L1832 — Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
HCPCS Level II L-code · short descriptor: “Ko adj jnt pos r sup pre cst” · PA required
- 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
- Required (Medicare, since 2022-10-10)
- Status
- Active (April 2026 HCPCS)
Prior authorization
PA REQUIRED L1832 is on Medicare's DMEPOS Required Prior Authorization List (Orthoses — nationwide since 2022-10-10).
Claims for this item without an affirmed prior-authorization decision are automatically denied (commonly surfacing as CO-197). Submit the PA request to your DME MAC with the order and supporting clinical documentation before delivery.
L1832 Medicare fee schedule (April 2026)
Base (no modifier) Prosthetics & orthotics
Medicare allowable ranges from $698.63 to $1618.03 depending on state and rural status.
Former-CBA payment limits: ceiling $931.51 · floor $698.63
| State | Non-rural | Rural |
|---|---|---|
| AK | $815.09 | — |
| AL | $931.51 | — |
| AR | $698.63 | — |
| AZ | $834.24 | — |
| CA | $834.24 | — |
| CO | $698.63 | — |
| CT | $912.19 | — |
| DC | $812.69 | — |
| DE | $812.69 | — |
| FL | $931.51 | — |
| GA | $931.51 | — |
| HI | $871.59 | — |
| IA | $698.63 | — |
| ID | $698.63 | — |
| IL | $846.51 | — |
| IN | $846.51 | — |
| KS | $698.63 | — |
| KY | $931.51 | — |
| LA | $698.63 | — |
| MA | $912.19 | — |
| MD | $812.69 | — |
| ME | $912.19 | — |
| MI | $846.51 | — |
| MN | $846.51 | — |
| MO | $698.63 | — |
| MS | $931.51 | — |
| MT | $698.63 | — |
| NC | $931.51 | — |
| ND | $698.63 | — |
| NE | $698.63 | — |
| NH | $912.19 | — |
| NJ | $931.51 | — |
| NM | $698.63 | — |
| NV | $834.24 | — |
| NY | $931.51 | — |
| OH | $846.51 | — |
| OK | $698.63 | — |
| OR | $698.63 | — |
| PA | $812.69 | — |
| PR | $1618.03 | — |
| RI | $912.19 | — |
| SC | $931.51 | — |
| SD | $698.63 | — |
| TN | $931.51 | — |
| TX | $698.63 | — |
| UT | $698.63 | — |
| VA | $812.69 | — |
| VI | $931.51 | — |
| VT | $912.19 | — |
| WA | $698.63 | — |
| WI | $846.51 | — |
| WV | $812.69 | — |
| WY | $698.63 | — |
Common denial codes to watch
Related L-codes
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