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L2250 — Addition to lower extremity, foot plate, molded to patient model, stirrup attachment

HCPCS Level II L-code · short descriptor: “Foot plate molded stirrup at”

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.

L2250 Medicare fee schedule (April 2026)

Base (no modifier) Prosthetics & orthotics

Medicare allowable ranges from $348.31 to $972.13 depending on state and rural status.

Former-CBA payment limits: ceiling $544.42 · floor $408.31

StateNon-ruralRural
AK$909.13
AL$408.31
AR$408.31
AZ$544.42
CA$544.42
CO$483.37
CT$408.31
DC$442.46
DE$442.46
FL$408.31
GA$408.31
HI$972.13
IA$481.05
ID$544.42
IL$410.50
IN$410.50
KS$481.05
KY$408.31
LA$408.31
MA$408.31
MD$442.46
ME$408.31
MI$410.50
MN$410.50
MO$481.05
MS$408.31
MT$483.37
NC$408.31
ND$483.37
NE$481.05
NH$408.31
NJ$408.31
NM$408.31
NV$544.42
NY$408.31
OH$410.50
OK$408.31
OR$544.42
PA$442.46
PR$348.31
RI$408.31
SC$408.31
SD$483.37
TN$408.31
TX$408.31
UT$483.37
VA$442.46
VI$408.31
VT$408.31
WA$544.42
WI$410.50
WV$442.46
WY$483.37
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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