L8045 — Auricular prosthesis, provided by a non-physician
HCPCS Level II L-code · short descriptor: “Auricular prosthesis”
- 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 2026-10-27; 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 2026-10-27; 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.
L8045 Medicare fee schedule (October 2026)
Base (no modifier) Prosthetics & orthotics
Medicare allowable ranges from $2968.02 to $4014.06 depending on state and rural status.
Former-CBA payment limits: ceiling $4014.06 · floor $3010.55
| State | Non-rural | Rural |
|---|---|---|
| AK | $3558.48 | — |
| AL | $3147.02 | — |
| AR | $3102.82 | — |
| AZ | $3323.07 | — |
| CA | $3323.07 | — |
| CO | $3023.63 | — |
| CT | $3396.01 | — |
| DC | $3591.11 | — |
| DE | $3591.11 | — |
| FL | $3147.02 | — |
| GA | $3147.02 | — |
| HI | $3415.10 | — |
| IA | $3010.55 | — |
| ID | $3167.78 | — |
| IL | $4014.06 | — |
| IN | $4014.06 | — |
| KS | $3010.55 | — |
| KY | $3147.02 | — |
| LA | $3102.82 | — |
| MA | $3396.01 | — |
| MD | $3591.11 | — |
| ME | $3396.01 | — |
| MI | $4014.06 | — |
| MN | $4014.06 | — |
| MO | $3010.55 | — |
| MS | $3147.02 | — |
| MT | $3023.63 | — |
| NC | $3147.02 | — |
| ND | $3023.63 | — |
| NE | $3010.55 | — |
| NH | $3396.01 | — |
| NJ | $3526.63 | — |
| NM | $3102.82 | — |
| NV | $3323.07 | — |
| NY | $3526.63 | — |
| OH | $4014.06 | — |
| OK | $3102.82 | — |
| OR | $3167.78 | — |
| PA | $3591.11 | — |
| PR | $2968.02 | — |
| RI | $3396.01 | — |
| SC | $3147.02 | — |
| SD | $3023.63 | — |
| TN | $3147.02 | — |
| TX | $3102.82 | — |
| UT | $3023.63 | — |
| VA | $3591.11 | — |
| VI | $3771.92 | — |
| VT | $3396.01 | — |
| WA | $3167.78 | — |
| WI | $4014.06 | — |
| WV | $3591.11 | — |
| WY | $3023.63 | — |
KM Prosthetics & orthotics
Medicare allowable ranges from $2819.66 to $3813.35 depending on state and rural status.
Former-CBA payment limits: ceiling $3813.35 · floor $2860.01
| State | Non-rural | Rural |
|---|---|---|
| AK | $3380.54 | — |
| AL | $2989.65 | — |
| AR | $2947.70 | — |
| AZ | $3156.92 | — |
| CA | $3156.92 | — |
| CO | $2872.43 | — |
| CT | $3226.18 | — |
| DC | $3411.56 | — |
| DE | $3411.56 | — |
| FL | $2989.65 | — |
| GA | $2989.65 | — |
| HI | $3244.34 | — |
| IA | $2860.01 | — |
| ID | $3009.38 | — |
| IL | $3813.35 | — |
| IN | $3813.35 | — |
| KS | $2860.01 | — |
| KY | $2989.65 | — |
| LA | $2947.70 | — |
| MA | $3226.18 | — |
| MD | $3411.56 | — |
| ME | $3226.18 | — |
| MI | $3813.35 | — |
| MN | $3813.35 | — |
| MO | $2860.01 | — |
| MS | $2989.65 | — |
| MT | $2872.43 | — |
| NC | $2989.65 | — |
| ND | $2872.43 | — |
| NE | $2860.01 | — |
| NH | $3226.18 | — |
| NJ | $3350.32 | — |
| NM | $2947.70 | — |
| NV | $3156.92 | — |
| NY | $3350.32 | — |
| OH | $3813.35 | — |
| OK | $2947.70 | — |
| OR | $3009.38 | — |
| PA | $3411.56 | — |
| PR | $2819.66 | — |
| RI | $3226.18 | — |
| SC | $2989.65 | — |
| SD | $2872.43 | — |
| TN | $2989.65 | — |
| TX | $2947.70 | — |
| UT | $2872.43 | — |
| VA | $3411.56 | — |
| VI | $3583.35 | — |
| VT | $3226.18 | — |
| WA | $3009.38 | — |
| WI | $3813.35 | — |
| WV | $3411.56 | — |
| WY | $2872.43 | — |
KN Prosthetics & orthotics
Medicare allowable ranges from $1187.22 to $1605.62 depending on state and rural status.
Former-CBA payment limits: ceiling $1605.62 · floor $1204.22
| State | Non-rural | Rural |
|---|---|---|
| AK | $1423.36 | — |
| AL | $1258.82 | — |
| AR | $1241.11 | — |
| AZ | $1329.23 | — |
| CA | $1329.23 | — |
| CO | $1209.42 | — |
| CT | $1358.39 | — |
| DC | $1436.44 | — |
| DE | $1436.44 | — |
| FL | $1258.82 | — |
| GA | $1258.82 | — |
| HI | $1366.06 | — |
| IA | $1204.22 | — |
| ID | $1267.11 | — |
| IL | $1605.62 | — |
| IN | $1605.62 | — |
| KS | $1204.22 | — |
| KY | $1258.82 | — |
| LA | $1241.11 | — |
| MA | $1358.39 | — |
| MD | $1436.44 | — |
| ME | $1358.39 | — |
| MI | $1605.62 | — |
| MN | $1605.62 | — |
| MO | $1204.22 | — |
| MS | $1258.82 | — |
| MT | $1209.42 | — |
| NC | $1258.82 | — |
| ND | $1209.42 | — |
| NE | $1204.22 | — |
| NH | $1358.39 | — |
| NJ | $1410.67 | — |
| NM | $1241.11 | — |
| NV | $1329.23 | — |
| NY | $1410.67 | — |
| OH | $1605.62 | — |
| OK | $1241.11 | — |
| OR | $1267.11 | — |
| PA | $1436.44 | — |
| PR | $1187.22 | — |
| RI | $1358.39 | — |
| SC | $1258.82 | — |
| SD | $1209.42 | — |
| TN | $1258.82 | — |
| TX | $1241.11 | — |
| UT | $1209.42 | — |
| VA | $1436.44 | — |
| VI | $1508.76 | — |
| VT | $1358.39 | — |
| WA | $1267.11 | — |
| WI | $1605.62 | — |
| WV | $1436.44 | — |
| WY | $1209.42 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps L8045 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
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