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L2492 — Addition to knee joint, lift loop for drop lock ring

HCPCS Level II L-code · short descriptor: “Knee lift loop drop lock rin”

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.

L2492 Medicare fee schedule (April 2026)

Base (no modifier) Prosthetics & orthotics

Medicare allowable ranges from $117.18 to $156.11 depending on state and rural status.

Former-CBA payment limits: ceiling $156.24 · floor $117.18

StateNon-ruralRural
AK$140.32
AL$117.18
AR$130.79
AZ$135.86
CA$135.86
CO$146.73
CT$136.32
DC$156.11
DE$156.11
FL$117.18
GA$117.18
HI$150.04
IA$117.18
ID$121.49
IL$144.15
IN$144.15
KS$117.18
KY$117.18
LA$130.79
MA$136.32
MD$156.11
ME$136.32
MI$144.15
MN$144.15
MO$117.18
MS$117.18
MT$146.73
NC$117.18
ND$146.73
NE$117.18
NH$136.32
NJ$133.49
NM$130.79
NV$135.86
NY$133.49
OH$144.15
OK$130.79
OR$121.49
PA$156.11
PR$123.72
RI$136.32
SC$117.18
SD$146.73
TN$117.18
TX$130.79
UT$146.73
VA$156.11
VI$133.52
VT$136.32
WA$121.49
WI$144.15
WV$156.11
WY$146.73
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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