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L5666 — Addition to lower extremity, below knee, cuff suspension

HCPCS Level II L-code · short descriptor: “Below knee cuff suspension”

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.

L5666 Medicare fee schedule (April 2026)

Base (no modifier) Prosthetics & orthotics

Medicare allowable ranges from $85.69 to $132.57 depending on state and rural status.

Former-CBA payment limits: ceiling $114.26 · floor $85.69

StateNon-ruralRural
AK$123.96
AL$85.69
AR$114.26
AZ$114.26
CA$114.26
CO$85.69
CT$104.60
DC$93.15
DE$93.15
FL$85.69
GA$85.69
HI$132.57
IA$91.37
ID$86.96
IL$94.40
IN$94.40
KS$91.37
KY$85.69
LA$114.26
MA$104.60
MD$93.15
ME$104.60
MI$94.40
MN$94.40
MO$91.37
MS$85.69
MT$85.69
NC$85.69
ND$85.69
NE$91.37
NH$104.60
NJ$96.28
NM$114.26
NV$114.26
NY$96.28
OH$94.40
OK$114.26
OR$86.96
PA$93.15
PR$103.54
RI$104.60
SC$85.69
SD$85.69
TN$85.69
TX$114.26
UT$85.69
VA$93.15
VI$96.28
VT$104.60
WA$86.96
WI$94.40
WV$93.15
WY$85.69
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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