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L2230 — Addition to lower extremity, split flat caliper stirrups and plate attachment

HCPCS Level II L-code · short descriptor: “Split flat caliper stirr & p”

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.

L2230 Medicare fee schedule (April 2026)

Base (no modifier) Prosthetics & orthotics

Medicare allowable ranges from $51.03 to $220.94 depending on state and rural status.

Former-CBA payment limits: ceiling $117.56 · floor $88.17

StateNon-ruralRural
AK$206.62
AL$88.17
AR$92.77
AZ$117.56
CA$117.56
CO$96.19
CT$88.17
DC$88.17
DE$88.17
FL$88.17
GA$88.17
HI$220.94
IA$90.78
ID$108.27
IL$117.56
IN$117.56
KS$90.78
KY$88.17
LA$92.77
MA$88.17
MD$88.17
ME$88.17
MI$117.56
MN$117.56
MO$90.78
MS$88.17
MT$96.19
NC$88.17
ND$96.19
NE$90.78
NH$88.17
NJ$88.17
NM$92.77
NV$117.56
NY$88.17
OH$117.56
OK$92.77
OR$108.27
PA$88.17
PR$51.03
RI$88.17
SC$88.17
SD$96.19
TN$88.17
TX$92.77
UT$96.19
VA$88.17
VI$88.17
VT$88.17
WA$108.27
WI$117.56
WV$88.17
WY$96.19
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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