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L2550 — Addition to lower extremity, thigh/weight bearing, high roll cuff

HCPCS Level II L-code · short descriptor: “Thigh/wght bear high roll cu”

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
Face-to-face & WOPD
Not on the required 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.

Order readiness — what the written order must contain

Every Medicare DMEPOS claim needs a Standard Written Order with all six elements (42 CFR 410.38(d)):

  • Beneficiary name or Medicare Beneficiary Identifier (MBI) (42 CFR 410.38(d)(1)(i)(A))
  • General description of the item (42 CFR 410.38(d)(1)(i)(B))
  • Quantity to be dispensed, if applicable (42 CFR 410.38(d)(1)(i)(C))
  • Order date (42 CFR 410.38(d)(1)(i)(D))
  • Treating practitioner name or NPI (42 CFR 410.38(d)(1)(i)(E))
  • Treating practitioner signature (42 CFR 410.38(d)(1)(i)(F))

Not on the F2F/WOPD list (April 13, 2026 update — 83 items). The standard written order must reach the supplier before claim submission.

Blank requirements checklist only — MyMedi-AI never collects or stores completed orders.

L2550 Medicare fee schedule (April 2026)

Base (no modifier) Prosthetics & orthotics

Medicare allowable ranges from $142.76 to $608.48 depending on state and rural status.

Former-CBA payment limits: ceiling $440.05 · floor $330.04

StateNon-ruralRural
AK$569.10
AL$330.04
AR$330.04
AZ$440.05
CA$440.05
CO$440.05
CT$330.04
DC$330.04
DE$330.04
FL$330.04
GA$330.04
HI$608.48
IA$330.04
ID$360.09
IL$418.16
IN$418.16
KS$330.04
KY$330.04
LA$330.04
MA$330.04
MD$330.04
ME$330.04
MI$418.16
MN$418.16
MO$330.04
MS$330.04
MT$440.05
NC$330.04
ND$440.05
NE$330.04
NH$330.04
NJ$401.09
NM$330.04
NV$440.05
NY$401.09
OH$418.16
OK$330.04
OR$360.09
PA$330.04
PR$142.76
RI$330.04
SC$330.04
SD$440.05
TN$330.04
TX$330.04
UT$440.05
VA$330.04
VI$401.09
VT$330.04
WA$360.09
WI$418.16
WV$330.04
WY$440.05
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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