoskeletal knee-shin system, powered and programmable flexion/extension assist control, includes any type motor(s)$21,356.93DMEPOS ceiling2 (DME supplier)A
L5910Addition, endoskeletal system, below knee, alignable system$591.19DMEPOS ceiling2 (DME supplier)A
L5920Addition, endoskeletal system, above knee or hip disarticulation, alignable system$866.11DMEPOS ceiling2 (DME supplier)A
L5925Addition, endoskeletal system, above knee, knee disarticulation or hip disarticulation, manual lock$548.48DMEPOS ceiling2 (DME supplier)A
L5940Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal)$818.79DMEPOS ceiling2 (DME supplier)A
L5950Addition, endoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal)$1,269.97DMEPOS ceiling2 (DME supplier)A
L5962Addition, endoskeletal system, below knee, flexible protective outer surface covering system$959.46DMEPOS ceiling2 (DME supplier)A
L5968Addition to lower limb prosthesis, multiaxial ankle with swing phase active dorsiflexion feature$5,329.78DMEPOS ceiling2 (DME supplier)A
L5972All lower extremity prostheses, foot, flexible keel$575.28DMEPOS ceiling2 (DME supplier)A
L5973Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source$25,594.72DMEPOS ceiling2 (DME supplier)A
L5976All lower extremity prostheses, energy storing foot (seattle carbon copy ii or equal)$914.15DMEPOS ceiling2 (DME supplier)A
L5979All lower extremity prosthesis, multi-axial ankle, dynamic response foot, one piece system$3,724.58DMEPOS ceiling2 (DME supplier)A
L5980All lower extremity prostheses, flex foot system$6,052.20DMEPOS ceiling2 (DME supplier)A
L5981All lower extremity prostheses, flex-walk system or equal$4,701.39DMEPOS ceiling2 (DME supplier)A
L5984All endoskeletal lower extremity prosthesis, axial rotation unit, with or without adjustability$929.89DMEPOS ceiling2 (DME supplier)A
L5986All lower extremity prostheses, multi-axial rotation unit ('mcp' or equal)$1,034.39DMEPOS ceiling2 (DME supplier)A
L5987All lower extremity prosthesis, shank foot system with vertical loading pylon$10,550.87DMEPOS ceiling2 (DME supplier)A
L5988Addition to lower limb prosthesis, vertical shock reducing pylon feature$2,929.97DMEPOS ceiling2 (DME supplier)A
L5990Addition to lower extremity prosthesis, user adjustable heel height$2,660.84DMEPOS ceiling2 (DME supplier)A
L5991Addition to lower extremity prostheses, osseointegrated external prosthetic connector$14,106.05DMEPOS ceiling2 (DME supplier)A
L6026Transcarpal/metacarpal or partial hand disarticulation prosthesis, external power, self-suspended, inner socket with removable forearm section, electrodes and cables, two batteries, charger, myoelectric control of terminal device, excludes terminal device(s)$6,119.92DMEPOS ceiling2 (DME supplier)A
L6028Partial hand, finger, and thumb prosthesis without prosthetic digit(s) /thumb, amputation at metacarpal level, including flexible or non-flexible interface, molded to patient model, for use without external power and/or passive prosthetic digit/thumb, not including inserts described by l6692$2,303.67DMEPOS ceiling2 (DME supplier)A
L6033Addition to upper extremity prosthesis, partial hand including fingers, acrylic material$458.43DMEPOS highest state fee2 (DME supplier)A
L6035Single prosthetic digit, mechanical, can include metacarpophalangeal (mcp), proximal interphalangeal (pip), and/or distal interphalangeal (dip) joint(s), with or without locking mechanism, can include flexion or extension assist, any material, attachment, initial issue or replacement$1,740.23DMEPOS highest state fee1 (DME supplier)A
L6037Immediate post-surgical or early fitting, application of initial rigid dressing, including fitting alignment and suspension of components, and one cast change, partial hand including fingers$1,743.91DMEPOS highest state fee2 (DME supplier)A
L6039Passive prosthetic digit or thumb prosthesis not including hand restoration partial hand, full or partial, custom made, any material, initial or replacement, per single passive prosthetic digit or thumb$2,426.29DMEPOS highest state fee1 (DME supplier)A
L6570Interscapular thoracic, molded socket, endoskeletal system, including soft prosthetic tissue shaping$7,144.50DMEPOS ceiling2 (DME supplier)A
L6700Upper extremity addition, external powered feature, myoelectronic control module, additional emg inputs, pattern-recognition decoding intent movement$35,412.23DMEPOS ceiling2 (DME supplier)A
L6880Electric hand, switch or myoelectric controlled, independently articulating digits, any grasp pattern or combination of grasp patterns, includes motor(s)$35,051.25DMEPOS ceiling2 (DME supplier)A
L6935Below elbow, external power, self-suspended inner socket, removable forearm shell, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device$12,812.09DMEPOS ceiling2 (DME supplier)A
L7406Addition to upper extremity prosthesis, user adjustable, mechanical, residual limb volume management system (with or without lamination kit)$3,150.07DMEPOS highest state fee2 (DME supplier)A
L7499Upper extremity prosthesis, not otherwise specified—none in these files0 (practitioner)A
L7510Repair of prosthetic device, repair or replace minor parts—none in these files4 (practitioner)A
L7520Repair prosthetic device, labor component, per 15 minutes$63.34DMEPOS highest state fee12 (DME supplier)A
L7700Gasket or seal, for use with prosthetic socket insert, any type, each$184.22DMEPOS ceiling2 (DME supplier)A
L8000Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type$59.59DMEPOS ceiling6 (DME supplier)A
L8001Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral, any size, any type$183.98DMEPOS ceiling4 (DME supplier)A
L8002Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral, any size, any type$241.98DMEPOS ceiling4 (DME supplier)A
L8015External breast prosthesis garment, with mastectomy form, post mastectomy$88.12DMEPOS ceiling4 (DME supplier)A
L8020Breast prosthesis, mastectomy form$327.46DMEPOS ceiling4 (DME supplier)A
L8030Breast prosthesis, silicone or equal, without integral adhesive, any type$514.97DMEPOS ceiling2 (DME supplier)A
L8035Custom breast prosthesis, post mastectomy, molded to patient model, any type$5,373.34DMEPOS ceiling2 (DME supplier)A
L8045Auricular prosthesis, provided by a non-physician$4,014.06DMEPOS ceiling2 (DME supplier)A
L8300Truss, single with standard pad$137.70DMEPOS ceiling1 (DME supplier)A
L8310Truss, double with standard pads$217.40DMEPOS ceiling1 (DME supplier)A
L8400Prosthetic sheath, below knee, each$25.69DMEPOS ceiling12 (DME supplier)A
L8417Prosthetic sheath/sock, including a gel cushion layer, below knee or above knee, each$110.26DMEPOS ceiling12 (DME supplier)A
L8420Prosthetic sock, multiple ply, below knee, each$31.74DMEPOS ceiling24 (DME supplier)A
L8430Prosthetic sock, multiple ply, above knee, each$36.14DMEPOS ceiling24 (DME supplier)A
L8440Prosthetic shrinker, below knee, each$68.26DMEPOS ceiling4 (DME supplier)A
L8460Prosthetic shrinker, above knee, each$108.79DMEPOS ceiling4 (DME supplier)A
L8470Prosthetic sock, single ply, fitting, below knee, each$10.89DMEPOS ceiling24 (DME supplier)A
L8500Artificial larynx, any type$1,077.27DMEPOS ceiling1 (DME supplier)A
L8501Tracheostomy speaking valve$197.18DMEPOS ceiling2 (DME supplier)A
L8509Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type$160.17DMEPOS ceiling0 (DME supplier)A
L8600Implantable breast prosthesis, silicone or equal$1,019.30DMEPOS ceiling0 (DME supplier)N
L8606Injectable bulking agent, synthetic implant, urinary tract, 1 ml syringe, includes shipping and necessary supplies$322.77DMEPOS ceiling5 (practitioner)N
L8607Injectable bulking agent for vocal cord medialization, 0.1 ml, includes shipping and necessary supplies$62.92DMEPOS ceiling20 (practitioner)N
L8610Ocular implant$955.43DMEPOS ceiling0 (DME supplier)N
L8612Aqueous shunt$992.51DMEPOS ceiling0 (DME supplier)N
L8614Cochlear device, includes all internal and external components$28,368.90DMEPOS ceiling0 (DME supplier)N
L8619Cochlear implant, external speech processor and controller, integrated system, replacement$12,177.04DMEPOS ceiling0 (DME supplier)A
L8624Lithium ion battery for use with cochlear implant or auditory osseointegrated device speech processor, ear level, replacement, each$236.57DMEPOS ceiling0 (DME supplier)A
L8679Implantable neurostimulator, pulse generator, any type$12,379.64DMEPOS ceiling1 (practitioner)N
L8680Implantable neurostimulator electrode, each—none in these files0 (hospital outpatient)E1
L8681Patient programmer (external) for use with implantable programmable neurostimulator pulse generator, replacement only$1,760.95DMEPOS ceiling0 (DME supplier)A
L8683Radiofrequency transmitter (external) for use with implantable neurostimulator radiofrequency receiver$7,785.65DMEPOS ceiling0 (DME supplier)A
L8689External recharging system for battery (internal) for use with implantable neurostimulator, replacement only$2,530.57DMEPOS ceiling0 (DME supplier)A
L8690Auditory osseointegrated device, includes all internal and external components$6,978.96DMEPOS ceiling0 (DME supplier)N
L8691Auditory osseointegrated device, external sound processor, excludes transducer/actuator, replacement only, each$2,526.46DMEPOS ceiling0 (DME supplier)A
L8702Powered upper extremity range of motion assist device, elbow, wrist, hand, finger, single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated$82,562.05DMEPOS ceiling1 (DME supplier)A
L9900Orthotic and prosthetic supply, accessory, and/or service component of another hcpcs "l" code—none in these files0 (DME supplier)N
Show the other 571 codes (pages not in search results)
  • L0113 Cranial cervical torticollis
  • L0130 Flex thermoplastic collar mo
  • L0160 Cerv sr wire occ/man pre ots
  • L0220 Thor rib belt custom fabrica
  • L0452 TLSO flex custom fab thoraci
  • L0455 TLSO flex trnk sj-t9 pre ots
  • L0466 TLSO r fram soft ant pre cst
  • L0467 TLSO r fram soft pre ots
  • L0468 TLSO rig fram pelvic pre cst
  • L0469 TLSO rig fram pelvic pre ots
  • L0470 TLSO rigid frame pre subclav
  • L0480 TLSO rigid plastic custom fa
  • L0484 TLSO rigid plastic cust fab
  • L0488 TLSO rigid lined pre one pie
  • L0490 TLSO rigid plastic pre one
  • L0491 TLSO 2 piece rigid shell
  • L0492 TLSO 3 piece rigid shell
  • L0622 Sio flex pelvisacral custom
  • L0623 Sio rig pnl pelv/sac pre ots
  • L0624 Sio panel custom
  • L0629 LSO flex w/rigid stays cust
  • L0630 LSO r post pnl sj-t9 pre cst
  • L0631 LSO sag r an/pos pnl pre cst
  • L0632 LSO sag rigid frame cust
  • L0633 LSO sc r pos/lat pnl pre cst
  • L0634 LSO flexion control custom
  • L0635 LSO sagit rigid panel prefab
  • L0636 LSO sagittal rigid panel cus
  • L0643 LSO sag ctr rigi pos pre ots
  • L0700 Ctlso a-p-l control molded
  • L0710 Ctlso a-p-l control w/ inter
  • L0720 Ctlso a-p-l control custom
  • L0810 Halo cervical into jckt vest
  • L0820 Halo cervical into body jack
  • L0830 Halo cerv into milwaukee typ
  • L0859 MRI compatible system
  • L0861 Halo repl liner/interface
  • L0970 TLSO corset front
  • L0972 LSO corset front
  • L0974 TLSO full corset
  • L0976 LSO full corset
  • L0978 Axillary crutch extension
  • L0980 Peroneal straps pair pre ots
  • L0982 Stocking sup grips 4 pre ots
  • L0999 Add to spinal orthosis NOS
  • L1007 Scoliosis orth s-c custom
  • L1020 Kyphosis pad
  • L1025 Kyphosis pad floating
  • L1030 Lumbar bolster pad
  • L1040 Lumbar or lumbar rib pad
  • L1050 Sternal pad
  • L1060 Thoracic pad
  • L1070 Trapezius sling
  • L1080 Outrigger
  • L1085 Outrigger bil w/ vert extens
  • L1090 Lumbar sling
  • L1230 Milwaukee type superstructur
  • L1240 Lumbar derotation pad
  • L1260 Anterior thoracic derotation
  • L1270 Abdominal pad
  • L1280 Rib gusset (elastic) each
  • L1290 Lateral trochanteric pad
  • L1310 Post-operative body jacket
  • L1320 Pectus carinatum ortho cust
  • L1330 Sternocostal orthosis prefab
  • L1499 Spinal orthosis NOS
  • L1610 Ho frejka cov only pre cst
  • L1640 Pelv band/spread bar thigh c
  • L1650 Ho abduction hip adjustable
  • L1652 Ho bi thighcuffs w sprdr bar
  • L1653 Ho abduction static ots
  • L1680 Pelvic & hip control thigh c
  • L1685 Post-op hip abduct custom fa
  • L1700 Leg perthes orth toronto typ
  • L1710 Legg perthes orth newington
  • L1720 Legg perthes orthosis trilat
  • L1730 Legg perthes orth scottish r
  • L1755 Legg perthes patten bottom t
  • L1847 Ko dbl upright w/air pre cst
  • L1848 Ko dbl upright w/air pre ots
  • L1860 Ko supracondylar socket mold
  • L1910 AFO sing bar clasp attach sh
  • L1972 Ankl foot ortho, prefab, off
  • L1980 AFO sing solid stirrup calf
  • L2034 KAFO pla sin up w/wo k/a cus
  • L2037 KAFO plas sing free knee mol
  • L2038 KAFO w/o joint multi-axis an
  • L2080 Hkafo unilat torsion cable
  • L2090 Hkafo unilat torsion ball br
  • L2106 AFO tib fx cast plaster mold
  • L2108 AFO tib fx cast molded to pt
  • L2126 KAFO fem fx cast thermoplas
  • L2128 KAFO fem fx cast molded to p
  • L2132 KAFO femoral fx cast soft
  • L2134 KAFO fem fx cast semi-rigid
  • L2180 Plas shoe insert w ank joint
  • L2182 Drop lock knee
  • L2184 Limited motion knee joint
  • L2186 Adj motion knee jnt lerman t
  • L2188 Quadrilateral brim
  • L2190 Waist belt
  • L2192 Pelvic band & belt thigh fla
  • L2221 Ank mcrop plant & dorsi flex
  • L2240 Round caliper and plate atta
  • L2260 Reinforced solid stirrup
  • L2310 Abduction bar-straight
  • L2335 Anterior swing band
  • L2370 Patten bottom
  • L2375 Torsion ank & half solid sti
  • L2380 Torsion straight knee joint
  • L2385 Straight knee joint heavy du
  • L2387 Add le poly knee custom KAFO
  • L2390 Offset knee joint each
  • L2395 Offset knee joint heavy duty
  • L2415 Knee joint cam lock each joi
  • L2430 Knee jnt ratchet lock ea jnt
  • L2492 Knee lift loop drop lock rin
  • L2510 Th/wght bear quad-lat brim m
  • L2520 Th/wght bear quad-lat brim c
  • L2525 Th/wght bear nar m-l brim mo
  • L2526 Th/wght bear nar m-l brim cu
  • L2530 Thigh/wght bear lacer non-mo
  • L2540 Thigh/wght bear lacer molded
  • L2570 Hip clevis type 2 posit jnt
  • L2580 Pelvic control pelvic sling
  • L2610 Hip clevis/thrust bearing lo
  • L2622 Hip joint adjustable flexion
  • L2627 Plastic mold recipro hip & c
  • L2628 Metal frame recipro hip & ca
  • L2660 Thoracic control thoracic ba
  • L2670 Thorac cont paraspinal uprig
  • L2680 Thorac cont lat support upri
  • L2750 Plating chrome/nickel pr bar
  • L2760 Extension per extension per
  • L2785 Drop lock retainer each
  • L2861 Torsion mechanism knee/ankle
  • L3050 Foot arch supp premold metat
  • L3070 Arch suprt att to sho longit
  • L3080 Arch supp att to shoe metata
  • L3090 Arch supp att to shoe long/m
  • L3140 Abduction rotation bar shoe
  • L3160 Shoe styled positioning dev
  • L3161 Foot, adductus position, adj
  • L3201 Oxford w supinat/pronat inf
  • L3202 Oxford w/ supinat/pronator c
  • L3203 Oxford w/ supinator/pronator
  • L3204 Hightop w/ supp/pronator inf
  • L3206 Hightop w/ supp/pronator chi
  • L3207 Hightop w/ supp/pronator jun
  • L3208 Surgical boot each infant
  • L3209 Surgical boot each child
  • L3211 Surgical boot each junior
  • L3212 Benesch boot pair infant
  • L3213 Benesch boot pair child
  • L3214 Benesch boot pair junior
  • L3215 Orthopedic ftwear ladies oxf
  • L3216 Orthoped ladies shoes dpth i
  • L3217 Ladies shoes hightop depth i
  • L3219 Orthopedic mens shoes oxford
  • L3221 Orthopedic mens shoes dpth i
  • L3222 Mens shoes hightop depth inl
  • L3250 Custom mold shoe remov prost
  • L3251 Shoe molded to pt silicone s
  • L3252 Shoe molded plastazote cust
  • L3253 Shoe molded plastazote cust
  • L3254 Orth foot non-stndard size/w
  • L3255 Orth foot non-standard size/
  • L3257 Orth foot add charge split s
  • L3260 Ambulatory surgical boot eac
  • L3265 Plastazote sandal each
  • L3320 Shoe lift elev heel/sole cor
  • L3330 Lifts elevation metal extens
  • L3340 Shoe wedge sach
  • L3370 Shoe sole wedge between sole
  • L3380 Shoe clubfoot wedge
  • L3390 Shoe outflare wedge
  • L3420 Full sole/heel wedge btween
  • L3440 Heel leather reinforced
  • L3455 Shoe heel new leather standa
  • L3460 Shoe heel new rubber standar
  • L3465 Shoe heel thomas with wedge
  • L3470 Shoe heel thomas extend to b
  • L3480 Shoe heel pad & depress for
  • L3485 Shoe heel pad removable for
  • L3510 Orthopedic shoe add rub insl
  • L3520 O shoe add felt w leath insl
  • L3530 Ortho shoe add half sole
  • L3550 O shoe add standard toe tap
  • L3570 O shoe add instep extension
  • L3580 O shoe add instep velcro clo
  • L3590 O shoe convert to sof counte
  • L3595 Ortho shoe add march bar
  • L3610 Trans shoe caliper plate new
  • L3630 Trans shoe solid stirrup new
  • L3640 Shoe dennis browne splint bo
  • L3649 Orthopedic shoe modifica NOS
  • L3675 So vest canvas/web pre ots
  • L3677 So hard plas stabili pre cst
  • L3678 So hard plas stabili pre ots
  • L3764 Ewho w/joint(s) cf
  • L3766 Ewhfo w/joint(s) cf
  • L3891 Torsion mechanism wrist/elbo
  • L3904 Whfo electric custom fitted
  • L3917 Metacarp fx orthosis pre cst
  • L3918 Metacarp fx orthosis pre ots
  • L3919 Ho w/o joints cf
  • L3956 Add joint upper ext orthosis
  • L3967 Sewho airplane w/o jnts cf
  • L3971 Sewho cap design w/jnt(s) cf
  • L3973 Sewho airplane w/jnt(s) cf
  • L3975 Sewhfo cap design w/o jnt cf
  • L3976 Sewhfo airplane w/o jnts cf
  • L3977 Sewhfo cap desgn w/jnt(s) cf
  • L3978 Sewhfo airplane w/jnt(s) cf
  • L4010 Replace trilateral socket br
  • L4020 Replace quadlat socket brim
  • L4030 Replace socket brim cust fit
  • L4040 Replace molded thigh lacer
  • L4045 Replace non-molded thigh lac
  • L4055 Replace non-molded calf lace
  • L4070 Replace prox & dist upright
  • L4080 Repl met band KAFO-AFO prox
  • L4090 Repl met band KAFO-AFO calf/
  • L4100 Repl leath cuff KAFO prox th
  • L4110 Repl leath cuff KAFO-AFO cal
  • L4130 Replace pretibial shell
  • L4370 Pneum full leg splnt pre ots
  • L4392 Replace AFO soft interface
  • L4394 Replace foot drop spint
  • L5105 Plast socket jts/thgh lacer
  • L5150 Mold sckt ext knee shin sach
  • L5160 Mold socket bent knee shin s
  • L5220 No knee joint with artic ali
  • L5230 Fem focal defic constant fri
  • L5250 Hip canad sing axi cons fric
  • L5270 Tilt table locking hip sing
  • L5280 Hemipelvect canad sing axis
  • L5400 Postop dress & 1 cast chg bk
  • L5410 Postop dsg bk ea add cast ch
  • L5420 Postop dsg & 1 cast chg ak/d
  • L5430 Postop dsg ak ea add cast ch
  • L5505 Init ak ischal plstr direct
  • L5510 Prep bk ptb plaster molded
  • L5530 Prep bk ptb thermopls molded
  • L5535 Prep bk ptb open end socket
  • L5560 Prep ak ischial plast molded
  • L5570 Prep ak ischial direct form
  • L5580 Prep ak ischial thermo mold
  • L5585 Prep ak ischial open end
  • L5595 Hip disartic sach thermopls
  • L5600 Hip disart sach laminat mold
  • L5610 Above knee hydracadence
  • L5613 Ak 4 bar ling w/hydraul swig
  • L5614 4-bar link above knee w/swng
  • L5615 Ak 4 bar link hydl swg/stanc
  • L5616 Ak univ multiplex sys frict
  • L5617 Ak/bk self-aligning unit ea
  • L5618 Test socket symes
  • L5622 Test socket knee disarticula
  • L5626 Test socket hip disarticulat
  • L5628 Test socket hemipelvectomy
  • L5632 Symes type ptb brim design s
  • L5634 Symes type poster opening so
  • L5636 Symes type medial opening so
  • L5638 Below knee leather socket
  • L5639 Below knee wood socket
  • L5642 Above knee leather socket
  • L5643 Hip flex inner socket ext fr
  • L5644 Above knee wood socket
  • L5646 Below knee cushion socket
  • L5648 Above knee cushion socket
  • L5653 Knee disart expand wall sock
  • L5654 Socket insert symes
  • L5655 Socket insert below knee
  • L5656 Socket insert knee articulat
  • L5658 Socket insert above knee
  • L5661 Multi-durometer symes
  • L5665 Multi-durometer below knee
  • L5666 Below knee cuff suspension
  • L5670 Bk molded supracondylar susp
  • L5672 Bk removable medial brim sus
  • L5676 Bk knee joints single axis p
  • L5677 Bk knee joints polycentric p
  • L5678 Bk joint covers pair
  • L5679 Socket insert w/o lock mech
  • L5680 Bk thigh lacer non-molded
  • L5682 Bk thigh lacer glut/ischia m
  • L5684 Bk fork strap
  • L5686 Bk back check
  • L5688 Bk waist belt webbing
  • L5690 Bk waist belt padded and lin
  • L5692 Ak pelvic control belt light
  • L5694 Ak pelvic control belt pad/l
  • L5695 Ak sleeve susp neoprene/equa
  • L5696 Ak/knee disartic pelvic join
  • L5697 Ak/knee disartic pelvic band
  • L5698 Ak/knee disartic silesian ba
  • L5699 Shoulder harness
  • L5702 Replace socket hip
  • L5703 Symes ankle w/o (sach) foot
  • L5706 Custom shape cvr knee disart
  • L5707 Custom shape cvr hip disart
  • L5710 Kne-shin exo sng axi mnl loc
  • L5711 Knee-shin exo mnl lock ultra
  • L5712 Knee-shin exo frict swg & st
  • L5714 Knee-shin exo variable frict
  • L5716 Knee-shin exo mech stance ph
  • L5718 Knee-shin exo frct swg & sta
  • L5722 Knee-shin pneum swg frct exo
  • L5724 Knee-shin exo fluid swing ph
  • L5726 Knee-shin ext jnts fld swg e
  • L5728 Knee-shin fluid swg & stance
  • L5780 Knee-shin pneum/hydra pneum
  • L5782 Hd low limb pros vacuum pump
  • L5785 Exoskeletal bk ultralt mater
  • L5790 Exoskeletal ak ultra-light m
  • L5795 Exoskel hip ultra-light mate
  • L5810 Endoskel knee-shin mnl lock
  • L5811 Endo knee-shin mnl lck ultra
  • L5812 Endo knee-shin frct swg & st
  • L5814 Endo knee-shin hydral swg ph
  • L5816 Endo knee-shin polyc mch sta
  • L5818 Endo knee-shin frct swg & st
  • L5822 Endo knee-shin pneum swg frc
  • L5824 Endo knee-shin fluid swing p
  • L5826 Miniature knee joint
  • L5830 Endo knee-shin pneum/swg pha
  • L5840 Multi-axial knee/shin system
  • L5841 Addition endoskletl knee-shi
  • L5855 Mech hip extension assist
  • L5857 Elec knee-shin swing only
  • L5858 Stance phase only
  • L5926 Endoskel posit rotat unit
  • L5930 High activity knee frame
  • L5960 Endo hip ultra-light materia
  • L5961 Endo poly hip, pneu/hyd/rot
  • L5964 Above knee flex cover system
  • L5966 Hip flexible cover system
  • L5969 Ak/ft power asst incl motors
  • L5970 Foot external keel sach foot
  • L5971 Sach foot, replacement
  • L5974 Foot single axis ankle/foot
  • L5975 Combo ankle/foot prosthesis
  • L5978 Ft prosth multiaxial ankl/ft
  • L5982 Exoskeletal axial rotation u
  • L5985 Lwr ext dynamic prosth pylon
  • L5992 Low prosth foot shell repl
  • L5999 Lowr extremity prosthes NOS
  • L6029 Test interface part handfing
  • L6030 External frame part handfing
  • L6031 Rep interface handfng molded
  • L6032 Part handfng ultralite tcf/=
  • L6034 Part hand finger distal amp
  • L6036 Prosthetic thumb mechanical
  • L6038 Multiax rotation attachment
  • L6050 Wrst mld sck flx hng tri pad
  • L6055 Wrst mold sock w/exp interfa
  • L6100 Elb mold sock flex hinge pad
  • L6110 Elbow mold sock suspension t
  • L6120 Elbow mold doub splt soc ste
  • L6130 Elbow stump activated lock h
  • L6200 Elbow mold outsid lock hinge
  • L6205 Elbow molded w/ expand inter
  • L6250 Elbow inter loc elbow forarm
  • L6300 Shlder disart int lock elbow
  • L6310 Shoulder passive restor comp
  • L6320 Shoulder passive restor cap
  • L6350 Thoracic intern lock elbow
  • L6360 Thoracic passive restor comp
  • L6370 Thoracic passive restor cap
  • L6380 Postop dsg cast chg wrst/elb
  • L6382 Postop dsg cast chg elb dis/
  • L6384 Postop dsg cast chg shlder/t
  • L6386 Postop ea cast chg & realign
  • L6388 Postop applicat rigid dsg on
  • L6400 Below elbow prosth tiss shap
  • L6450 Elb disart prosth tiss shap
  • L6500 Above elbow prosth tiss shap
  • L6550 Shldr disar prosth tiss shap
  • L6580 Wrist/elbow bowden cable mol
  • L6582 Wrist/elbow bowden cbl dir f
  • L6584 Elbow fair lead cable molded
  • L6586 Elbow fair lead cable dir fo
  • L6588 Shdr fair lead cable molded
  • L6590 Shdr fair lead cable direct
  • L6600 Polycentric hinge pair
  • L6605 Single pivot hinge pair
  • L6610 Flexible metal hinge pair
  • L6611 Additional switch, ext power
  • L6615 Disconnect locking wrist uni
  • L6616 Disconnect insert locking wr
  • L6620 Flexion/extension wrist unit
  • L6621 Flex/ext wrist w/wo friction
  • L6623 Spring-ass rot wrst w/ latch
  • L6624 Flex/ext/rotation wrist unit
  • L6625 Rotation wrst w/ cable lock
  • L6628 Quick disconn hook adapter o
  • L6629 Lamination collar w/ couplin
  • L6630 Stainless steel any wrist
  • L6632 Latex suspension sleeve each
  • L6635 Lift assist for elbow
  • L6637 Nudge control elbow lock
  • L6638 Elec lock on manual pw elbow
  • L6640 Shoulder abduction joint pai
  • L6641 Excursion amplifier pulley t
  • L6642 Excursion amplifier lever ty
  • L6645 Shoulder flexion-abduction j
  • L6646 Multipo locking shoulder jnt
  • L6647 Shoulder lock actuator
  • L6648 Ext pwrd shlder lock/unlock
  • L6650 Shoulder universal joint
  • L6655 Standard control cable extra
  • L6660 Heavy duty control cable
  • L6665 Teflon or equal cable lining
  • L6670 Hook to hand cable adapter
  • L6672 Harness chest/shlder saddle
  • L6675 Harness figure of 8 sing con
  • L6676 Harness figure of 8 dual con
  • L6677 Ue triple control harness
  • L6680 Test sock wrist disart/bel e
  • L6682 Test sock elbw disart/above
  • L6684 Test socket shldr disart/tho
  • L6686 Suction socket
  • L6687 Frame typ socket bel elbow/w
  • L6688 Frame typ sock above elb/dis
  • L6689 Frame typ socket shoulder di
  • L6690 Frame typ sock interscap-tho
  • L6691 Removable insert each
  • L6692 Silicon gel insert w/wo lock
  • L6693 Lockingelbow forearm cntrbal
  • L6694 Elbow socket ins use w/lock
  • L6695 Elbow socket ins use w/o lck
  • L6696 Cus elbo skt in for con/atyp
  • L6697 Cus elbo skt in not con/atyp
  • L6698 Add up-ex prosthes lock mech
  • L6703 Term dev, passive hand mitt
  • L6704 Term dev, sport/rec/work att
  • L6706 Term dev mech hook vol open
  • L6707 Term dev mech hook vol close
  • L6708 Term dev mech hand vol open
  • L6709 Term dev mech hand vol close
  • L6711 Ped term dev, hook, vol open
  • L6712 Ped term dev, hook, vol clos
  • L6713 Ped term dev, hand, vol open
  • L6714 Ped term dev, hand, vol clos
  • L6715 Term device, multi art digit
  • L6721 Hook/hand, hvy dty, vol open
  • L6722 Hook/hand, hvy dty, vol clos
  • L6805 Term dev modifier wrist unit
  • L6810 Term dev precision pinch dev
  • L6881 Term dev auto grasp feature
  • L6882 Microprocessor control uplmb
  • L6883 Replc sockt below e/w disa
  • L6884 Replc sockt above elbow disa
  • L6885 Replc sockt shldr dis/interc
  • L6890 Prefab glove for term device
  • L6895 Custom glove for term device
  • L6900 Hand restorat thumb/1 finger
  • L6905 Hand restoration multiple fi
  • L6910 Hand restoration no fingers
  • L6915 Hand restoration replacmnt g
  • L6920 Wrist disarticul switch ctrl
  • L6925 Wrist disart myoelectronic c
  • L6930 Below elbow switch control
  • L6940 Elbow disarticulation switch
  • L6945 Elbow disart myoelectronic c
  • L6950 Above elbow switch control
  • L6955 Above elbow myoelectronic CT
  • L6960 Shldr disartic switch contro
  • L6965 Shldr disartic myoelectronic
  • L6970 Interscapular-thor switch CT
  • L6975 Interscap-thor myoelectronic
  • L7007 Adult electric hand
  • L7008 Pediatric electric hand
  • L7009 Adult electric hook
  • L7040 Prehensile actuator
  • L7045 Pediatric electric hook
  • L7170 Electronic elbow hosmer swit
  • L7180 Electronic elbow sequential
  • L7181 Electronic elbo simultaneous
  • L7185 Electron elbow adolescent sw
  • L7186 Electron elbow child switch
  • L7190 Elbow adolescent myoelectron
  • L7191 Elbow child myoelectronic CT
  • L7259 Electronic wrist rotator any
  • L7360 Six volt bat otto bock/eq ea
  • L7362 Battery chrgr six volt otto
  • L7364 Twelve volt battery utah/equ
  • L7366 Battery chrgr 12 volt utah/e
  • L7367 Replacemnt lithium ionbatter
  • L7368 Lithium ion battery charger
  • L7400 Add ue prost be/wd, ultlite
  • L7401 Add ue prost a/e ultlite mat
  • L7402 Add ue prost s/d ultlite mat
  • L7403 Add ue prost b/e acrylic
  • L7404 Add ue prost a/e acrylic
  • L7405 Add ue prost s/d acrylic
  • L7600 Prosthetic donning sleeve
  • L7900 Male vacuum erection system
  • L7902 Tension ring, vac erect dev
  • L8031 Breast prosth w adhes any
  • L8032 Reusable nipple prosthesis
  • L8033 Nipple prosthesis custom, ea
  • L8039 Breast prosthesis NOS
  • L8040 Nasal prosthesis
  • L8041 Midfacial prosthesis
  • L8042 Orbital prosthesis
  • L8043 Upper facial prosthesis
  • L8044 Hemi-facial prosthesis
  • L8046 Partial facial prosthesis
  • L8047 Nasal septal prosthesis
  • L8048 Unspec maxillofacial prosth
  • L8049 Repair maxillofacial prosth
  • L8320 Truss addition to std pad wa
  • L8330 Truss add to std pad scrotal
  • L8410 Sheath above knee
  • L8415 Sheath upper limb
  • L8435 Pros sock multi ply upper lm
  • L8465 Shrinker upper limb
  • L8480 Pros sock single ply ak
  • L8485 Pros sock single ply upper l
  • L8499 Unlisted misc prosthetic ser
  • L8505 Artificial larynx, accessory
  • L8507 Trach-esoph voice pros pt in
  • L8510 Voice amplifier
  • L8511 Indwelling trach insert
  • L8512 Gel cap for trach voice pros
  • L8513 Trach pros cleaning device
  • L8514 Repl trach puncture dilator
  • L8515 Gel cap app device for trach
  • L8603 Collagen imp urinary 2.5 ml
  • L8604 Dextranomer/hyaluronic acid
  • L8605 Inj bulking agent anal canal
  • L8608 Arg ii ext com/sup/acc misc
  • L8609 Artificial cornea
  • L8613 Ossicular implant
  • L8615 Coch implant headset replace
  • L8616 Coch implant microphone repl
  • L8617 Coch implant trans coil repl
  • L8618 Coch implant tran cable repl
  • L8621 Repl zinc air battery
  • L8622 Repl alkaline battery
  • L8623 Lith ion batt cid,non-earlvl
  • L8625 Charger coch impl/aoi battry
  • L8627 Cid ext speech process repl
  • L8628 Cid ext controller repl
  • L8629 Cid transmit coil and cable
  • L8630 Metacarpophalangeal implant
  • L8631 Mcp joint repl 2 pc or more
  • L8641 Metatarsal joint implant
  • L8642 Hallux implant
  • L8658 Interphalangeal joint spacer
  • L8659 Interphalangeal joint repl
  • L8670 Vascular graft, synthetic
  • L8678 Ext sply implt neurostim
  • L8682 Implt neurostim radiofq rec
  • L8684 Radiof trsmtr implt scrl neu
  • L8685 Implt nrostm pls gen sng rec
  • L8686 Implt nrostm pls gen sng non
  • L8687 Implt nrostm pls gen dua rec
  • L8688 Implt nrostm pls gen dua non
  • L8692 Non-osseointegrated snd proc
  • L8693 Aud osseo dev, abutment
  • L8694 Aoi transducer/actuator repl
  • L8695 External recharg sys extern
  • L8697 Ext phrenic stim acc repl ea
  • L8698 Misc used with tot art heart
  • L8699 Prosthetic implant NOS
  • L8701 Ewh s/d uprt micro sensor
  • L8720 Ext low ext sens prosthe mec
  • L8721 Receptor sole l8720 replace

How to read this table

The Medicare amount is a national figure from the October 2026 CMS files: for codes on the physician fee schedule it is the non-facility payment at the 2026 conversion factor, for DMEPOS items the national ceiling or, where competitive bidding sets the fees, the highest non-rural state fee, and for laboratory, hospital outpatient and ASC codes the published rate. Each code page shows the full breakdown, every modifier row and the state range. MUE is the Medically Unlikely Edit for the setting that bills the code, named in brackets: the DME supplier MUE for items on the DMEPOS fee schedule, the hospital outpatient MUE for codes with an OPPS payment rate but no national physician fee schedule amount, and the practitioner MUE otherwise; when that setting has no MUE, the next published one is shown. OPPS SI is the status indicator from Addendum B, which tells a hospital whether the code is paid separately, packaged, not payable under the outpatient system or, for status A, paid under another fee schedule or payment system. “None in these files” means none of the physician fee schedule, DMEPOS, lab, OPPS or ASC files lists a national amount; the code page says which payment rules apply. A dash means CMS publishes no value for that code in that file.

Where QuickIntell fits for L codes

QuickCode supports qualified coder review of units, modifiers and NCCI pairs before the claim leaves, and QuickAuth coordinates requirement checks and documentation for items and services that a coverage policy governs, each with human review.

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Frequently asked questions

How many L codes are there?

The October 2026 HCPCS Level II file has 935 active codes in this hub. 855 of them carry a national Medicare amount in a 2026 fee schedule or OPPS/ASC addendum; the highest is L8702 at $82,562.05 (DMEPOS ceiling).

Are L codes CPT codes?

No. They are HCPCS Level II codes, a letter followed by four digits, maintained by CMS; CPT codes are five-character codes maintained by the AMA. Both are reported in the same procedure-code field on Medicare claims.

How often do L codes change?

CMS updates the HCPCS Level II file every quarter (January, April, July and October) and publishes the fee schedules, MUE and NCCI tables on the same quarterly cycle; this hub is rebuilt from each release.

Sources

Every figure on this page is taken from the CMS publications below, as released by the Centers for Medicare & Medicaid Services. Projection built 2026-10-10. Verify against the primary file before billing or contracting decisions. The reference methodology explains how each figure is computed from these files.

Disclaimer

Operational reference compiled from CMS publications. Amounts are Medicare national figures before locality and state adjustment; other payers differ. CPT codes appear as numbers only. Not legal, clinical or billing advice.

Found a figure that does not match the CMS file? Report a data correction with the CMS file and the value you expected; the request reaches the editorial team through the contact form.