MyMedi-AI

L0976 — Lso, full corset

HCPCS Level II L-code · short descriptor: “Lso full corset”

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.

L0976 Medicare fee schedule (October 2026)

Base (no modifier) Prosthetics & orthotics

Medicare allowable ranges from $133.09 to $244.99 depending on state and rural status.

Former-CBA payment limits: ceiling $244.99 · floor $183.75

StateNon-ruralRural
AK$182.63—
AL$244.99—
AR$216.26—
AZ$187.18—
CA$187.18—
CO$233.13—
CT$196.41—
DC$183.75—
DE$183.75—
FL$244.99—
GA$244.99—
HI$195.25—
IA$204.72—
ID$224.96—
IL$183.75—
IN$183.75—
KS$204.72—
KY$244.99—
LA$216.26—
MA$196.41—
MD$183.75—
ME$196.41—
MI$183.75—
MN$183.75—
MO$204.72—
MS$244.99—
MT$233.13—
NC$244.99—
ND$233.13—
NE$204.72—
NH$196.41—
NJ$183.75—
NM$216.26—
NV$187.18—
NY$183.75—
OH$183.75—
OK$216.26—
OR$224.96—
PA$183.75—
PR$133.09—
RI$196.41—
SC$244.99—
SD$233.13—
TN$244.99—
TX$216.26—
UT$233.13—
VA$183.75—
VI$183.75—
VT$196.41—
WA$224.96—
WI$183.75—
WV$183.75—
WY$233.13—
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 L0976 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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