L4360 — Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
HCPCS Level II L-code · short descriptor: “Pneumat walking boot pre cst”
- 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.
L4360 Medicare fee schedule (April 2026)
Base (no modifier) Prosthetics & orthotics
Medicare allowable ranges from $318.18 to $424.24 depending on state and rural status.
Former-CBA payment limits: ceiling $424.24 · floor $318.18
| State | Non-rural | Rural |
|---|---|---|
| AK | $374.91 | — |
| AL | $338.06 | — |
| AR | $318.18 | — |
| AZ | $371.23 | — |
| CA | $371.23 | — |
| CO | $343.35 | — |
| CT | $424.24 | — |
| DC | $353.59 | — |
| DE | $353.59 | — |
| FL | $338.06 | — |
| GA | $338.06 | — |
| HI | $400.91 | — |
| IA | $318.18 | — |
| ID | $424.24 | — |
| IL | $318.18 | — |
| IN | $318.18 | — |
| KS | $318.18 | — |
| KY | $338.06 | — |
| LA | $318.18 | — |
| MA | $424.24 | — |
| MD | $353.59 | — |
| ME | $424.24 | — |
| MI | $318.18 | — |
| MN | $318.18 | — |
| MO | $318.18 | — |
| MS | $338.06 | — |
| MT | $343.35 | — |
| NC | $338.06 | — |
| ND | $343.35 | — |
| NE | $318.18 | — |
| NH | $424.24 | — |
| NJ | $330.09 | — |
| NM | $318.18 | — |
| NV | $371.23 | — |
| NY | $330.09 | — |
| OH | $318.18 | — |
| OK | $318.18 | — |
| OR | $424.24 | — |
| PA | $353.59 | — |
| PR | $367.41 | — |
| RI | $424.24 | — |
| SC | $338.06 | — |
| SD | $343.35 | — |
| TN | $338.06 | — |
| TX | $318.18 | — |
| UT | $343.35 | — |
| VA | $353.59 | — |
| VI | $330.09 | — |
| VT | $424.24 | — |
| WA | $424.24 | — |
| WI | $318.18 | — |
| WV | $353.59 | — |
| WY | $343.35 | — |
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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