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L1660 — Hip orthosis, abduction control of hip joints, static, plastic, prefabricated, includes fitting and adjustment

HCPCS Level II L-code · short descriptor: “Ho abduction static plastic”

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.

L1660 Medicare fee schedule (April 2026)

Base (no modifier) Prosthetics & orthotics

Medicare allowable ranges from $182.17 to $262.21 depending on state and rural status.

Former-CBA payment limits: ceiling $262.21 · floor $196.66

StateNon-ruralRural
AK$182.17
AL$196.66
AR$262.21
AZ$196.66
CA$196.66
CO$196.66
CT$241.78
DC$196.66
DE$196.66
FL$196.66
GA$196.66
HI$194.77
IA$196.66
ID$213.12
IL$222.08
IN$222.08
KS$196.66
KY$196.66
LA$262.21
MA$241.78
MD$196.66
ME$241.78
MI$222.08
MN$222.08
MO$196.66
MS$196.66
MT$196.66
NC$196.66
ND$196.66
NE$196.66
NH$241.78
NJ$196.66
NM$262.21
NV$196.66
NY$196.66
OH$222.08
OK$262.21
OR$213.12
PA$196.66
PR$183.94
RI$241.78
SC$196.66
SD$196.66
TN$196.66
TX$262.21
UT$196.66
VA$196.66
VI$196.66
VT$241.78
WA$213.12
WI$222.08
WV$196.66
WY$196.66
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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