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 |
|---|---|---|
| L2425 | Addition to knee joint, disc or dial lock for adjustable knee flexion, each joint | Fee schedule |
| L2430 | Addition to knee joint, ratchet lock for active and progressive knee extension, each joint | Fee schedule |
| L2492 | Addition to knee joint, lift loop for drop lock ring | Fee schedule |
| L2500 | Addition to lower extremity, thigh/weight bearing, gluteal/ ischial weight bearing, ring | Fee schedule |
| L2510 | Addition to lower extremity, thigh/weight bearing, quadri- lateral brim, molded to patient model | Fee schedule |
| L2520 | Addition to lower extremity, thigh/weight bearing, quadri- lateral brim, custom fitted | Fee schedule |
| L2525 | Addition to lower extremity, thigh/weight bearing, ischial containment/narrow m-l brim molded to patient model | Fee schedule |
| L2526 | Addition to lower extremity, thigh/weight bearing, ischial containment/narrow m-l brim, custom fitted | Fee schedule |
| L2530 | Addition to lower extremity, thigh-weight bearing, lacer, non-molded | Fee schedule |
| L2540 | Addition to lower extremity, thigh/weight bearing, lacer, molded to patient model | Fee schedule |
| L2550 | Addition to lower extremity, thigh/weight bearing, high roll cuff | Fee schedule |
| L2570 | Addition to lower extremity, pelvic control, hip joint, clevis type two position joint, each | Fee schedule |
| L2580 | Addition to lower extremity, pelvic control, pelvic sling | Fee schedule |
| L2600 | Addition to lower extremity, pelvic control, hip joint, clevis type, or thrust bearing, free, each | Fee schedule |
| L2610 | Addition to lower extremity, pelvic control, hip joint, clevis or thrust bearing, lock, each | Fee schedule |
| L2620 | Addition to lower extremity, pelvic control, hip joint, heavy duty, each | Fee schedule |
| L2622 | Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each | Fee schedule |
| L2624 | Addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction control, each | Fee schedule |
| L2627 | Addition to lower extremity, pelvic control, plastic, molded to patient model, reciprocating hip joint and cables | Fee schedule |
| L2628 | Addition to lower extremity, pelvic control, metal frame, reciprocating hip joint and cables | Fee schedule |
| L2630 | Addition to lower extremity, pelvic control, band and belt, unilateral | Fee schedule |
| L2640 | Addition to lower extremity, pelvic control, band and belt, bilateral | Fee schedule |
| L2650 | Addition to lower extremity, pelvic and thoracic control, gluteal pad, each | Fee schedule |
| L2660 | Addition to lower extremity, thoracic control, thoracic band | Fee schedule |
| L2670 | Addition to lower extremity, thoracic control, paraspinal uprights | Fee schedule |
| L2680 | Addition to lower extremity, thoracic control, lateral support uprights | Fee schedule |
| L2750 | Addition to lower extremity orthosis, plating chrome or nickel, per bar | Fee schedule |
| L2755 | Addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthosis only | Fee schedule |
| L2760 | Addition to lower extremity orthosis, extension, per extension, per bar (for lineal adjustment for growth) | Fee schedule |
| L2768 | Orthotic side bar disconnect device, per bar | Fee schedule |
| L2780 | Addition to lower extremity orthosis, non-corrosive finish, per bar | Fee schedule |
| L2785 | Addition to lower extremity orthosis, drop lock retainer, each | Fee schedule |
| L2795 | Addition to lower extremity orthosis, knee control, full kneecap | Fee schedule |
| L2800 | Addition to lower extremity orthosis, knee control, knee cap, medial or lateral pull, for use with custom fabricated orthosis only | Fee schedule |
| L2810 | Addition to lower extremity orthosis, knee control, condylar pad | Fee schedule |
| L2820 | Addition to lower extremity orthosis, soft interface for molded plastic, below knee section | Fee schedule |
| L2830 | Addition to lower extremity orthosis, soft interface for molded plastic, above knee section | Fee schedule |
| L2840 | Addition to lower extremity orthosis, tibial length sock, fracture or equal, each | Fee schedule |
| L2850 | Addition to lower extremity orthosis, femoral length sock, fracture or equal, each | Fee schedule |
| L2861 | Addition to lower extremity joint, knee or ankle, concentric adjustable torsion style mechanism for custom fabricated orthotics only, each | |
| L2999 | Lower extremity orthoses, not otherwise specified | |
| L3000 | Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each | Fee schedule |
| L3001 | Foot, insert, removable, molded to patient model, spenco, each | Fee schedule |
| L3002 | Foot, insert, removable, molded to patient model, plastazote or equal, each | Fee schedule |
| L3003 | Foot, insert, removable, molded to patient model, silicone gel, each | Fee schedule |
| L3010 | Foot, insert, removable, molded to patient model, longitudinal arch support, each | Fee schedule |
| L3020 | Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each | Fee schedule |
| L3030 | Foot, insert, removable, formed to patient foot, each | Fee schedule |
| L3031 | Foot, insert/plate, removable, addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, each | Fee schedule |
| L3040 | Foot, arch support, removable, premolded, longitudinal, each | Fee schedule |
| L3050 | Foot, arch support, removable, premolded, metatarsal, each | Fee schedule |
| L3060 | Foot, arch support, removable, premolded, longitudinal/ metatarsal, each | Fee schedule |
| L3070 | Foot, arch support, non-removable attached to shoe, longitudinal, each | Fee schedule |
| L3080 | Foot, arch support, non-removable attached to shoe, metatarsal, each | Fee schedule |
| L3090 | Foot, arch support, non-removable attached to shoe, longitudinal/metatarsal, each | Fee schedule |
| L3100 | Hallus-valgus night dynamic splint, prefabricated, off-the-shelf | Fee schedule |
| L3140 | Foot, abduction rotation bar, including shoes | Fee schedule |
| L3150 | Foot, abduction rotation bar, without shoes | Fee schedule |
| L3160 | Foot, adjustable shoe-styled positioning device | |
| L3161 | Foot, adductus positioning device, adjustable | |
| L3170 | Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each | Fee schedule |
| L3201 | Orthopedic shoe, oxford with supinator or pronator, infant | |
| L3202 | Orthopedic shoe, oxford with supinator or pronator, child | |
| L3203 | Orthopedic shoe, oxford with supinator or pronator, junior | |
| L3204 | Orthopedic shoe, hightop with supinator or pronator, infant | |
| L3206 | Orthopedic shoe, hightop with supinator or pronator, child | |
| L3207 | Orthopedic shoe, hightop with supinator or pronator, junior | |
| L3208 | Surgical boot, each, infant | |
| L3209 | Surgical boot, each, child | |
| L3211 | Surgical boot, each, junior | |
| L3212 | Benesch boot, pair, infant | |
| L3213 | Benesch boot, pair, child | |
| L3214 | Benesch boot, pair, junior | |
| L3215 | Orthopedic footwear, ladies shoe, oxford, each | |
| L3216 | Orthopedic footwear, ladies shoe, depth inlay, each | |
| L3217 | Orthopedic footwear, ladies shoe, hightop, depth inlay, each | |
| L3219 | Orthopedic footwear, mens shoe, oxford, each | |
| L3221 | Orthopedic footwear, mens shoe, depth inlay, each | |
| L3222 | Orthopedic footwear, mens shoe, hightop, depth inlay, each | |
| L3224 | Orthopedic footwear, woman's shoe, oxford, used as an integral part of a brace (orthosis) | Fee schedule |
| L3225 | Orthopedic footwear, man's shoe, oxford, used as an integral part of a brace (orthosis) | Fee schedule |
| L3230 | Orthopedic footwear, custom shoe, depth inlay, each | |
| L3250 | Orthopedic footwear, custom molded shoe, removable inner mold, prosthetic shoe, each | |
| L3251 | Foot, shoe molded to patient model, silicone shoe, each | |
| L3252 | Foot, shoe molded to patient model, plastazote (or similar), custom fabricated, each | |
| L3253 | Foot, molded shoe plastazote (or similar) custom fitted, each | |
| L3254 | Non-standard size or width | |
| L3255 | Non-standard size or length | |
| L3257 | Orthopedic footwear, additional charge for split size | |
| L3260 | Surgical boot/shoe, each | |
| L3265 | Plastazote sandal, each | |
| L3300 | Lift, elevation, heel, tapered to metatarsals, per inch | Fee schedule |
| L3310 | Lift, elevation, heel and sole, neoprene, per inch | Fee schedule |
| L3320 | Lift, elevation, heel and sole, cork, per inch | |
| L3330 | Lift, elevation, metal extension (skate) | Fee schedule |
| L3332 | Lift, elevation, inside shoe, tapered, up to one-half inch | Fee schedule |
| L3334 | Lift, elevation, heel, per inch | Fee schedule |
| L3340 | Heel wedge, sach | Fee schedule |
| L3350 | Heel wedge | Fee schedule |
| L3360 | Sole wedge, outside sole | Fee schedule |
| L3370 | Sole wedge, between sole | Fee schedule |
| L3380 | Clubfoot wedge | Fee schedule |
| L3390 | Outflare wedge | Fee schedule |
| L3400 | Metatarsal bar wedge, rocker | Fee schedule |
| L3410 | Metatarsal bar wedge, between sole | Fee schedule |
| L3420 | Full sole and heel wedge, between sole | Fee schedule |
| L3430 | Heel, counter, plastic reinforced | Fee schedule |
| L3440 | Heel, counter, leather reinforced | Fee schedule |
| L3450 | Heel, sach cushion type | Fee schedule |
| L3455 | Heel, new leather, standard | Fee schedule |
| L3460 | Heel, new rubber, standard | Fee schedule |
| L3465 | Heel, thomas with wedge | Fee schedule |
| L3470 | Heel, thomas extended to ball | Fee schedule |
| L3480 | Heel, pad and depression for spur | Fee schedule |
| L3485 | Heel, pad, removable for spur | |
| L3500 | Orthopedic shoe addition, insole, leather | Fee schedule |
| L3510 | Orthopedic shoe addition, insole, rubber | Fee schedule |
| L3520 | Orthopedic shoe addition, insole, felt covered with leather | Fee schedule |
| L3530 | Orthopedic shoe addition, sole, half | Fee schedule |
| L3540 | Orthopedic shoe addition, sole, full | Fee schedule |
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