MyMedi-AI

L2780 — Addition to lower extremity orthosis, non-corrosive finish, per bar

HCPCS Level II L-code · short descriptor: “Non-corrosive finish”

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
8
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.

L2780 Medicare fee schedule (October 2026)

Base (no modifier) Prosthetics & orthotics

Medicare allowable ranges from $40.94 to $124.00 depending on state and rural status.

Former-CBA payment limits: ceiling $103.70 · floor $77.77

StateNon-ruralRural
AK$115.95—
AL$82.59—
AR$77.77—
AZ$103.70—
CA$103.70—
CO$77.77—
CT$103.70—
DC$77.77—
DE$77.77—
FL$82.59—
GA$82.59—
HI$124.00—
IA$77.77—
ID$103.70—
IL$77.77—
IN$77.77—
KS$77.77—
KY$82.59—
LA$77.77—
MA$103.70—
MD$77.77—
ME$103.70—
MI$77.77—
MN$77.77—
MO$77.77—
MS$82.59—
MT$77.77—
NC$82.59—
ND$77.77—
NE$77.77—
NH$103.70—
NJ$93.62—
NM$77.77—
NV$103.70—
NY$93.62—
OH$77.77—
OK$77.77—
OR$103.70—
PA$77.77—
PR$40.94—
RI$103.70—
SC$82.59—
SD$77.77—
TN$82.59—
TX$77.77—
UT$77.77—
VA$77.77—
VI$93.62—
VT$103.70—
WA$103.70—
WI$77.77—
WV$77.77—
WY$77.77—
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 L2780 at 8 units per date of service (clinical). Units above the MUE deny — typically as CO-151. Rationale: Clinical: Data.

Common denial codes to watch

Related L-codes

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