L5632 — Addition to lower extremity, symes type, 'ptb' brim design socket
HCPCS Level II L-code · short descriptor: “Symes type ptb brim design s”
- 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.
L5632 Medicare fee schedule (April 2026)
Base (no modifier) Prosthetics & orthotics
Medicare allowable ranges from $102.40 to $362.44 depending on state and rural status.
Former-CBA payment limits: ceiling $362.44 · floor $271.83
| State | Non-rural | Rural |
|---|---|---|
| AK | $300.14 | — |
| AL | $300.21 | — |
| AR | $271.83 | — |
| AZ | $289.31 | — |
| CA | $289.31 | — |
| CO | $334.16 | — |
| CT | $309.83 | — |
| DC | $271.83 | — |
| DE | $271.83 | — |
| FL | $300.21 | — |
| GA | $300.21 | — |
| HI | $320.94 | — |
| IA | $308.26 | — |
| ID | $362.44 | — |
| IL | $331.54 | — |
| IN | $331.54 | — |
| KS | $308.26 | — |
| KY | $300.21 | — |
| LA | $271.83 | — |
| MA | $309.83 | — |
| MD | $271.83 | — |
| ME | $309.83 | — |
| MI | $331.54 | — |
| MN | $331.54 | — |
| MO | $308.26 | — |
| MS | $300.21 | — |
| MT | $334.16 | — |
| NC | $300.21 | — |
| ND | $334.16 | — |
| NE | $308.26 | — |
| NH | $309.83 | — |
| NJ | $296.09 | — |
| NM | $271.83 | — |
| NV | $289.31 | — |
| NY | $296.09 | — |
| OH | $331.54 | — |
| OK | $271.83 | — |
| OR | $362.44 | — |
| PA | $271.83 | — |
| PR | $102.40 | — |
| RI | $309.83 | — |
| SC | $300.21 | — |
| SD | $334.16 | — |
| TN | $300.21 | — |
| TX | $271.83 | — |
| UT | $334.16 | — |
| VA | $271.83 | — |
| VI | $296.09 | — |
| VT | $309.83 | — |
| WA | $362.44 | — |
| WI | $331.54 | — |
| WV | $271.83 | — |
| WY | $334.16 | — |
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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