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L2080 — Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, hip joint, pelvic band/belt, custom fabricated

HCPCS Level II L-code · short descriptor: “Hkafo unilat torsion cable”

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.

L2080 Medicare fee schedule (April 2026)

Base (no modifier) Prosthetics & orthotics

Medicare allowable ranges from $413.32 to $662.26 depending on state and rural status.

Former-CBA payment limits: ceiling $551.09 · floor $413.32

StateNon-ruralRural
AK$619.27
AL$439.45
AR$441.61
AZ$551.09
CA$551.09
CO$413.32
CT$551.09
DC$413.32
DE$413.32
FL$439.45
GA$439.45
HI$662.26
IA$449.17
ID$476.47
IL$458.63
IN$458.63
KS$449.17
KY$439.45
LA$441.61
MA$551.09
MD$413.32
ME$551.09
MI$458.63
MN$458.63
MO$449.17
MS$439.45
MT$413.32
NC$439.45
ND$413.32
NE$449.17
NH$551.09
NJ$438.56
NM$441.61
NV$551.09
NY$438.56
OH$458.63
OK$441.61
OR$476.47
PA$413.32
PR$523.52
RI$551.09
SC$439.45
SD$413.32
TN$439.45
TX$441.61
UT$413.32
VA$413.32
VI$438.56
VT$551.09
WA$476.47
WI$458.63
WV$413.32
WY$413.32
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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