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L2192 — Addition to lower extremity fracture orthosis, hip joint, pelvic band, thigh flange, and pelvic belt

HCPCS Level II L-code · short descriptor: “Pelvic band & belt thigh fla”

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.

L2192 Medicare fee schedule (April 2026)

Base (no modifier) Prosthetics & orthotics

Medicare allowable ranges from $371.23 to $734.77 depending on state and rural status.

Former-CBA payment limits: ceiling $546.30 · floor $409.73

StateNon-ruralRural
AK$687.16
AL$409.73
AR$453.23
AZ$546.30
CA$546.30
CO$409.73
CT$494.92
DC$470.55
DE$470.55
FL$409.73
GA$409.73
HI$734.77
IA$519.06
ID$409.73
IL$409.73
IN$409.73
KS$519.06
KY$409.73
LA$453.23
MA$494.92
MD$470.55
ME$494.92
MI$409.73
MN$409.73
MO$519.06
MS$409.73
MT$409.73
NC$409.73
ND$409.73
NE$519.06
NH$494.92
NJ$522.88
NM$453.23
NV$546.30
NY$522.88
OH$409.73
OK$453.23
OR$409.73
PA$470.55
PR$371.23
RI$494.92
SC$409.73
SD$409.73
TN$409.73
TX$453.23
UT$409.73
VA$470.55
VI$522.88
VT$494.92
WA$409.73
WI$409.73
WV$470.55
WY$409.73
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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