MyMedi-AI

L2240 — Addition to lower extremity, round caliper and plate attachment

HCPCS Level II L-code · short descriptor: “Round caliper and plate atta”

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.

L2240 Medicare fee schedule (April 2026)

Base (no modifier) Prosthetics & orthotics

Medicare allowable ranges from $25.45 to $219.49 depending on state and rural status.

Former-CBA payment limits: ceiling $128.15 · floor $96.11

StateNon-ruralRural
AK$205.26
AL$96.11
AR$96.11
AZ$128.15
CA$128.15
CO$96.11
CT$118.25
DC$109.14
DE$109.14
FL$96.11
GA$96.11
HI$219.49
IA$101.28
ID$97.01
IL$117.01
IN$117.01
KS$101.28
KY$96.11
LA$96.11
MA$118.25
MD$109.14
ME$118.25
MI$117.01
MN$117.01
MO$101.28
MS$96.11
MT$96.11
NC$96.11
ND$96.11
NE$101.28
NH$118.25
NJ$96.11
NM$96.11
NV$128.15
NY$96.11
OH$117.01
OK$96.11
OR$97.01
PA$109.14
PR$25.45
RI$118.25
SC$96.11
SD$96.11
TN$96.11
TX$96.11
UT$96.11
VA$109.14
VI$96.11
VT$118.25
WA$97.01
WI$117.01
WV$109.14
WY$96.11
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

Bill L2240 with confidence

MyMedi-AI scrubs whole claims against NCCI pairs, MUE limits, modifier rules, and PA flags before you submit — built for DME teams, no PHI stored on our servers.

Start free trial   Run a CMS-0057-F readiness check

Prefer DIY compliance? Self-audit documentation kits for DME suppliers →