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L5684 — Addition to lower extremity, below knee, fork strap

HCPCS Level II L-code · short descriptor: “Bk fork strap”

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.

L5684 Medicare fee schedule (April 2026)

Base (no modifier) Prosthetics & orthotics

Medicare allowable ranges from $30.64 to $140.29 depending on state and rural status.

Former-CBA payment limits: ceiling $78.57 · floor $58.93

StateNon-ruralRural
AK$131.20
AL$58.93
AR$65.90
AZ$78.57
CA$78.57
CO$60.09
CT$73.81
DC$58.93
DE$58.93
FL$58.93
GA$58.93
HI$140.29
IA$65.22
ID$78.57
IL$58.93
IN$58.93
KS$65.22
KY$58.93
LA$65.90
MA$73.81
MD$58.93
ME$73.81
MI$58.93
MN$58.93
MO$65.22
MS$58.93
MT$60.09
NC$58.93
ND$60.09
NE$65.22
NH$73.81
NJ$60.51
NM$65.90
NV$78.57
NY$60.51
OH$58.93
OK$65.90
OR$78.57
PA$58.93
PR$30.64
RI$73.81
SC$58.93
SD$60.09
TN$58.93
TX$65.90
UT$60.09
VA$58.93
VI$60.50
VT$73.81
WA$78.57
WI$58.93
WV$58.93
WY$60.09
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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