MyMedi-AI

L5982 — All exoskeletal lower extremity prostheses, axial rotation unit

HCPCS Level II L-code · short descriptor: “Exoskeletal axial rotation u”

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
Face-to-face & WOPD
Not on the required list
MUE unit limit
2
Status
Active (HCPCS Level II October 2026)

Prior authorization

Not on the Medicare required-PA list (CMS Required Prior Authorization List — 74 items in force on 2026-10-25; 8 more from 2026-10-28; sources: CMS list updated 2026-01-13, CMS-6109-N (91 FR 47972)). Medicare Advantage and commercial plans set their own prior-authorization rules for this code — verify per plan before delivery.

Order readiness — what the written order must contain

Every Medicare DMEPOS claim needs a Standard Written Order with all six elements (42 CFR 410.38(d)):

  • Beneficiary name or Medicare Beneficiary Identifier (MBI) (42 CFR 410.38(d)(1)(i)(A))
  • General description of the item (42 CFR 410.38(d)(1)(i)(B))
  • Quantity to be dispensed, if applicable (42 CFR 410.38(d)(1)(i)(C))
  • Order date (42 CFR 410.38(d)(1)(i)(D))
  • Treating practitioner name or NPI (42 CFR 410.38(d)(1)(i)(E))
  • Treating practitioner signature (42 CFR 410.38(d)(1)(i)(F))

Not on the F2F/WOPD list (CMS Required F2F & WOPD List — 83 items in force on 2026-10-25; 22 more from 2026-10-28; sources: CMS list effective 2026-04-13 (91 FR 1250), CMS-6109-N (91 FR 47972)). The standard written order must reach the supplier before claim submission.

Blank requirements checklist only — MyMedi-AI never collects or stores completed orders.

L5982 Medicare fee schedule (October 2026)

Base (no modifier) Prosthetics & orthotics

Medicare allowable ranges from $327.68 to $1074.04 depending on state and rural status.

Former-CBA payment limits: ceiling $943.67 · floor $707.75

StateNon-ruralRural
AK$1004.41—
AL$707.75—
AR$766.26—
AZ$943.67—
CA$943.67—
CO$943.67—
CT$939.71—
DC$707.75—
DE$707.75—
FL$707.75—
GA$707.75—
HI$1074.04—
IA$824.78—
ID$935.53—
IL$789.31—
IN$789.31—
KS$824.78—
KY$707.75—
LA$766.26—
MA$939.71—
MD$707.75—
ME$939.71—
MI$789.31—
MN$789.31—
MO$824.78—
MS$707.75—
MT$943.67—
NC$707.75—
ND$943.67—
NE$824.78—
NH$939.71—
NJ$707.75—
NM$766.26—
NV$943.67—
NY$707.75—
OH$789.31—
OK$766.26—
OR$935.53—
PA$707.75—
PR$327.68—
RI$939.71—
SC$707.75—
SD$943.67—
TN$707.75—
TX$766.26—
UT$943.67—
VA$707.75—
VI$707.75—
VT$939.71—
WA$935.53—
WI$789.31—
WV$707.75—
WY$943.67—
Amounts are the Medicare DMEPOS fee-schedule allowables effective October 2026 (CMS DMEPOS Fee Schedule October 2026 (DME26-D)). 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.

Unit limit (MUE)

Medicare's Medically Unlikely Edit caps L5982 at 2 units per date of service (absolute). Units above the MUE deny — typically as CO-151. Rationale: Anatomic Consideration.

Common denial codes to watch

Related L-codes

Bill L5982 with confidence

Track prior-authorization requests with AI pre-fill and deadline tracking, and draft PA appeal letters — built for DME teams, PHI-free: no patient data is collected or stored.

Start free trial   Run a CMS-0057-F readiness check

Prefer DIY compliance? Self-audit documentation kits for DME suppliers →

Building an AI agent? Try the agent API in the playground — free PA-required lookups, L5982 included, and starter credits via POST /bot-marketplace/register.