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L2184 — Addition to lower extremity fracture orthosis, limited motion knee joint

HCPCS Level II L-code · short descriptor: “Limited motion knee joint”

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.

L2184 Medicare fee schedule (April 2026)

Base (no modifier) Prosthetics & orthotics

Medicare allowable ranges from $66.65 to $189.80 depending on state and rural status.

Former-CBA payment limits: ceiling $189.80 · floor $142.35

StateNon-ruralRural
AK$110.09
AL$189.80
AR$171.28
AZ$142.35
CA$142.35
CO$155.93
CT$147.37
DC$156.13
DE$156.13
FL$189.80
GA$189.80
HI$117.71
IA$142.35
ID$142.35
IL$142.35
IN$142.35
KS$142.35
KY$189.80
LA$171.28
MA$147.37
MD$156.13
ME$147.37
MI$142.35
MN$142.35
MO$142.35
MS$189.80
MT$155.93
NC$189.80
ND$155.93
NE$142.35
NH$147.37
NJ$142.35
NM$171.28
NV$142.35
NY$142.35
OH$142.35
OK$171.28
OR$142.35
PA$156.13
PR$66.65
RI$147.37
SC$189.80
SD$155.93
TN$189.80
TX$171.28
UT$155.93
VA$156.13
VI$142.35
VT$147.37
WA$142.35
WI$142.35
WV$156.13
WY$155.93
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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