L5973 — Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source
HCPCS Level II L-code · short descriptor: “Ank-foot sys dors-plant flex” · PA required
- 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
- Required (Medicare, since 2020-12-01)
- Status
- Active (April 2026 HCPCS)
Prior authorization
PA REQUIRED L5973 is on Medicare's DMEPOS Required Prior Authorization List (Lower Limb Prosthetics — nationwide since 2020-12-01).
Claims for this item without an affirmed prior-authorization decision are automatically denied (commonly surfacing as CO-197). Submit the PA request to your DME MAC with the order and supporting clinical documentation before delivery.
L5973 Medicare fee schedule (April 2026)
Base (no modifier) Prosthetics & orthotics
Medicare allowable ranges from $20916.61 to $23785.15 depending on state and rural status.
Former-CBA payment limits: ceiling $25594.72 · floor $19196.04
| State | Non-rural | Rural |
|---|---|---|
| AK | $21106.11 | — |
| AL | $21299.94 | — |
| AR | $21297.95 | — |
| AZ | $21127.66 | — |
| CA | $21127.66 | — |
| CO | $21711.59 | — |
| CT | $21085.93 | — |
| DC | $21041.00 | — |
| DE | $21041.00 | — |
| FL | $21299.94 | — |
| GA | $21299.94 | — |
| HI | $21106.11 | — |
| IA | $21540.27 | — |
| ID | $21127.66 | — |
| IL | $21739.52 | — |
| IN | $21739.52 | — |
| KS | $21540.27 | — |
| KY | $21299.94 | — |
| LA | $21297.95 | — |
| MA | $21085.93 | — |
| MD | $21041.00 | — |
| ME | $21085.93 | — |
| MI | $21739.52 | — |
| MN | $21739.52 | — |
| MO | $21540.27 | — |
| MS | $21299.94 | — |
| MT | $21711.59 | — |
| NC | $21299.94 | — |
| ND | $21711.59 | — |
| NE | $21540.27 | — |
| NH | $21085.93 | — |
| NJ | $20916.61 | — |
| NM | $21297.95 | — |
| NV | $21127.66 | — |
| NY | $20916.61 | — |
| OH | $21739.52 | — |
| OK | $21297.95 | — |
| OR | $21127.66 | — |
| PA | $21041.00 | — |
| PR | $23785.15 | — |
| RI | $21085.93 | — |
| SC | $21299.94 | — |
| SD | $21711.59 | — |
| TN | $21299.94 | — |
| TX | $21297.95 | — |
| UT | $21711.59 | — |
| VA | $21041.00 | — |
| VI | $23065.06 | — |
| VT | $21085.93 | — |
| WA | $21127.66 | — |
| WI | $21739.52 | — |
| WV | $21041.00 | — |
| WY | $21711.59 | — |
Common denial codes to watch
Related L-codes
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