MyMedi-AI

L2850 — Addition to lower extremity orthosis, femoral length sock, fracture or equal, each

HCPCS Level II L-code · short descriptor: “Femoral lgth sock fx or equa”

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.

L2850 Medicare fee schedule (April 2026)

Base (no modifier) Prosthetics & orthotics

Medicare allowable ranges from $71.15 to $94.86 depending on state and rural status.

Former-CBA payment limits: ceiling $94.86 · floor $71.15

StateNon-ruralRural
AK$85.04
AL$71.15
AR$76.56
AZ$86.02
CA$86.02
CO$91.37
CT$91.09
DC$71.15
DE$71.15
FL$71.15
GA$71.15
HI$90.93
IA$94.86
ID$71.15
IL$74.34
IN$74.34
KS$94.86
KY$71.15
LA$76.56
MA$91.09
MD$71.15
ME$91.09
MI$74.34
MN$74.34
MO$94.86
MS$71.15
MT$91.37
NC$71.15
ND$91.37
NE$94.86
NH$91.09
NJ$76.37
NM$76.56
NV$86.02
NY$76.37
OH$74.34
OK$76.56
OR$71.15
PA$71.15
PR$76.15
RI$91.09
SC$71.15
SD$91.37
TN$71.15
TX$76.56
UT$91.37
VA$71.15
VI$76.37
VT$91.09
WA$71.15
WI$74.34
WV$71.15
WY$91.37
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

Bill L2850 with confidence

MyMedi-AI scrubs whole claims against NCCI pairs, MUE limits, modifier rules, and PA flags before you submit — built for DME teams, no PHI stored on our servers.

Start free trial   Run a CMS-0057-F readiness check

Prefer DIY compliance? Self-audit documentation kits for DME suppliers →