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


  • L2395

    Addition to lower extremity, offset knee joint, heavy duty, each joint
  • L2397

    Addition to lower extremity orthosis, suspension sleeve
  • L2405

    Addition to knee joint, drop lock, each
  • L2415

    Addition to knee lock with integrated release mechanism (bail, cable, or equal), any material, each joint
  • L2425

    Addition to knee joint, disc or dial lock for adjustable knee flexion, each joint
  • L2430

    Addition to knee joint, ratchet lock for active and progressive knee extension, each joint
  • L2492

    Addition to knee joint, lift loop for drop lock ring
  • L2500

    Addition to lower extremity, thigh/weight bearing, gluteal/ ischial weight bearing, ring
  • L2510

    Addition to lower extremity, thigh/weight bearing, quadri- lateral brim, molded to patient model
  • L2520

    Addition to lower extremity, thigh/weight bearing, quadri- lateral brim, custom fitted
  • L2525

    Addition to lower extremity, thigh/weight bearing, ischial containment/narrow m-l brim molded to patient model
  • L2526

    Addition to lower extremity, thigh/weight bearing, ischial containment/narrow m-l brim, custom fitted
  • L2530

    Addition to lower extremity, thigh-weight bearing, lacer, non-molded
  • L2540

    Addition to lower extremity, thigh/weight bearing, lacer, molded to patient model
  • L2550

    Addition to lower extremity, thigh/weight bearing, high roll cuff
  • L2570

    Addition to lower extremity, pelvic control, hip joint, clevis type two position joint, each
  • L2580

    Addition to lower extremity, pelvic control, pelvic sling
  • L2600

    Addition to lower extremity, pelvic control, hip joint, clevis type, or thrust bearing, free, each
  • L2610

    Addition to lower extremity, pelvic control, hip joint, clevis or thrust bearing, lock, each
  • L2620

    Addition to lower extremity, pelvic control, hip joint, heavy duty, each
  • L2622

    Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each
  • L2624

    Addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction control, each
  • L2627

    Addition to lower extremity, pelvic control, plastic, molded to patient model, reciprocating hip joint and cables
  • L2628

    Addition to lower extremity, pelvic control, metal frame, reciprocating hip joint and cables
  • L2630

    Addition to lower extremity, pelvic control, band and belt, unilateral
  • L2640

    Addition to lower extremity, pelvic control, band and belt, bilateral
  • L2650

    Addition to lower extremity, pelvic and thoracic control, gluteal pad, each
  • L2660

    Addition to lower extremity, thoracic control, thoracic band
  • L2670

    Addition to lower extremity, thoracic control, paraspinal uprights
  • L2680

    Addition to lower extremity, thoracic control, lateral support uprights
  • L2750

    Addition to lower extremity orthosis, plating chrome or nickel, per bar
  • L2755

    Addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthosis only
  • L2760

    Addition to lower extremity orthosis, extension, per extension, per bar (for lineal adjustment for growth)
  • L2768

    Orthotic side bar disconnect device, per bar
  • L2780

    Addition to lower extremity orthosis, non-corrosive finish, per bar
  • L2785

    Addition to lower extremity orthosis, drop lock retainer, each
  • L2795

    Addition to lower extremity orthosis, knee control, full kneecap
  • L2800

    Addition to lower extremity orthosis, knee control, knee cap, medial or lateral pull, for use with custom fabricated orthosis only
  • L2810

    Addition to lower extremity orthosis, knee control, condylar pad
  • L2820

    Addition to lower extremity orthosis, soft interface for molded plastic, below knee section
  • L2830

    Addition to lower extremity orthosis, soft interface for molded plastic, above knee section
  • L2840

    Addition to lower extremity orthosis, tibial length sock, fracture or equal, each
  • L2850

    Addition to lower extremity orthosis, femoral length sock, fracture or equal, each
  • 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
  • L3001

    Foot, insert, removable, molded to patient model, spenco, each
  • L3002

    Foot, insert, removable, molded to patient model, plastazote or equal, each
  • L3003

    Foot, insert, removable, molded to patient model, silicone gel, each
  • L3010

    Foot, insert, removable, molded to patient model, longitudinal arch support, each