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L2232 — Addition to lower extremity orthosis, rocker bottom for total contact ankle foot orthosis, for custom fabricated orthosis only

HCPCS Level II L-code · short descriptor: “Rocker bottom, contact afo”

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.

L2232 Medicare fee schedule (April 2026)

Base (no modifier) Prosthetics & orthotics

Medicare allowable: $119.38 in all listed states.

Former-CBA payment limits: ceiling $143.26 · floor $107.44

StateNon-ruralRural
AK$119.38
AL$119.38
AR$119.38
AZ$119.38
CA$119.38
CO$119.38
CT$119.38
DC$119.38
DE$119.38
FL$119.38
GA$119.38
HI$119.38
IA$119.38
ID$119.38
IL$119.38
IN$119.38
KS$119.38
KY$119.38
LA$119.38
MA$119.38
MD$119.38
ME$119.38
MI$119.38
MN$119.38
MO$119.38
MS$119.38
MT$119.38
NC$119.38
ND$119.38
NE$119.38
NH$119.38
NJ$119.38
NM$119.38
NV$119.38
NY$119.38
OH$119.38
OK$119.38
OR$119.38
PA$119.38
PR$119.38
RI$119.38
SC$119.38
SD$119.38
TN$119.38
TX$119.38
UT$119.38
VA$119.38
VI$119.38
VT$119.38
WA$119.38
WI$119.38
WV$119.38
WY$119.38
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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