MyMedi-AI

L0982 — Stocking supporter grips, prefabricated, off-the-shelf, set of four (4)

HCPCS Level II L-code · short descriptor: “Stocking sup grips 4 pre ots”

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.

L0982 Medicare fee schedule (October 2026)

Base (no modifier) Prosthetics & orthotics

Medicare allowable ranges from $17.45 to $24.95 depending on state and rural status.

Former-CBA payment limits: ceiling $24.95 · floor $18.71

StateNon-ruralRural
AK$19.42—
AL$21.87—
AR$24.95—
AZ$19.90—
CA$19.90—
CO$18.71—
CT$24.95—
DC$18.71—
DE$18.71—
FL$21.87—
GA$21.87—
HI$20.73—
IA$21.49—
ID$19.91—
IL$19.23—
IN$19.23—
KS$21.49—
KY$21.87—
LA$24.95—
MA$24.95—
MD$18.71—
ME$24.95—
MI$19.23—
MN$19.23—
MO$21.49—
MS$21.87—
MT$18.71—
NC$21.87—
ND$18.71—
NE$21.49—
NH$24.95—
NJ$18.71—
NM$24.95—
NV$19.90—
NY$18.71—
OH$19.23—
OK$24.95—
OR$19.91—
PA$18.71—
PR$17.45—
RI$24.95—
SC$21.87—
SD$18.71—
TN$21.87—
TX$24.95—
UT$18.71—
VA$18.71—
VI$18.71—
VT$24.95—
WA$19.91—
WI$19.23—
WV$18.71—
WY$18.71—
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 L0982 at 1 unit per date of service (clinical). Units above the MUE deny — typically as CO-151. Rationale: Nature of Equipment.

Common denial codes to watch

Related L-codes

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