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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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CodeDescriptionFlags
L5250 Hip disarticulation, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach foot Fee schedule
L5270 Hip disarticulation, tilt table type; molded socket, locking hip joint, single axis constant friction knee, shin, sach foot Fee schedule
L5280 Hemipelvectomy, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach foot Fee schedule
L5301 Below knee, molded socket, shin, sach foot, endoskeletal system Fee schedule
L5312 Knee disarticulation (or through knee), molded socket, single axis knee, pylon, sach foot, endoskeletal system Fee schedule
L5321 Above knee, molded socket, open end, sach foot, endoskeletal system, single axis knee Fee schedule
L5331 Hip disarticulation, canadian type, molded socket, endoskeletal system, hip joint, single axis knee, sach foot Fee schedule
L5341 Hemipelvectomy, canadian type, molded socket, endoskeletal system, hip joint, single axis knee, sach foot Fee schedule
L5400 Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment, suspension, and one cast change, below knee Fee schedule
L5410 Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension, below knee, each additional cast change and realignment Fee schedule
L5420 Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension and one cast change 'ak' or knee disarticulation Fee schedule
L5430 Immediate post surgical or early fitting, application of initial rigid dressing, incl. fitting, alignment and supension, 'ak' or knee disarticulation, each additional cast change and realignment Fee schedule
L5450 Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, below knee Fee schedule
L5460 Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, above knee Fee schedule
L5500 Initial, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, plaster socket, direct formed Fee schedule
L5505 Initial, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, plaster socket, direct formed Fee schedule
L5510 Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, plaster socket, molded to model Fee schedule
L5520 Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, direct formed Fee schedule
L5530 Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, molded to model Fee schedule
L5535 Preparatory, below knee 'ptb' type socket, non-alignable system, no cover, sach foot, prefabricated, adjustable open end socket Fee schedule
L5540 Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, laminated socket, molded to model Fee schedule
L5560 Preparatory, above knee- knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, plaster socket, molded to model Fee schedule
L5570 Preparatory, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, direct formed Fee schedule
L5580 Preparatory, above knee - knee disarticulation ischial level socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, molded to model Fee schedule
L5585 Preparatory, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, prefabricated adjustable open end socket Fee schedule
L5590 Preparatory, above knee - knee disarticulation ischial level socket, non-alignable system, pylon no cover, sach foot, laminated socket, molded to model Fee schedule
L5595 Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot, thermoplastic or equal, molded to patient model Fee schedule
L5600 Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot, laminated socket, molded to patient model Fee schedule
L5610 Addition to lower extremity, endoskeletal system, above knee, hydracadence system Fee schedule
L5611 Addition to lower extremity, endoskeletal system, above knee - knee disarticulation, 4 bar linkage, with friction swing phase control Fee schedule
L5613 Addition to lower extremity, endoskeletal system, above knee-knee disarticulation, 4 bar linkage, with hydraulic swing phase control Fee schedule
L5614 Addition to lower extremity, exoskeletal system, above knee-knee disarticulation, 4 bar linkage, with pneumatic swing phase control Fee schedule
L5615 Addition, endoskeletal knee-shin system, 4 bar linkage or multiaxial, fluid swing and stance phase control Fee schedule
L5616 Addition to lower extremity, endoskeletal system, above knee, universal multiplex system, friction swing phase control Fee schedule
L5617 Addition to lower extremity, quick change self-aligning unit, above knee or below knee, each Fee schedule
L5618 Addition to lower extremity, test socket, symes Fee schedule
L5620 Addition to lower extremity, test socket, below knee Fee schedule
L5622 Addition to lower extremity, test socket, knee disarticulation Fee schedule
L5624 Addition to lower extremity, test socket, above knee Fee schedule
L5626 Addition to lower extremity, test socket, hip disarticulation Fee schedule
L5628 Addition to lower extremity, test socket, hemipelvectomy Fee schedule
L5629 Addition to lower extremity, below knee, acrylic socket Fee schedule
L5630 Addition to lower extremity, symes type, expandable wall socket Fee schedule
L5631 Addition to lower extremity, above knee or knee disarticulation, acrylic socket Fee schedule
L5632 Addition to lower extremity, symes type, 'ptb' brim design socket Fee schedule
L5634 Addition to lower extremity, symes type, posterior opening (canadian) socket Fee schedule
L5636 Addition to lower extremity, symes type, medial opening socket Fee schedule
L5637 Addition to lower extremity, below knee, total contact Fee schedule
L5638 Addition to lower extremity, below knee, leather socket Fee schedule
L5639 Addition to lower extremity, below knee, wood socket Fee schedule
L5640 Addition to lower extremity, knee disarticulation, leather socket Fee schedule
L5642 Addition to lower extremity, above knee, leather socket Fee schedule
L5643 Addition to lower extremity, hip disarticulation, flexible inner socket, external frame Fee schedule
L5644 Addition to lower extremity, above knee, wood socket Fee schedule
L5645 Addition to lower extremity, below knee, flexible inner socket, external frame Fee schedule
L5646 Addition to lower extremity, below knee, air, fluid, gel or equal, cushion socket Fee schedule
L5647 Addition to lower extremity, below knee suction socket Fee schedule
L5648 Addition to lower extremity, above knee, air, fluid, gel or equal, cushion socket Fee schedule
L5649 Addition to lower extremity, ischial containment/narrow m-l socket Fee schedule
L5650 Additions to lower extremity, total contact, above knee or knee disarticulation socket Fee schedule
L5651 Addition to lower extremity, above knee, flexible inner socket, external frame Fee schedule
L5652 Addition to lower extremity, suction suspension, above knee or knee disarticulation socket Fee schedule
L5653 Addition to lower extremity, knee disarticulation, expandable wall socket Fee schedule
L5654 Addition to lower extremity, socket insert, symes, (kemblo, pelite, aliplast, plastazote or equal) Fee schedule
L5655 Addition to lower extremity, socket insert, below knee (kemblo, pelite, aliplast, plastazote or equal) Fee schedule
L5656 Addition to lower extremity, socket insert, knee disarticulation (kemblo, pelite, aliplast, plastazote or equal) Fee schedule
L5657 Addition to lower extremity prosthesis, manual/automated adjustable air, fluid, gel or equal socket insert for limb volume management, any materials Fee schedule
L5658 Addition to lower extremity, socket insert, above knee (kemblo, pelite, aliplast, plastazote or equal) Fee schedule
L5661 Addition to lower extremity, socket insert, multi-durometer symes Fee schedule
L5665 Addition to lower extremity, socket insert, multi-durometer, below knee Fee schedule
L5666 Addition to lower extremity, below knee, cuff suspension Fee schedule
L5668 Addition to lower extremity, below knee, molded distal cushion Fee schedule
L5670 Addition to lower extremity, below knee, molded supracondylar suspension ('pts' or similar) Fee schedule
L5671 Addition to lower extremity, below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert Fee schedule
L5672 Addition to lower extremity, below knee, removable medial brim suspension Fee schedule
L5673 Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric, or equal, with or without perforations, with or without breathable material, for use with locking mechanism Fee schedule
L5676 Additions to lower extremity, below knee, knee joints, single axis, pair Fee schedule
L5677 Additions to lower extremity, below knee, knee joints, polycentric, pair Fee schedule
L5678 Additions to lower extremity, below knee, joint covers, pair Fee schedule
L5679 Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric, or equal, with or without perforations, with or without breathable material, not for use with locking mechanism Fee schedule
L5680 Addition to lower extremity, below knee, thigh lacer, nonmolded Fee schedule
L5681 Addition to lower extremity, below knee/above knee, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code l5673 or l5679) Fee schedule
L5682 Addition to lower extremity, below knee, thigh lacer, gluteal/ischial, molded Fee schedule
L5683 Addition to lower extremity, below knee/above knee, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code l5673 or l5679) Fee schedule
L5684 Addition to lower extremity, below knee, fork strap Fee schedule
L5685 Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or without valve, any material, each Fee schedule
L5686 Addition to lower extremity, below knee, back check (extension control) Fee schedule
L5688 Addition to lower extremity, below knee, waist belt, webbing Fee schedule
L5690 Addition to lower extremity, below knee, waist belt, padded and lined Fee schedule
L5692 Addition to lower extremity, above knee, pelvic control belt, light Fee schedule
L5694 Addition to lower extremity, above knee, pelvic control belt, padded and lined Fee schedule
L5695 Addition to lower extremity, above knee, pelvic control, sleeve suspension, neoprene or equal, each Fee schedule
L5696 Addition to lower extremity, above knee or knee disarticulation, pelvic joint Fee schedule
L5697 Addition to lower extremity, above knee or knee disarticulation, pelvic band Fee schedule
L5698 Addition to lower extremity, above knee or knee disarticulation, silesian bandage Fee schedule
L5699 All lower extremity prostheses, shoulder harness Fee schedule
L5700 Replacement, socket, below knee, molded to patient model Fee schedule
L5701 Replacement, socket, above knee/knee disarticulation, including attachment plate, molded to patient model Fee schedule
L5702 Replacement, socket, hip disarticulation, including hip joint, molded to patient model Fee schedule
L5703 Ankle, symes, molded to patient model, socket without solid ankle cushion heel (sach) foot, replacement only Fee schedule
L5704 Custom shaped protective cover, below knee Fee schedule
L5705 Custom shaped protective cover, above knee Fee schedule
L5706 Custom shaped protective cover, knee disarticulation Fee schedule
L5707 Custom shaped protective cover, hip disarticulation Fee schedule
L5710 Addition, exoskeletal knee-shin system, single axis, manual lock Fee schedule
L5711 Additions exoskeletal knee-shin system, single axis, manual lock, ultra-light material Fee schedule
L5712 Addition, exoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee) Fee schedule
L5714 Addition, exoskeletal knee-shin system, single axis, variable friction swing phase control Fee schedule
L5716 Addition, exoskeletal knee-shin system, polycentric, mechanical stance phase lock Fee schedule
L5718 Addition, exoskeletal knee-shin system, polycentric, friction swing and stance phase control Fee schedule
L5722 Addition, exoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control Fee schedule
L5724 Addition, exoskeletal knee-shin system, single axis, fluid swing phase control Fee schedule
L5726 Addition, exoskeletal knee-shin system, single axis, external joints fluid swing phase control Fee schedule
L5728 Addition, exoskeletal knee-shin system, single axis, fluid swing and stance phase control Fee schedule
L5780 Addition, exoskeletal knee-shin system, single axis, pneumatic/hydra pneumatic swing phase control Fee schedule
L5781 Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system Fee schedule
L5782 Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system, heavy duty Fee schedule
L5783 Addition to lower extremity, user adjustable, mechanical, residual limb volume management system (with or without lamination kit) Fee schedule
L5785 Addition, exoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal) Fee schedule
L5790 Addition, exoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal) Fee schedule

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