L1653 — Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, off the shelf
HCPCS Level II L-code · short descriptor: “Ho abduction static 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
- 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.
L1653 Medicare fee schedule (April 2026)
Base (no modifier) Prosthetics & orthotics
Medicare allowable ranges from $427.56 to $470.32 depending on state and rural status.
Former-CBA payment limits: ceiling $521.80 · floor $391.35
| State | Non-rural | Rural |
|---|---|---|
| AK | $427.56 | — |
| AL | $440.48 | — |
| AR | $440.44 | — |
| AZ | $427.56 | — |
| CA | $427.56 | — |
| CO | $442.89 | — |
| CT | $427.56 | — |
| DC | $427.56 | — |
| DE | $427.56 | — |
| FL | $440.48 | — |
| GA | $440.48 | — |
| HI | $427.56 | — |
| IA | $435.97 | — |
| ID | $427.56 | — |
| IL | $438.09 | — |
| IN | $438.09 | — |
| KS | $435.97 | — |
| KY | $440.48 | — |
| LA | $440.44 | — |
| MA | $427.56 | — |
| MD | $427.56 | — |
| ME | $427.56 | — |
| MI | $438.09 | — |
| MN | $438.09 | — |
| MO | $435.97 | — |
| MS | $440.48 | — |
| MT | $442.89 | — |
| NC | $440.48 | — |
| ND | $442.89 | — |
| NE | $435.97 | — |
| NH | $427.56 | — |
| NJ | $427.56 | — |
| NM | $440.44 | — |
| NV | $427.56 | — |
| NY | $427.56 | — |
| OH | $438.09 | — |
| OK | $440.44 | — |
| OR | $427.56 | — |
| PA | $427.56 | — |
| PR | $470.32 | — |
| RI | $427.56 | — |
| SC | $440.48 | — |
| SD | $442.89 | — |
| TN | $440.48 | — |
| TX | $440.44 | — |
| UT | $442.89 | — |
| VA | $427.56 | — |
| VI | $470.32 | — |
| VT | $427.56 | — |
| WA | $427.56 | — |
| WI | $438.09 | — |
| WV | $427.56 | — |
| WY | $442.89 | — |
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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