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L7190 — Electronic elbow, adolescent, variety village or equal, myoelectronically controlled

HCPCS Level II L-code · short descriptor: “Elbow adolescent myoelectron”

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.

L7190 Medicare fee schedule (April 2026)

Base (no modifier) Prosthetics & orthotics

Medicare allowable ranges from $9330.76 to $13407.96 depending on state and rural status.

Former-CBA payment limits: ceiling $12331.36 · floor $9248.52

StateNon-ruralRural
AK$9733.29
AL$9450.26
AR$12331.36
AZ$9600.27
CA$9600.27
CO$9886.43
CT$10117.89
DC$9568.74
DE$9568.74
FL$9450.26
GA$9450.26
HI$10407.87
IA$9330.76
ID$9754.53
IL$10332.65
IN$10332.65
KS$9330.76
KY$9450.26
LA$12331.36
MA$10117.89
MD$9568.74
ME$10117.89
MI$10332.65
MN$10332.65
MO$9330.76
MS$9450.26
MT$9886.43
NC$9450.26
ND$9886.43
NE$9330.76
NH$10117.89
NJ$12331.36
NM$12331.36
NV$9600.27
NY$12331.36
OH$10332.65
OK$12331.36
OR$9754.53
PA$9568.74
PR$13407.96
RI$10117.89
SC$9450.26
SD$9886.43
TN$9450.26
TX$12331.36
UT$9886.43
VA$9568.74
VI$12331.36
VT$10117.89
WA$9754.53
WI$10332.65
WV$9568.74
WY$9886.43
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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