HCPCS L-codes — Orthotics & prosthetics
L-codes span orthotics and prosthetics — spinal and knee orthoses, ankle-foot orthoses, and lower-limb prosthetic components. Several off-the-shelf and custom-fabricated orthoses now require Medicare prior authorization.
933 active codes in the April 2026 HCPCS file. PA = on Medicare's required prior-authorization list · Fee schedule = April 2026 DMEPOS amounts published.
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| Code | Description | Flags |
|---|---|---|
| L1650 | Hip orthosis, abduction control of hip joints, static, adjustable, (ilfled type), prefabricated, includes fitting and adjustment | Fee schedule |
| L1652 | Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, includes fitting and adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | Fee schedule |
| L1653 | Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, off the shelf | Fee schedule |
| L1660 | Hip orthosis, abduction control of hip joints, static, plastic, prefabricated, includes fitting and adjustment | Fee schedule |
| L1680 | Hip orthosis, abduction control of hip joints, dynamic, pelvic control, adjustable hip motion control, thigh cuffs (rancho hip action type), custom fabricated | Fee schedule |
| L1681 | Hip orthosis, bilateral hip joints and thigh cuffs, adjustable flexion, extension, abduction control of hip joint, postoperative hip abduction type, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | Fee schedule |
| L1685 | Hip orthosis, abduction control of hip joint, postoperative hip abduction type, custom fabricated | Fee schedule |
| L1686 | Hip orthosis, abduction control of hip joint, postoperative hip abduction type, prefabricated, includes fitting and adjustment | Fee schedule |
| L1690 | Combination, bilateral, lumbo-sacral, hip, femur orthosis providing adduction and internal rotation control, prefabricated, includes fitting and adjustment | Fee schedule |
| L1700 | Legg perthes orthosis, (toronto type), custom fabricated | Fee schedule |
| L1710 | Legg perthes orthosis, (newington type), custom fabricated | Fee schedule |
| L1720 | Legg perthes orthosis, trilateral, (tachdijan type), custom fabricated | Fee schedule |
| L1730 | Legg perthes orthosis, (scottish rite type), custom fabricated | Fee schedule |
| L1755 | Legg perthes orthosis, (patten bottom type), custom fabricated | Fee schedule |
| L1810 | Knee orthosis, elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | Fee schedule |
| L1812 | Knee orthosis, elastic with joints, prefabricated, off-the-shelf | Fee schedule |
| L1820 | Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | Fee schedule |
| L1821 | Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, off the shelf | Fee schedule |
| L1830 | Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf | Fee schedule |
| L1831 | Knee orthosis, locking knee joint(s), positional orthosis, prefabricated, includes fitting and adjustment | Fee schedule |
| L1832 | Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | PA Fee schedule |
| L1833 | Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf | Fee schedule |
| L1834 | Knee orthosis, without knee joint, rigid, custom fabricated | Fee schedule |
| L1836 | Knee orthosis, rigid, without joint(s), includes soft interface material, prefabricated, off-the-shelf | Fee schedule |
| L1840 | Knee orthosis, derotation, medial-lateral, anterior cruciate ligament, custom fabricated | Fee schedule |
| L1843 | Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | PA Fee schedule |
| L1844 | Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, custom fabricated | PA Fee schedule |
| L1845 | Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | PA Fee schedule |
| L1846 | Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, custom fabricated | PA Fee schedule |
| L1847 | Knee orthosis, double upright with adjustable joint, with inflatable air support chamber(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | Fee schedule |
| L1848 | Knee orthosis, double upright with adjustable joint, with inflatable air support chamber(s), prefabricated, off-the-shelf | Fee schedule |
| L1850 | Knee orthosis, swedish type, prefabricated, off-the-shelf | Fee schedule |
| L1851 | Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf | PA Fee schedule |
| L1852 | Knee orthosis (ko), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf | PA Fee schedule |
| L1860 | Knee orthosis, modification of supracondylar prosthetic socket, custom fabricated (sk) | Fee schedule |
| L1900 | Ankle foot orthosis, spring wire, dorsiflexion assist calf band, custom fabricated | Fee schedule |
| L1902 | Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf | Fee schedule |
| L1904 | Ankle orthosis, ankle gauntlet or similar, with or without joints, custom fabricated | Fee schedule |
| L1906 | Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf | Fee schedule |
| L1907 | Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated | Fee schedule |
| L1910 | Ankle foot orthosis, posterior, single bar, clasp attachment to shoe counter, prefabricated, includes fitting and adjustment | Fee schedule |
| L1920 | Ankle foot orthosis, single upright with static or adjustable stop (phelps or perlstein type), custom fabricated | Fee schedule |
| L1930 | Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment | Fee schedule |
| L1932 | Ankle foot orthosis, rigid anterior tibial section, total carbon fiber or equal material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | PA Fee schedule |
| L1933 | Ankle foot orthosis, rigid anterior tibial section, total carbon fiber or equal material, prefabricated, off-the-shelf | Fee schedule |
| L1940 | Ankle foot orthosis, plastic or other material, custom fabricated | Fee schedule |
| L1945 | Ankle foot orthosis, plastic, rigid anterior tibial section (floor reaction), custom fabricated | Fee schedule |
| L1950 | Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic, custom fabricated | Fee schedule |
| L1951 | Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic or other material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | PA Fee schedule |
| L1952 | Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic or other material, prefabricated, off-the-shelf | Fee schedule |
| L1960 | Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated | Fee schedule |
| L1970 | Ankle foot orthosis, plastic with ankle joint, custom fabricated | Fee schedule |
| L1971 | Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, includes fitting and adjustment | Fee schedule |
| L1980 | Ankle foot orthosis, single upright free plantar dorsiflexion, solid stirrup, calf band/cuff (single bar 'bk' orthosis), custom fabricated | Fee schedule |
| L1990 | Ankle foot orthosis, double upright free plantar dorsiflexion, solid stirrup, calf band/cuff (double bar 'bk' orthosis), custom fabricated | Fee schedule |
| L2000 | Knee ankle foot orthosis, single upright, free knee, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'ak' orthosis), custom fabricated | Fee schedule |
| L2005 | Knee ankle foot orthosis, any material, single or double upright, stance control, automatic lock and swing phase release, any type activation, includes ankle joint, any type, custom fabricated | Fee schedule |
| L2006 | Knee ankle foot device, any material, single or double upright, swing and stance phase microprocessor control with adjustability, includes all components (e.g., sensors, batteries, charger), any type activation, with or without ankle joint(s), custom fabricated | Fee schedule |
| L2010 | Knee ankle foot orthosis, single upright, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'ak' orthosis), without knee joint, custom fabricated | Fee schedule |
| L2020 | Knee ankle foot orthosis, double upright, free ankle, solid stirrup, thigh and calf bands/cuffs (double bar 'ak' orthosis), custom fabricated | Fee schedule |
| L2030 | Knee ankle foot orthosis, double upright, free ankle, solid stirrup, thigh and calf bands/cuffs, (double bar 'ak' orthosis), without knee joint, custom fabricated | Fee schedule |
| L2034 | Knee ankle foot orthosis, full plastic, single upright, with or without free motion knee, medial lateral rotation control, with or without free motion ankle, custom fabricated | Fee schedule |
| L2035 | Knee ankle foot orthosis, full plastic, static (pediatric size), without free motion ankle, prefabricated, includes fitting and adjustment | Fee schedule |
| L2036 | Knee ankle foot orthosis, full plastic, double upright, with or without free motion knee, with or without free motion ankle, custom fabricated | Fee schedule |
| L2037 | Knee ankle foot orthosis, full plastic, single upright, with or without free motion knee, with or without free motion ankle, custom fabricated | Fee schedule |
| L2038 | Knee ankle foot orthosis, full plastic, with or without free motion knee, multi-axis ankle, custom fabricated | Fee schedule |
| L2040 | Hip knee ankle foot orthosis, torsion control, bilateral rotation straps, pelvic band/belt, custom fabricated | Fee schedule |
| L2050 | Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, hip joint, pelvic band/belt, custom fabricated | Fee schedule |
| L2060 | Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, ball bearing hip joint, pelvic band/ belt, custom fabricated | Fee schedule |
| L2070 | Hip knee ankle foot orthosis, torsion control, unilateral rotation straps, pelvic band/belt, custom fabricated | Fee schedule |
| L2080 | Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, hip joint, pelvic band/belt, custom fabricated | Fee schedule |
| L2090 | Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, ball bearing hip joint, pelvic band/ belt, custom fabricated | Fee schedule |
| L2106 | Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, thermoplastic type casting material, custom fabricated | Fee schedule |
| L2108 | Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, custom fabricated | Fee schedule |
| L2112 | Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, soft, prefabricated, includes fitting and adjustment | Fee schedule |
| L2114 | Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, semi-rigid, prefabricated, includes fitting and adjustment | Fee schedule |
| L2116 | Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, rigid, prefabricated, includes fitting and adjustment | Fee schedule |
| L2126 | Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, thermoplastic type casting material, custom fabricated | Fee schedule |
| L2128 | Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, custom fabricated | Fee schedule |
| L2132 | Kafo, fracture orthosis, femoral fracture cast orthosis, soft, prefabricated, includes fitting and adjustment | Fee schedule |
| L2134 | Kafo, fracture orthosis, femoral fracture cast orthosis, semi-rigid, prefabricated, includes fitting and adjustment | Fee schedule |
| L2136 | Kafo, fracture orthosis, femoral fracture cast orthosis, rigid, prefabricated, includes fitting and adjustment | Fee schedule |
| L2180 | Addition to lower extremity fracture orthosis, plastic shoe insert with ankle joints | Fee schedule |
| L2182 | Addition to lower extremity fracture orthosis, drop lock knee joint | Fee schedule |
| L2184 | Addition to lower extremity fracture orthosis, limited motion knee joint | Fee schedule |
| L2186 | Addition to lower extremity fracture orthosis, adjustable motion knee joint, lerman type | Fee schedule |
| L2188 | Addition to lower extremity fracture orthosis, quadrilateral brim | Fee schedule |
| L2190 | Addition to lower extremity fracture orthosis, waist belt | Fee schedule |
| L2192 | Addition to lower extremity fracture orthosis, hip joint, pelvic band, thigh flange, and pelvic belt | Fee schedule |
| L2200 | Addition to lower extremity, limited ankle motion, each joint | Fee schedule |
| L2210 | Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint | Fee schedule |
| L2220 | Addition to lower extremity, dorsiflexion and plantar flexion assist/resist, each joint | Fee schedule |
| L2221 | Addition to lower extremity orthosis, ankle system, microprocessor-controlled feature plantarflexion and/or dorsiflexion, includes power source | Fee schedule |
| L2230 | Addition to lower extremity, split flat caliper stirrups and plate attachment | Fee schedule |
| L2232 | Addition to lower extremity orthosis, rocker bottom for total contact ankle foot orthosis, for custom fabricated orthosis only | Fee schedule |
| L2240 | Addition to lower extremity, round caliper and plate attachment | Fee schedule |
| L2250 | Addition to lower extremity, foot plate, molded to patient model, stirrup attachment | Fee schedule |
| L2260 | Addition to lower extremity, reinforced solid stirrup (scott-craig type) | Fee schedule |
| L2265 | Addition to lower extremity, long tongue stirrup | Fee schedule |
| L2270 | Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad | Fee schedule |
| L2275 | Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined | Fee schedule |
| L2280 | Addition to lower extremity, molded inner boot | Fee schedule |
| L2300 | Addition to lower extremity, abduction bar (bilateral hip involvement), jointed, adjustable | Fee schedule |
| L2310 | Addition to lower extremity, abduction bar-straight | Fee schedule |
| L2320 | Addition to lower extremity, non-molded lacer, for custom fabricated orthosis only | Fee schedule |
| L2330 | Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only | Fee schedule |
| L2335 | Addition to lower extremity, anterior swing band | Fee schedule |
| L2340 | Addition to lower extremity, pre-tibial shell, molded to patient model | Fee schedule |
| L2350 | Addition to lower extremity, prosthetic type, (bk) socket, molded to patient model, (used for 'ptb' 'afo' orthoses) | Fee schedule |
| L2360 | Addition to lower extremity, extended steel shank | Fee schedule |
| L2370 | Addition to lower extremity, patten bottom | Fee schedule |
| L2375 | Addition to lower extremity, torsion control, ankle joint and half solid stirrup | Fee schedule |
| L2380 | Addition to lower extremity, torsion control, straight knee joint, each joint | Fee schedule |
| L2385 | Addition to lower extremity, straight knee joint, heavy duty, each joint | Fee schedule |
| L2387 | Addition to lower extremity, polycentric knee joint, for custom fabricated knee ankle foot orthosis, each joint | Fee schedule |
| L2390 | Addition to lower extremity, offset knee joint, each joint | Fee schedule |
| L2395 | Addition to lower extremity, offset knee joint, heavy duty, each joint | Fee schedule |
| L2397 | Addition to lower extremity orthosis, suspension sleeve | Fee schedule |
| L2405 | Addition to knee joint, drop lock, each | Fee schedule |
| L2415 | Addition to knee lock with integrated release mechanism (bail, cable, or equal), any material, each joint | Fee schedule |
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