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L2670 — Addition to lower extremity, thoracic control, paraspinal uprights

HCPCS Level II L-code · short descriptor: “Thorac cont paraspinal uprig”

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.

L2670 Medicare fee schedule (April 2026)

Base (no modifier) Prosthetics & orthotics

Medicare allowable ranges from $51.03 to $261.85 depending on state and rural status.

Former-CBA payment limits: ceiling $261.36 · floor $196.02

StateNon-ruralRural
AK$244.92
AL$196.02
AR$261.36
AZ$234.32
CA$234.32
CO$261.36
CT$196.02
DC$207.69
DE$207.69
FL$196.02
GA$196.02
HI$261.85
IA$199.19
ID$202.64
IL$196.02
IN$196.02
KS$199.19
KY$196.02
LA$261.36
MA$196.02
MD$207.69
ME$196.02
MI$196.02
MN$196.02
MO$199.19
MS$196.02
MT$261.36
NC$196.02
ND$261.36
NE$199.19
NH$196.02
NJ$242.10
NM$261.36
NV$234.32
NY$242.10
OH$196.02
OK$261.36
OR$202.64
PA$207.69
PR$51.03
RI$196.02
SC$196.02
SD$261.36
TN$196.02
TX$261.36
UT$261.36
VA$207.69
VI$242.10
VT$196.02
WA$202.64
WI$196.02
WV$207.69
WY$261.36
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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