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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
Status
Active (April 2026 HCPCS)

Prior authorization

Not on the Medicare required-PA list as of the January 13, 2026 update (74 items). Medicare Advantage and commercial plans set their own prior-authorization rules for this code — verify per plan before delivery.

L0976 Medicare fee schedule (April 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 April 2026. 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.

Common denial codes to watch

Related L-codes

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