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 |
|---|---|---|
| L3550 | Orthopedic shoe addition, toe tap standard | Fee schedule |
| L3560 | Orthopedic shoe addition, toe tap, horseshoe | Fee schedule |
| L3570 | Orthopedic shoe addition, special extension to instep (leather with eyelets) | Fee schedule |
| L3580 | Orthopedic shoe addition, convert instep to velcro closure | Fee schedule |
| L3590 | Orthopedic shoe addition, convert firm shoe counter to soft counter | Fee schedule |
| L3595 | Orthopedic shoe addition, march bar | Fee schedule |
| L3600 | Transfer of an orthosis from one shoe to another, caliper plate, existing | Fee schedule |
| L3610 | Transfer of an orthosis from one shoe to another, caliper plate, new | Fee schedule |
| L3620 | Transfer of an orthosis from one shoe to another, solid stirrup, existing | Fee schedule |
| L3630 | Transfer of an orthosis from one shoe to another, solid stirrup, new | Fee schedule |
| L3640 | Transfer of an orthosis from one shoe to another, dennis browne splint (riveton), both shoes | Fee schedule |
| L3649 | Orthopedic shoe, modification, addition or transfer, not otherwise specified | |
| L3650 | Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf | Fee schedule |
| L3660 | Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf | Fee schedule |
| L3670 | Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf | Fee schedule |
| L3671 | Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment | Fee schedule |
| L3674 | Shoulder orthosis, abduction positioning (airplane design), thoracic component and support bar, with or without nontorsion joint/turnbuckle, may include soft interface, straps, custom fabricated, includes fitting and adjustment | Fee schedule |
| L3675 | Shoulder orthosis, vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf | Fee schedule |
| L3677 | Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | |
| L3678 | Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, prefabricated, off-the-shelf | |
| L3702 | Elbow orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment | Fee schedule |
| L3710 | Elbow orthosis, elastic with metal joints, prefabricated, off-the-shelf | Fee schedule |
| L3720 | Elbow orthosis, double upright with forearm/arm cuffs, free motion, custom fabricated | Fee schedule |
| L3730 | Elbow orthosis, double upright with forearm/arm cuffs, extension/ flexion assist, custom fabricated | Fee schedule |
| L3740 | Elbow orthosis, double upright with forearm/arm cuffs, adjustable position lock with active control, custom fabricated | Fee schedule |
| L3760 | Elbow orthosis (eo), with adjustable position locking joint(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 |
| L3761 | Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, off-the-shelf | Fee schedule |
| L3762 | Elbow orthosis, rigid, without joints, includes soft interface material, prefabricated, off-the-shelf | Fee schedule |
| L3763 | Elbow wrist hand orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment | Fee schedule |
| L3764 | Elbow wrist hand orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment | Fee schedule |
| L3765 | Elbow wrist hand finger orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment | Fee schedule |
| L3766 | Elbow wrist hand finger orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment | Fee schedule |
| L3806 | Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, custom fabricated, includes fitting and adjustment | Fee schedule |
| L3807 | Wrist hand finger orthosis, without joint(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 |
| L3808 | Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment | Fee schedule |
| L3809 | Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type | Fee schedule |
| L3891 | Addition to upper extremity joint, wrist or elbow, concentric adjustable torsion style mechanism for custom fabricated orthotics only, each | |
| L3900 | Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, wrist or finger driven, custom fabricated | Fee schedule |
| L3901 | Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, cable driven, custom fabricated | Fee schedule |
| L3904 | Wrist hand finger orthosis, external powered, electric, custom fabricated | Fee schedule |
| L3905 | Wrist hand orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment | Fee schedule |
| L3906 | Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment | Fee schedule |
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | Fee schedule |
| L3912 | Hand finger orthosis (hfo), flexion glove with elastic finger control, prefabricated, off-the-shelf | Fee schedule |
| L3913 | Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment | Fee schedule |
| L3915 | Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | Fee schedule |
| L3916 | Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf | Fee schedule |
| L3917 | Hand orthosis, metacarpal fracture orthosis, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | Fee schedule |
| L3918 | Hand orthosis, metacarpal fracture orthosis, prefabricated, off-the-shelf | Fee schedule |
| L3919 | Hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment | Fee schedule |
| L3921 | Hand finger orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment | Fee schedule |
| L3923 | Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | Fee schedule |
| L3924 | Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf | Fee schedule |
| L3925 | Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), non torsion joint/spring, extension/flexion, may include soft interface material, prefabricated, off-the-shelf | Fee schedule |
| L3927 | Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), without joint/spring, extension/flexion (e.g., static or ring type), may include soft interface material, prefabricated, off-the-shelf | Fee schedule |
| L3929 | Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | Fee schedule |
| L3930 | Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, off-the-shelf | Fee schedule |
| L3931 | Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, includes fitting and adjustment | Fee schedule |
| L3933 | Finger orthosis, without joints, may include soft interface, custom fabricated, includes fitting and adjustment | Fee schedule |
| L3935 | Finger orthosis, nontorsion joint, may include soft interface, custom fabricated, includes fitting and adjustment | Fee schedule |
| L3956 | Addition of joint to upper extremity orthosis, any material; per joint | Fee schedule |
| L3960 | Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment | Fee schedule |
| L3961 | Shoulder elbow wrist hand orthosis, shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment | Fee schedule |
| L3962 | Shoulder elbow wrist hand orthosis, abduction positioning, erb's palsey design, prefabricated, includes fitting and adjustment | Fee schedule |
| L3967 | Shoulder elbow wrist hand orthosis, abduction positioning (airplane design), thoracic component and support bar, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment | Fee schedule |
| L3971 | Shoulder elbow wrist hand orthosis, shoulder cap design, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment | Fee schedule |
| L3973 | Shoulder elbow wrist hand orthosis, abduction positioning (airplane design), thoracic component and support bar, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment | Fee schedule |
| L3975 | Shoulder elbow wrist hand finger orthosis, shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment | Fee schedule |
| L3976 | Shoulder elbow wrist hand finger orthosis, abduction positioning (airplane design), thoracic component and support bar, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment | Fee schedule |
| L3977 | Shoulder elbow wrist hand finger orthosis, shoulder cap design, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment | Fee schedule |
| L3978 | Shoulder elbow wrist hand finger orthosis, abduction positioning (airplane design), thoracic component and support bar, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment | Fee schedule |
| L3980 | Upper extremity fracture orthosis, humeral, prefabricated, includes fitting and adjustment | Fee schedule |
| L3981 | Upper extremity fracture orthosis, humeral, prefabricated, includes shoulder cap design, with or without joints, forearm section, may include soft interface, straps, includes fitting and adjustments | Fee schedule |
| L3982 | Upper extremity fracture orthosis, radius/ulnar, prefabricated, includes fitting and adjustment | Fee schedule |
| L3984 | Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment | Fee schedule |
| L3995 | Addition to upper extremity orthosis, sock, fracture or equal, each | Fee schedule |
| L3999 | Upper limb orthosis, not otherwise specified | |
| L4000 | Replace girdle for spinal orthosis (ctlso or so) | Fee schedule |
| L4002 | Replacement strap, any orthosis, includes all components, any length, any type | Fee schedule |
| L4010 | Replace trilateral socket brim | Fee schedule |
| L4020 | Replace quadrilateral socket brim, molded to patient model | Fee schedule |
| L4030 | Replace quadrilateral socket brim, custom fitted | Fee schedule |
| L4040 | Replace molded thigh lacer, for custom fabricated orthosis only | Fee schedule |
| L4045 | Replace non-molded thigh lacer, for custom fabricated orthosis only | Fee schedule |
| L4050 | Replace molded calf lacer, for custom fabricated orthosis only | Fee schedule |
| L4055 | Replace non-molded calf lacer, for custom fabricated orthosis only | Fee schedule |
| L4060 | Replace high roll cuff | Fee schedule |
| L4070 | Replace proximal and distal upright for kafo | Fee schedule |
| L4080 | Replace metal bands kafo, proximal thigh | Fee schedule |
| L4090 | Replace metal bands kafo-afo, calf or distal thigh | Fee schedule |
| L4100 | Replace leather cuff kafo, proximal thigh | Fee schedule |
| L4110 | Replace leather cuff kafo-afo, calf or distal thigh | Fee schedule |
| L4130 | Replace pretibial shell | Fee schedule |
| L4205 | Repair of orthotic device, labor component, per 15 minutes | Fee schedule |
| L4210 | Repair of orthotic device, repair or replace minor parts | |
| L4350 | Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf | Fee schedule |
| L4360 | Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | Fee schedule |
| L4361 | Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf | Fee schedule |
| L4370 | Pneumatic full leg splint, prefabricated, off-the-shelf | Fee schedule |
| L4386 | Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | Fee schedule |
| L4387 | Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf | Fee schedule |
| L4392 | Replacement, soft interface material, static afo | Fee schedule |
| L4394 | Replace soft interface material, foot drop splint | Fee schedule |
| L4396 | Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | Fee schedule |
| L4397 | Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf | Fee schedule |
| L4398 | Foot drop splint, recumbent positioning device, prefabricated, off-the-shelf | Fee schedule |
| L4631 | Ankle foot orthosis, walking boot type, varus/valgus correction, rocker bottom, anterior tibial shell, soft interface, custom arch support, plastic or other material, includes straps and closures, custom fabricated | Fee schedule |
| L5000 | Partial foot, shoe insert with longitudinal arch, toe filler | Fee schedule |
| L5010 | Partial foot, molded socket, ankle height, with toe filler | Fee schedule |
| L5020 | Partial foot, molded socket, tibial tubercle height, with toe filler | Fee schedule |
| L5050 | Ankle, symes, molded socket, sach foot | Fee schedule |
| L5060 | Ankle, symes, metal frame, molded leather socket, articulated ankle/foot | Fee schedule |
| L5100 | Below knee, molded socket, shin, sach foot | Fee schedule |
| L5105 | Below knee, plastic socket, joints and thigh lacer, sach foot | Fee schedule |
| L5150 | Knee disarticulation (or through knee), molded socket, external knee joints, shin, sach foot | Fee schedule |
| L5160 | Knee disarticulation (or through knee), molded socket, bent knee configuration, external knee joints, shin, sach foot | Fee schedule |
| L5200 | Above knee, molded socket, single axis constant friction knee, shin, sach foot | Fee schedule |
| L5210 | Above knee, short prosthesis, no knee joint ('stubbies'), with foot blocks, no ankle joints, each | Fee schedule |
| L5220 | Above knee, short prosthesis, no knee joint ('stubbies'), with articulated ankle/foot, dynamically aligned, each | Fee schedule |
| L5230 | Above knee, for proximal femoral focal deficiency, constant friction knee, shin, sach foot | Fee schedule |
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