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L8470 — Prosthetic sock, single ply, fitting, below knee, each

HCPCS Level II L-code · short descriptor: “Pros sock single ply bk”

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
Face-to-face & WOPD
Not on the required 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.

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 (April 13, 2026 update — 83 items). The standard written order must reach the supplier before claim submission.

Blank requirements checklist only — MyMedi-AI never collects or stores completed orders.

L8470 Medicare fee schedule (April 2026)

Base (no modifier) Prosthetics & orthotics

Medicare allowable ranges from $4.24 to $12.04 depending on state and rural status.

Former-CBA payment limits: ceiling $10.89 · floor $8.17

StateNon-ruralRural
AK$11.26
AL$8.17
AR$9.80
AZ$10.89
CA$10.89
CO$10.89
CT$8.17
DC$8.17
DE$8.17
FL$8.17
GA$8.17
HI$12.04
IA$8.17
ID$8.17
IL$8.17
IN$8.17
KS$8.17
KY$8.17
LA$9.80
MA$8.17
MD$8.17
ME$8.17
MI$8.17
MN$8.17
MO$8.17
MS$8.17
MT$10.89
NC$8.17
ND$10.89
NE$8.17
NH$8.17
NJ$8.17
NM$9.80
NV$10.89
NY$8.17
OH$8.17
OK$9.80
OR$8.17
PA$8.17
PR$4.24
RI$8.17
SC$8.17
SD$10.89
TN$8.17
TX$9.80
UT$10.89
VA$8.17
VI$8.17
VT$8.17
WA$8.17
WI$8.17
WV$8.17
WY$10.89
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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