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L2221 — Addition to lower extremity orthosis, ankle system, microprocessor-controlled feature plantarflexion and/or dorsiflexion, includes power source

HCPCS Level II L-code · short descriptor: “Ank mcrop plant & dorsi flex”

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
Face-to-face & WOPD
Not on the required 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.

Order readiness — what the written order must contain

Every Medicare DMEPOS claim needs a Standard Written Order with all six elements (42 CFR 410.38(d)):

  • Beneficiary name or Medicare Beneficiary Identifier (MBI) (42 CFR 410.38(d)(1)(i)(A))
  • General description of the item (42 CFR 410.38(d)(1)(i)(B))
  • Quantity to be dispensed, if applicable (42 CFR 410.38(d)(1)(i)(C))
  • Order date (42 CFR 410.38(d)(1)(i)(D))
  • Treating practitioner name or NPI (42 CFR 410.38(d)(1)(i)(E))
  • Treating practitioner signature (42 CFR 410.38(d)(1)(i)(F))

Not on the F2F/WOPD list (April 13, 2026 update — 83 items). The standard written order must reach the supplier before claim submission.

Blank requirements checklist only — MyMedi-AI never collects or stores completed orders.

L2221 Medicare fee schedule (April 2026)

Base (no modifier) Prosthetics & orthotics

Medicare allowable ranges from $1663.48 to $3481.11 depending on state and rural status.

StateNon-ruralRural
AK$3255.90
AL$1799.42
AR$1774.85
AZ$2218.03
CA$2218.03
CO$2155.45
CT$1663.48
DC$1663.48
DE$1663.48
FL$1799.42
GA$1799.42
HI$3481.11
IA$1705.55
ID$1965.95
IL$1757.70
IN$1757.70
KS$1705.55
KY$1799.42
LA$1774.85
MA$1663.48
MD$1663.48
ME$1663.48
MI$1757.70
MN$1757.70
MO$1705.55
MS$1799.42
MT$2155.45
NC$1799.42
ND$2155.45
NE$1705.55
NH$1663.48
NJ$1887.11
NM$1774.85
NV$2218.03
NY$1887.11
OH$1757.70
OK$1774.85
OR$1965.95
PA$1663.48
PR$1682.93
RI$1663.48
SC$1799.42
SD$2155.45
TN$1799.42
TX$1774.85
UT$2155.45
VA$1663.48
VI$1887.11
VT$1663.48
WA$1965.95
WI$1757.70
WV$1663.48
WY$2155.45
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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