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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
L8044 Hemi-facial prosthesis, provided by a non-physician Fee schedule
L8045 Auricular prosthesis, provided by a non-physician Fee schedule
L8046 Partial facial prosthesis, provided by a non-physician Fee schedule
L8047 Nasal septal prosthesis, provided by a non-physician Fee schedule
L8048 Unspecified maxillofacial prosthesis, by report, provided by a non-physician
L8049 Repair or modification of maxillofacial prosthesis, labor component, 15 minute increments, provided by a non-physician
L8300 Truss, single with standard pad Fee schedule
L8310 Truss, double with standard pads Fee schedule
L8320 Truss, addition to standard pad, water pad Fee schedule
L8330 Truss, addition to standard pad, scrotal pad Fee schedule
L8400 Prosthetic sheath, below knee, each Fee schedule
L8410 Prosthetic sheath, above knee, each Fee schedule
L8415 Prosthetic sheath, upper limb, each Fee schedule
L8417 Prosthetic sheath/sock, including a gel cushion layer, below knee or above knee, each Fee schedule
L8420 Prosthetic sock, multiple ply, below knee, each Fee schedule
L8430 Prosthetic sock, multiple ply, above knee, each Fee schedule
L8435 Prosthetic sock, multiple ply, upper limb, each Fee schedule
L8440 Prosthetic shrinker, below knee, each Fee schedule
L8460 Prosthetic shrinker, above knee, each Fee schedule
L8465 Prosthetic shrinker, upper limb, each Fee schedule
L8470 Prosthetic sock, single ply, fitting, below knee, each Fee schedule
L8480 Prosthetic sock, single ply, fitting, above knee, each Fee schedule
L8485 Prosthetic sock, single ply, fitting, upper limb, each Fee schedule
L8499 Unlisted procedure for miscellaneous prosthetic services
L8500 Artificial larynx, any type Fee schedule
L8501 Tracheostomy speaking valve Fee schedule
L8505 Artificial larynx replacement battery / accessory, any type
L8507 Tracheo-esophageal voice prosthesis, patient inserted, any type, each Fee schedule
L8509 Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type Fee schedule
L8510 Voice amplifier Fee schedule
L8511 Insert for indwelling tracheoesophageal prosthesis, with or without valve, replacement only, each Fee schedule
L8512 Gelatin capsules or equivalent, for use with tracheoesophageal voice prosthesis, replacement only, per 10 Fee schedule
L8513 Cleaning device used with tracheoesophageal voice prosthesis, pipet, brush, or equal, replacement only, each Fee schedule
L8514 Tracheoesophageal puncture dilator, replacement only, each Fee schedule
L8515 Gelatin capsule, application device for use with tracheoesophageal voice prosthesis, each Fee schedule
L8600 Implantable breast prosthesis, silicone or equal Fee schedule
L8603 Injectable bulking agent, collagen implant, urinary tract, 2.5 ml syringe, includes shipping and necessary supplies Fee schedule
L8604 Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, urinary tract, 1 ml, includes shipping and necessary supplies
L8605 Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, anal canal, 1 ml, includes shipping and necessary supplies Fee schedule
L8606 Injectable bulking agent, synthetic implant, urinary tract, 1 ml syringe, includes shipping and necessary supplies Fee schedule
L8607 Injectable bulking agent for vocal cord medialization, 0.1 ml, includes shipping and necessary supplies Fee schedule
L8608 Miscellaneous external component, supply or accessory for use with the argus ii retinal prosthesis system
L8609 Artificial cornea Fee schedule
L8610 Ocular implant Fee schedule
L8612 Aqueous shunt Fee schedule
L8613 Ossicula implant Fee schedule
L8614 Cochlear device, includes all internal and external components Fee schedule
L8615 Headset/headpiece for use with cochlear implant device, replacement Fee schedule
L8616 Microphone for use with cochlear implant device, replacement Fee schedule
L8617 Transmitting coil for use with cochlear implant device, replacement Fee schedule
L8618 Transmitter cable for use with cochlear implant device or auditory osseointegrated device, replacement Fee schedule
L8619 Cochlear implant, external speech processor and controller, integrated system, replacement Fee schedule
L8621 Zinc air battery for use with cochlear implant device and auditory osseointegrated sound processors, replacement, each Fee schedule
L8622 Alkaline battery for use with cochlear implant device, any size, replacement, each Fee schedule
L8623 Lithium ion battery for use with cochlear implant device speech processor, other than ear level, replacement, each Fee schedule
L8624 Lithium ion battery for use with cochlear implant or auditory osseointegrated device speech processor, ear level, replacement, each Fee schedule
L8625 External recharging system for battery for use with cochlear implant or auditory osseointegrated device, replacement only, each Fee schedule
L8627 Cochlear implant, external speech processor, component, replacement Fee schedule
L8628 Cochlear implant, external controller component, replacement Fee schedule
L8629 Transmitting coil and cable, integrated, for use with cochlear implant device, replacement Fee schedule
L8630 Metacarpophalangeal joint implant Fee schedule
L8631 Metacarpal phalangeal joint replacement, two or more pieces, metal (e.g., stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon), for surgical implantation (all sizes, includes entire system) Fee schedule
L8641 Metatarsal joint implant Fee schedule
L8642 Hallux implant Fee schedule
L8658 Interphalangeal joint spacer, silicone or equal, each Fee schedule
L8659 Interphalangeal finger joint replacement, 2 or more pieces, metal (e.g., stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon) for surgical implantation, any size Fee schedule
L8670 Vascular graft material, synthetic, implant Fee schedule
L8678 Electrical stimulator supplies (external) for use with implantable neurostimulator, per month Fee schedule
L8679 Implantable neurostimulator, pulse generator, any type Fee schedule
L8680 Implantable neurostimulator electrode, each
L8681 Patient programmer (external) for use with implantable programmable neurostimulator pulse generator, replacement only Fee schedule
L8682 Implantable neurostimulator radiofrequency receiver Fee schedule
L8683 Radiofrequency transmitter (external) for use with implantable neurostimulator radiofrequency receiver Fee schedule
L8684 Radiofrequency transmitter (external) for use with implantable sacral root neurostimulator receiver for bowel and bladder management, replacement Fee schedule
L8685 Implantable neurostimulator pulse generator, single array, rechargeable, includes extension
L8686 Implantable neurostimulator pulse generator, single array, non-rechargeable, includes extension
L8687 Implantable neurostimulator pulse generator, dual array, rechargeable, includes extension
L8688 Implantable neurostimulator pulse generator, dual array, non-rechargeable, includes extension
L8689 External recharging system for battery (internal) for use with implantable neurostimulator, replacement only Fee schedule
L8690 Auditory osseointegrated device, includes all internal and external components Fee schedule
L8691 Auditory osseointegrated device, external sound processor, excludes transducer/actuator, replacement only, each Fee schedule
L8692 Auditory osseointegrated device, external sound processor, used without osseointegration, body worn, includes headband or other means of external attachment
L8693 Auditory osseointegrated device abutment, any length, replacement only Fee schedule
L8694 Auditory osseointegrated device, transducer/actuator, replacement only, each Fee schedule
L8695 External recharging system for battery (external) for use with implantable neurostimulator, replacement only Fee schedule
L8696 Antenna (external) for use with implantable diaphragmatic/phrenic nerve stimulation device, replacement, each Fee schedule
L8698 Miscellaneous component, supply or accessory for use with total artificial heart system
L8699 Prosthetic implant, not otherwise specified
L8701 Powered upper extremity range of motion assist device, elbow, wrist, hand with single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated Fee schedule
L8702 Powered upper extremity range of motion assist device, elbow, wrist, hand, finger, single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated Fee schedule
L8720 External lower extremity sensory prosthetic device, cutaneous stimulation of mechanoreceptors proximal to the ankle, per leg
L8721 Receptor sole for use with l8720, replacement, each
L9900 Orthotic and prosthetic supply, accessory, and/or service component of another hcpcs "l" code

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