L5690 — Addition to lower extremity, below knee, waist belt, padded and lined
HCPCS Level II L-code · short descriptor: “Bk waist belt padded and lin”
- 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.
L5690 Medicare fee schedule (April 2026)
Base (no modifier) Prosthetics & orthotics
Medicare allowable ranges from $114.21 to $174.68 depending on state and rural status.
Former-CBA payment limits: ceiling $159.73 · floor $119.80
| State | Non-rural | Rural |
|---|---|---|
| AK | $163.33 | — |
| AL | $119.80 | — |
| AR | $132.07 | — |
| AZ | $159.73 | — |
| CA | $159.73 | — |
| CO | $119.80 | — |
| CT | $159.73 | — |
| DC | $144.80 | — |
| DE | $144.80 | — |
| FL | $119.80 | — |
| GA | $119.80 | — |
| HI | $174.68 | — |
| IA | $122.10 | — |
| ID | $129.94 | — |
| IL | $153.65 | — |
| IN | $153.65 | — |
| KS | $122.10 | — |
| KY | $119.80 | — |
| LA | $132.07 | — |
| MA | $159.73 | — |
| MD | $144.80 | — |
| ME | $159.73 | — |
| MI | $153.65 | — |
| MN | $153.65 | — |
| MO | $122.10 | — |
| MS | $119.80 | — |
| MT | $119.80 | — |
| NC | $119.80 | — |
| ND | $119.80 | — |
| NE | $122.10 | — |
| NH | $159.73 | — |
| NJ | $126.76 | — |
| NM | $132.07 | — |
| NV | $159.73 | — |
| NY | $126.76 | — |
| OH | $153.65 | — |
| OK | $132.07 | — |
| OR | $129.94 | — |
| PA | $144.80 | — |
| PR | $114.21 | — |
| RI | $159.73 | — |
| SC | $119.80 | — |
| SD | $119.80 | — |
| TN | $119.80 | — |
| TX | $132.07 | — |
| UT | $119.80 | — |
| VA | $144.80 | — |
| VI | $126.76 | — |
| VT | $159.73 | — |
| WA | $129.94 | — |
| WI | $153.65 | — |
| WV | $144.80 | — |
| WY | $119.80 | — |
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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