L7170 — Electronic elbow, hosmer or equal, switch controlled
HCPCS Level II L-code · short descriptor: “Electronic elbow hosmer swit”
- 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.
L7170 Medicare fee schedule (April 2026)
Base (no modifier) Prosthetics & orthotics
Medicare allowable ranges from $7052.45 to $9571.18 depending on state and rural status.
Former-CBA payment limits: ceiling $9571.18 · floor $7178.38
| State | Non-rural | Rural |
|---|---|---|
| AK | $7065.66 | — |
| AL | $9111.07 | — |
| AR | $9571.18 | — |
| AZ | $7178.38 | — |
| CA | $7178.38 | — |
| CO | $7531.84 | — |
| CT | $7248.15 | — |
| DC | $7178.38 | — |
| DE | $7178.38 | — |
| FL | $9111.07 | — |
| GA | $9111.07 | — |
| HI | $7555.40 | — |
| IA | $7178.38 | — |
| ID | $7475.36 | — |
| IL | $7406.87 | — |
| IN | $7406.87 | — |
| KS | $7178.38 | — |
| KY | $9111.07 | — |
| LA | $9571.18 | — |
| MA | $7248.15 | — |
| MD | $7178.38 | — |
| ME | $7248.15 | — |
| MI | $7406.87 | — |
| MN | $7406.87 | — |
| MO | $7178.38 | — |
| MS | $9111.07 | — |
| MT | $7531.84 | — |
| NC | $9111.07 | — |
| ND | $7531.84 | — |
| NE | $7178.38 | — |
| NH | $7248.15 | — |
| NJ | $7178.38 | — |
| NM | $9571.18 | — |
| NV | $7178.38 | — |
| NY | $7178.38 | — |
| OH | $7406.87 | — |
| OK | $9571.18 | — |
| OR | $7475.36 | — |
| PA | $7178.38 | — |
| PR | $7052.45 | — |
| RI | $7248.15 | — |
| SC | $9111.07 | — |
| SD | $7531.84 | — |
| TN | $9111.07 | — |
| TX | $9571.18 | — |
| UT | $7531.84 | — |
| VA | $7178.38 | — |
| VI | $7178.38 | — |
| VT | $7248.15 | — |
| WA | $7475.36 | — |
| WI | $7406.87 | — |
| WV | $7178.38 | — |
| WY | $7531.84 | — |
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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