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L8410 — Prosthetic sheath, above knee, each

HCPCS Level II L-code · short descriptor: “Sheath above knee”

Code system
HCPCS Level II
Family
L — Orthotics & prosthetics
Medicare coverage status
Special coverage instructions apply
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.

L8410 Medicare fee schedule (April 2026)

Base (no modifier) Prosthetics & orthotics

Medicare allowable ranges from $25.36 to $36.14 depending on state and rural status.

Former-CBA payment limits: ceiling $33.82 · floor $25.36

StateNon-ruralRural
AK$33.76
AL$26.40
AR$28.16
AZ$33.14
CA$33.14
CO$26.81
CT$33.82
DC$28.40
DE$28.40
FL$26.40
GA$26.40
HI$36.14
IA$25.94
ID$32.40
IL$25.36
IN$25.36
KS$25.94
KY$26.40
LA$28.16
MA$33.82
MD$28.40
ME$33.82
MI$25.36
MN$25.36
MO$25.94
MS$26.40
MT$26.81
NC$26.40
ND$26.81
NE$25.94
NH$33.82
NJ$31.15
NM$28.16
NV$33.14
NY$31.15
OH$25.36
OK$28.16
OR$32.40
PA$28.40
PR$32.78
RI$33.82
SC$26.40
SD$26.81
TN$26.40
TX$28.16
UT$26.81
VA$28.40
VI$31.15
VT$33.82
WA$32.40
WI$25.36
WV$28.40
WY$26.81
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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