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L2380 — Addition to lower extremity, torsion control, straight knee joint, each joint

HCPCS Level II L-code · short descriptor: “Torsion straight knee joint”

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.

L2380 Medicare fee schedule (April 2026)

Base (no modifier) Prosthetics & orthotics

Medicare allowable ranges from $57.10 to $243.39 depending on state and rural status.

Former-CBA payment limits: ceiling $188.63 · floor $141.47

StateNon-ruralRural
AK$227.59
AL$141.47
AR$188.63
AZ$188.63
CA$188.63
CO$188.63
CT$141.47
DC$141.47
DE$141.47
FL$141.47
GA$141.47
HI$243.39
IA$171.01
ID$144.02
IL$158.60
IN$158.60
KS$171.01
KY$141.47
LA$188.63
MA$141.47
MD$141.47
ME$141.47
MI$158.60
MN$158.60
MO$171.01
MS$141.47
MT$188.63
NC$141.47
ND$188.63
NE$171.01
NH$141.47
NJ$141.47
NM$188.63
NV$188.63
NY$141.47
OH$158.60
OK$188.63
OR$144.02
PA$141.47
PR$57.10
RI$141.47
SC$141.47
SD$188.63
TN$141.47
TX$188.63
UT$188.63
VA$141.47
VI$141.47
VT$141.47
WA$144.02
WI$158.60
WV$141.47
WY$188.63
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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