L5710 — Addition, exoskeletal knee-shin system, single axis, manual lock
HCPCS Level II L-code · short descriptor: “Kne-shin exo sng axi mnl loc”
- 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.
L5710 Medicare fee schedule (April 2026)
Base (no modifier) Prosthetics & orthotics
Medicare allowable ranges from $440.31 to $838.03 depending on state and rural status.
Former-CBA payment limits: ceiling $587.08 · floor $440.31
| State | Non-rural | Rural |
|---|---|---|
| AK | $783.76 | — |
| AL | $457.86 | — |
| AR | $523.99 | — |
| AZ | $587.08 | — |
| CA | $587.08 | — |
| CO | $519.57 | — |
| CT | $497.15 | — |
| DC | $440.31 | — |
| DE | $440.31 | — |
| FL | $457.86 | — |
| GA | $457.86 | — |
| HI | $838.03 | — |
| IA | $499.08 | — |
| ID | $557.02 | — |
| IL | $440.31 | — |
| IN | $440.31 | — |
| KS | $499.08 | — |
| KY | $457.86 | — |
| LA | $523.99 | — |
| MA | $497.15 | — |
| MD | $440.31 | — |
| ME | $497.15 | — |
| MI | $440.31 | — |
| MN | $440.31 | — |
| MO | $499.08 | — |
| MS | $457.86 | — |
| MT | $519.57 | — |
| NC | $457.86 | — |
| ND | $519.57 | — |
| NE | $499.08 | — |
| NH | $497.15 | — |
| NJ | $463.38 | — |
| NM | $523.99 | — |
| NV | $587.08 | — |
| NY | $463.38 | — |
| OH | $440.31 | — |
| OK | $523.99 | — |
| OR | $557.02 | — |
| PA | $440.31 | — |
| PR | $677.60 | — |
| RI | $497.15 | — |
| SC | $457.86 | — |
| SD | $519.57 | — |
| TN | $457.86 | — |
| TX | $523.99 | — |
| UT | $519.57 | — |
| VA | $440.31 | — |
| VI | $463.38 | — |
| VT | $497.15 | — |
| WA | $557.02 | — |
| WI | $440.31 | — |
| WV | $440.31 | — |
| WY | $519.57 | — |
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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