MyMedi-AI

L0710 — Ctlso, anterior-posterior-lateral-control, molded to patient model, with interface material, (minerva type)

HCPCS Level II L-code · short descriptor: “Ctlso a-p-l control w/ inter”

Code system
HCPCS Level II
Family
L — Orthotics & prosthetics
Medicare coverage status
Carrier judgment — coverage decided by the DME MAC
DMEPOS payment category
Prosthetics & orthotics
Prior authorization
Not on Medicare required-PA list
Face-to-face & WOPD
Not on the required list
MUE unit limit
1
Status
Active (HCPCS Level II October 2026)

Prior authorization

Not on the Medicare required-PA list (CMS Required Prior Authorization List — 74 items in force on 2026-10-25; 8 more from 2026-10-28; sources: CMS list updated 2026-01-13, CMS-6109-N (91 FR 47972)). Medicare Advantage and commercial plans set their own prior-authorization rules for this code — verify per plan before delivery.

Order readiness — what the written order must contain

Every Medicare DMEPOS claim needs a Standard Written Order with all six elements (42 CFR 410.38(d)):

  • Beneficiary name or Medicare Beneficiary Identifier (MBI) (42 CFR 410.38(d)(1)(i)(A))
  • General description of the item (42 CFR 410.38(d)(1)(i)(B))
  • Quantity to be dispensed, if applicable (42 CFR 410.38(d)(1)(i)(C))
  • Order date (42 CFR 410.38(d)(1)(i)(D))
  • Treating practitioner name or NPI (42 CFR 410.38(d)(1)(i)(E))
  • Treating practitioner signature (42 CFR 410.38(d)(1)(i)(F))

Not on the F2F/WOPD list (CMS Required F2F & WOPD List — 83 items in force on 2026-10-25; 22 more from 2026-10-28; sources: CMS list effective 2026-04-13 (91 FR 1250), CMS-6109-N (91 FR 47972)). The standard written order must reach the supplier before claim submission.

Blank requirements checklist only — MyMedi-AI never collects or stores completed orders.

L0710 Medicare fee schedule (October 2026)

Base (no modifier) Prosthetics & orthotics

Medicare allowable ranges from $1717.75 to $3497.73 depending on state and rural status.

Former-CBA payment limits: ceiling $3199.93 · floor $2399.94

StateNon-ruralRural
AK$3271.04—
AL$2903.90—
AR$2540.31—
AZ$3199.93—
CA$3199.93—
CO$2742.54—
CT$2784.80—
DC$2399.94—
DE$2399.94—
FL$2903.90—
GA$2903.90—
HI$3497.73—
IA$2570.04—
ID$2624.00—
IL$2689.42—
IN$2689.42—
KS$2570.04—
KY$2903.90—
LA$2540.31—
MA$2784.80—
MD$2399.94—
ME$2784.80—
MI$2689.42—
MN$2689.42—
MO$2570.04—
MS$2903.90—
MT$2742.54—
NC$2903.90—
ND$2742.54—
NE$2570.04—
NH$2784.80—
NJ$2411.62—
NM$2540.31—
NV$3199.93—
NY$2411.62—
OH$2689.42—
OK$2540.31—
OR$2624.00—
PA$2399.94—
PR$1717.75—
RI$2784.80—
SC$2903.90—
SD$2742.54—
TN$2903.90—
TX$2540.31—
UT$2742.54—
VA$2399.94—
VI$2411.62—
VT$2784.80—
WA$2624.00—
WI$2689.42—
WV$2399.94—
WY$2742.54—
Amounts are the Medicare DMEPOS fee-schedule allowables effective October 2026 (CMS DMEPOS Fee Schedule October 2026 (DME26-D)). Medicare typically pays 80% of the allowable after the Part B deductible; the patient owes 20%. A 2% sequestration reduction applies to the Medicare share. Former competitive-bidding-area adjustments and non-continental rates can differ — verify with your DME MAC.

Unit limit (MUE)

Medicare's Medically Unlikely Edit caps L0710 at 1 unit per date of service (absolute). Units above the MUE deny — typically as CO-151. Rationale: Anatomic Consideration.

Common denial codes to watch

Related L-codes

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