MyMedi-AI

L7367 — Lithium ion battery, rechargeable, replacement

HCPCS Level II L-code · short descriptor: “Replacemnt lithium ionbatter”

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.

L7367 Medicare fee schedule (October 2026)

Base (no modifier) Prosthetics & orthotics

Medicare allowable ranges from $467.90 to $514.70 depending on state and rural status.

Former-CBA payment limits: ceiling $571.00 · floor $428.25

StateNon-ruralRural
AK$467.90—
AL$481.97—
AR$481.93—
AZ$467.90—
CA$467.90—
CO$484.64—
CT$467.90—
DC$467.90—
DE$467.90—
FL$481.97—
GA$481.97—
HI$467.90—
IA$477.04—
ID$467.90—
IL$479.42—
IN$479.42—
KS$477.04—
KY$481.97—
LA$481.93—
MA$467.90—
MD$467.90—
ME$467.90—
MI$479.42—
MN$479.42—
MO$477.04—
MS$481.97—
MT$484.64—
NC$481.97—
ND$484.64—
NE$477.04—
NH$467.90—
NJ$467.90—
NM$481.93—
NV$467.90—
NY$467.90—
OH$479.42—
OK$481.93—
OR$467.90—
PA$467.90—
PR$514.70—
RI$467.90—
SC$481.97—
SD$484.64—
TN$481.97—
TX$481.93—
UT$484.64—
VA$467.90—
VI$514.70—
VT$467.90—
WA$467.90—
WI$479.42—
WV$467.90—
WY$484.64—
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 L7367 at 2 units per date of service (clinical). Units above the MUE deny — typically as CO-151. Rationale: Clinical: Data.

Common denial codes to watch

Related L-codes

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