HCPCS Codes for Lump sum purchase of DME, prosthetics, orthotics


  • L2040

    Hip knee ankle foot orthosis, torsion control, bilateral rotation straps, pelvic band/belt, custom fabricated
  • L2050

    Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, hip joint, pelvic band/belt, custom fabricated
  • L2060

    Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, ball bearing hip joint, pelvic band/ belt, custom fabricated
  • L2070

    Hip knee ankle foot orthosis, torsion control, unilateral rotation straps, pelvic band/belt, custom fabricated
  • L2080

    Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, hip joint, pelvic band/belt, custom fabricated
  • L2090

    Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, ball bearing hip joint, pelvic band/ belt, custom fabricated
  • L2106

    Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, thermoplastic type casting material, custom fabricated
  • L2108

    Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, custom fabricated
  • L2112

    Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, soft, prefabricated, includes fitting and adjustment
  • L2114

    Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, semi-rigid, prefabricated, includes fitting and adjustment
  • L2116

    Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, rigid, prefabricated, includes fitting and adjustment
  • L2126

    Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, thermoplastic type casting material, custom fabricated
  • L2128

    Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, custom fabricated
  • L2132

    Kafo, fracture orthosis, femoral fracture cast orthosis, soft, prefabricated, includes fitting and adjustment
  • L2134

    Kafo, fracture orthosis, femoral fracture cast orthosis, semi-rigid, prefabricated, includes fitting and adjustment
  • L2136

    Kafo, fracture orthosis, femoral fracture cast orthosis, rigid, prefabricated, includes fitting and adjustment
  • L2180

    Addition to lower extremity fracture orthosis, plastic shoe insert with ankle joints
  • L2182

    Addition to lower extremity fracture orthosis, drop lock knee joint
  • L2184

    Addition to lower extremity fracture orthosis, limited motion knee joint
  • L2186

    Addition to lower extremity fracture orthosis, adjustable motion knee joint, lerman type
  • L2188

    Addition to lower extremity fracture orthosis, quadrilateral brim
  • L2190

    Addition to lower extremity fracture orthosis, waist belt
  • L2192

    Addition to lower extremity fracture orthosis, hip joint, pelvic band, thigh flange, and pelvic belt
  • L2200

    Addition to lower extremity, limited ankle motion, each joint
  • L2210

    Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint
  • L2220

    Addition to lower extremity, dorsiflexion and plantar flexion assist/resist, each joint
  • L2221

    Addition to lower extremity orthosis, ankle system, microprocessor-controlled feature plantarflexion and/or dorsiflexion, includes power source
  • L2230

    Addition to lower extremity, split flat caliper stirrups and plate attachment
  • L2232

    Addition to lower extremity orthosis, rocker bottom for total contact ankle foot orthosis, for custom fabricated orthosis only
  • L2240

    Addition to lower extremity, round caliper and plate attachment
  • L2250

    Addition to lower extremity, foot plate, molded to patient model, stirrup attachment
  • L2260

    Addition to lower extremity, reinforced solid stirrup (scott-craig type)
  • L2265

    Addition to lower extremity, long tongue stirrup
  • L2270

    Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad
  • L2275

    Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined
  • L2280

    Addition to lower extremity, molded inner boot
  • L2300

    Addition to lower extremity, abduction bar (bilateral hip involvement), jointed, adjustable
  • L2310

    Addition to lower extremity, abduction bar-straight
  • L2320

    Addition to lower extremity, non-molded lacer, for custom fabricated orthosis only
  • L2330

    Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only
  • L2335

    Addition to lower extremity, anterior swing band
  • L2340

    Addition to lower extremity, pre-tibial shell, molded to patient model
  • L2350

    Addition to lower extremity, prosthetic type, (bk) socket, molded to patient model, (used for 'ptb' 'afo' orthoses)
  • L2360

    Addition to lower extremity, extended steel shank
  • L2370

    Addition to lower extremity, patten bottom
  • L2375

    Addition to lower extremity, torsion control, ankle joint and half solid stirrup
  • L2380

    Addition to lower extremity, torsion control, straight knee joint, each joint
  • L2385

    Addition to lower extremity, straight knee joint, heavy duty, each joint
  • L2387

    Addition to lower extremity, polycentric knee joint, for custom fabricated knee ankle foot orthosis, each joint
  • L2390

    Addition to lower extremity, offset knee joint, each joint