L2840 — Addition to lower extremity orthosis, tibial length sock, fracture or equal, each
HCPCS Level II L-code · short descriptor: “Tibial length sock fx or equ”
- 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.
L2840 Medicare fee schedule (April 2026)
Base (no modifier) Prosthetics & orthotics
Medicare allowable ranges from $50.21 to $66.94 depending on state and rural status.
Former-CBA payment limits: ceiling $66.94 · floor $50.21
| State | Non-rural | Rural |
|---|---|---|
| AK | $50.51 | — |
| AL | $62.64 | — |
| AR | $66.94 | — |
| AZ | $50.21 | — |
| CA | $50.21 | — |
| CO | $50.21 | — |
| CT | $50.37 | — |
| DC | $63.82 | — |
| DE | $63.82 | — |
| FL | $62.64 | — |
| GA | $62.64 | — |
| HI | $54.04 | — |
| IA | $51.93 | — |
| ID | $50.21 | — |
| IL | $53.02 | — |
| IN | $53.02 | — |
| KS | $51.93 | — |
| KY | $62.64 | — |
| LA | $66.94 | — |
| MA | $50.37 | — |
| MD | $63.82 | — |
| ME | $50.37 | — |
| MI | $53.02 | — |
| MN | $53.02 | — |
| MO | $51.93 | — |
| MS | $62.64 | — |
| MT | $50.21 | — |
| NC | $62.64 | — |
| ND | $50.21 | — |
| NE | $51.93 | — |
| NH | $50.37 | — |
| NJ | $59.38 | — |
| NM | $66.94 | — |
| NV | $50.21 | — |
| NY | $59.38 | — |
| OH | $53.02 | — |
| OK | $66.94 | — |
| OR | $50.21 | — |
| PA | $63.82 | — |
| PR | $57.10 | — |
| RI | $50.37 | — |
| SC | $62.64 | — |
| SD | $50.21 | — |
| TN | $62.64 | — |
| TX | $66.94 | — |
| UT | $50.21 | — |
| VA | $63.82 | — |
| VI | $59.38 | — |
| VT | $50.37 | — |
| WA | $50.21 | — |
| WI | $53.02 | — |
| WV | $63.82 | — |
| WY | $50.21 | — |
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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