L7180 — Electronic elbow, microprocessor sequential control of elbow and terminal device
HCPCS Level II L-code · short descriptor: “Electronic elbow sequential”
- 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.
L7180 Medicare fee schedule (April 2026)
Base (no modifier) Prosthetics & orthotics
Medicare allowable ranges from $18180.91 to $50007.15 depending on state and rural status.
Former-CBA payment limits: ceiling $53323.46 · floor $39992.59
| State | Non-rural | Rural |
|---|---|---|
| AK | $44796.77 | — |
| AL | $39992.59 | — |
| AR | $50007.15 | — |
| AZ | $44356.85 | — |
| CA | $44356.85 | — |
| CO | $43710.99 | — |
| CT | $46081.51 | — |
| DC | $42745.35 | — |
| DE | $42745.35 | — |
| FL | $39992.59 | — |
| GA | $39992.59 | — |
| HI | $47901.52 | — |
| IA | $44240.43 | — |
| ID | $44853.57 | — |
| IL | $47919.99 | — |
| IN | $47919.99 | — |
| KS | $44240.43 | — |
| KY | $39992.59 | — |
| LA | $50007.15 | — |
| MA | $46081.51 | — |
| MD | $42745.35 | — |
| ME | $46081.51 | — |
| MI | $47919.99 | — |
| MN | $47919.99 | — |
| MO | $44240.43 | — |
| MS | $39992.59 | — |
| MT | $43710.99 | — |
| NC | $39992.59 | — |
| ND | $43710.99 | — |
| NE | $44240.43 | — |
| NH | $46081.51 | — |
| NJ | $44008.89 | — |
| NM | $50007.15 | — |
| NV | $44356.85 | — |
| NY | $44008.89 | — |
| OH | $47919.99 | — |
| OK | $50007.15 | — |
| OR | $44853.57 | — |
| PA | $42745.35 | — |
| PR | $18180.91 | — |
| RI | $46081.51 | — |
| SC | $39992.59 | — |
| SD | $43710.99 | — |
| TN | $39992.59 | — |
| TX | $50007.15 | — |
| UT | $43710.99 | — |
| VA | $42745.35 | — |
| VI | $44008.88 | — |
| VT | $46081.51 | — |
| WA | $44853.57 | — |
| WI | $47919.99 | — |
| WV | $42745.35 | — |
| WY | $43710.99 | — |
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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