MyMedi-AI

L2760 — Addition to lower extremity orthosis, extension, per extension, per bar (for lineal adjustment for growth)

HCPCS Level II L-code · short descriptor: “Extension per extension per”

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
MUE unit limit
4
Status
Active (HCPCS Level II October 2026)

Prior authorization

Not on the Medicare required-PA list (CMS Required Prior Authorization List — 74 items in force on 2026-10-25; 8 more from 2026-10-28; sources: CMS list updated 2026-01-13, CMS-6109-N (91 FR 47972)). 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 (CMS Required F2F & WOPD List — 83 items in force on 2026-10-25; 22 more from 2026-10-28; sources: CMS list effective 2026-04-13 (91 FR 1250), CMS-6109-N (91 FR 47972)). The standard written order must reach the supplier before claim submission.

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

L2760 Medicare fee schedule (October 2026)

Base (no modifier) Prosthetics & orthotics

Medicare allowable ranges from $50.24 to $158.45 depending on state and rural status.

Former-CBA payment limits: ceiling $93.09 · floor $69.82

StateNon-ruralRural
AK$148.20—
AL$69.82—
AR$93.09—
AZ$93.09—
CA$93.09—
CO$93.09—
CT$69.82—
DC$69.82—
DE$69.82—
FL$69.82—
GA$69.82—
HI$158.45—
IA$69.82—
ID$71.32—
IL$69.82—
IN$69.82—
KS$69.82—
KY$69.82—
LA$93.09—
MA$69.82—
MD$69.82—
ME$69.82—
MI$69.82—
MN$69.82—
MO$69.82—
MS$69.82—
MT$93.09—
NC$69.82—
ND$93.09—
NE$69.82—
NH$69.82—
NJ$85.87—
NM$93.09—
NV$93.09—
NY$85.87—
OH$69.82—
OK$93.09—
OR$71.32—
PA$69.82—
PR$50.24—
RI$69.82—
SC$69.82—
SD$93.09—
TN$69.82—
TX$93.09—
UT$93.09—
VA$69.82—
VI$85.87—
VT$69.82—
WA$71.32—
WI$69.82—
WV$69.82—
WY$93.09—
Amounts are the Medicare DMEPOS fee-schedule allowables effective October 2026 (CMS DMEPOS Fee Schedule October 2026 (DME26-D)). 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.

Unit limit (MUE)

Medicare's Medically Unlikely Edit caps L2760 at 4 units per date of service (clinical). Units above the MUE deny — typically as CO-151. Rationale: Nature of Equipment.

Common denial codes to watch

Related L-codes

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