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Procedure Codes
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HCPCS Level II
/
Orthotic and Prosthetic Procedures and Devices
/
L2000–L2999
L2640
Addition to lower extremity, pelvic control, band and belt, bilateral
Back
L2000
Knee ankle foot orthosis, single upright, free knee, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'ak' orthosis), custom fabricated
→
L2005
Knee ankle foot orthosis, any material, single or double upright, stance control, automatic lock and swing phase release, any type activation, includes ankle joint, any type, custom fabricated
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L2006
Knee ankle foot device, any material, single or double upright, swing and stance phase microprocessor control with adjustability, includes all components (e.g., sensors, batteries, charger), any type activation, with or without ankle joint(s), custom fabricated
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L2010
Knee ankle foot orthosis, single upright, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'ak' orthosis), without knee joint, custom fabricated
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L2020
Knee ankle foot orthosis, double upright, free ankle, solid stirrup, thigh and calf bands/cuffs (double bar 'ak' orthosis), custom fabricated
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L2030
Knee ankle foot orthosis, double upright, free ankle, solid stirrup, thigh and calf bands/cuffs, (double bar 'ak' orthosis), without knee joint, custom fabricated
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L2034
Knee ankle foot orthosis, full plastic, single upright, with or without free motion knee, medial lateral rotation control, with or without free motion ankle, custom fabricated
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L2035
Knee ankle foot orthosis, full plastic, static (pediatric size), without free motion ankle, prefabricated, includes fitting and adjustment
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L2036
Knee ankle foot orthosis, full plastic, double upright, with or without free motion knee, with or without free motion ankle, custom fabricated
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L2037
Knee ankle foot orthosis, full plastic, single upright, with or without free motion knee, with or without free motion ankle, custom fabricated
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L2038
Knee ankle foot orthosis, full plastic, with or without free motion knee, multi-axis ankle, custom fabricated
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L2040
Hip knee ankle foot orthosis, torsion control, bilateral rotation straps, pelvic band/belt, custom fabricated
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L2050
Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, hip joint, pelvic band/belt, custom fabricated
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L2060
Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, ball bearing hip joint, pelvic band/ belt, custom fabricated
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L2070
Hip knee ankle foot orthosis, torsion control, unilateral rotation straps, pelvic band/belt, custom fabricated
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L2080
Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, hip joint, pelvic band/belt, custom fabricated
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L2090
Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, ball bearing hip joint, pelvic band/ belt, custom fabricated
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L2106
Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, thermoplastic type casting material, custom fabricated
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L2108
Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, custom fabricated
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L2112
Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, soft, prefabricated, includes fitting and adjustment
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L2114
Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, semi-rigid, prefabricated, includes fitting and adjustment
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L2116
Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, rigid, prefabricated, includes fitting and adjustment
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L2126
Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, thermoplastic type casting material, custom fabricated
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L2128
Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, custom fabricated
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L2132
Kafo, fracture orthosis, femoral fracture cast orthosis, soft, prefabricated, includes fitting and adjustment
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L2134
Kafo, fracture orthosis, femoral fracture cast orthosis, semi-rigid, prefabricated, includes fitting and adjustment
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L2136
Kafo, fracture orthosis, femoral fracture cast orthosis, rigid, prefabricated, includes fitting and adjustment
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L2180
Addition to lower extremity fracture orthosis, plastic shoe insert with ankle joints
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L2182
Addition to lower extremity fracture orthosis, drop lock knee joint
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L2184
Addition to lower extremity fracture orthosis, limited motion knee joint
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L2186
Addition to lower extremity fracture orthosis, adjustable motion knee joint, lerman type
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L2188
Addition to lower extremity fracture orthosis, quadrilateral brim
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L2190
Addition to lower extremity fracture orthosis, waist belt
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L2192
Addition to lower extremity fracture orthosis, hip joint, pelvic band, thigh flange, and pelvic belt
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L2200
Addition to lower extremity, limited ankle motion, each joint
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L2210
Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint
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L2220
Addition to lower extremity, dorsiflexion and plantar flexion assist/resist, each joint
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L2221
Addition to lower extremity orthosis, ankle system, microprocessor-controlled feature plantarflexion and/or dorsiflexion, includes power source
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L2230
Addition to lower extremity, split flat caliper stirrups and plate attachment
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L2232
Addition to lower extremity orthosis, rocker bottom for total contact ankle foot orthosis, for custom fabricated orthosis only
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L2240
Addition to lower extremity, round caliper and plate attachment
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L2250
Addition to lower extremity, foot plate, molded to patient model, stirrup attachment
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L2260
Addition to lower extremity, reinforced solid stirrup (scott-craig type)
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L2265
Addition to lower extremity, long tongue stirrup
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L2270
Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad
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L2275
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined
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L2280
Addition to lower extremity, molded inner boot
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L2300
Addition to lower extremity, abduction bar (bilateral hip involvement), jointed, adjustable
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L2310
Addition to lower extremity, abduction bar-straight
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L2320
Addition to lower extremity, non-molded lacer, for custom fabricated orthosis only
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L2330
Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only
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L2335
Addition to lower extremity, anterior swing band
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L2340
Addition to lower extremity, pre-tibial shell, molded to patient model
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L2350
Addition to lower extremity, prosthetic type, (bk) socket, molded to patient model, (used for 'ptb' 'afo' orthoses)
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L2360
Addition to lower extremity, extended steel shank
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L2370
Addition to lower extremity, patten bottom
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L2375
Addition to lower extremity, torsion control, ankle joint and half solid stirrup
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L2380
Addition to lower extremity, torsion control, straight knee joint, each joint
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L2385
Addition to lower extremity, straight knee joint, heavy duty, each joint
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L2387
Addition to lower extremity, polycentric knee joint, for custom fabricated knee ankle foot orthosis, each joint
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L2390
Addition to lower extremity, offset knee joint, each joint
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L2395
Addition to lower extremity, offset knee joint, heavy duty, each joint
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L2397
Addition to lower extremity orthosis, suspension sleeve
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L2405
Addition to knee joint, drop lock, each
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L2415
Addition to knee lock with integrated release mechanism (bail, cable, or equal), any material, each joint
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L2425
Addition to knee joint, disc or dial lock for adjustable knee flexion, each joint
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L2430
Addition to knee joint, ratchet lock for active and progressive knee extension, each joint
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L2492
Addition to knee joint, lift loop for drop lock ring
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L2500
Addition to lower extremity, thigh/weight bearing, gluteal/ ischial weight bearing, ring
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L2510
Addition to lower extremity, thigh/weight bearing, quadri- lateral brim, molded to patient model
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L2520
Addition to lower extremity, thigh/weight bearing, quadri- lateral brim, custom fitted
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L2525
Addition to lower extremity, thigh/weight bearing, ischial containment/narrow m-l brim molded to patient model
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L2526
Addition to lower extremity, thigh/weight bearing, ischial containment/narrow m-l brim, custom fitted
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L2530
Addition to lower extremity, thigh-weight bearing, lacer, non-molded
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L2540
Addition to lower extremity, thigh/weight bearing, lacer, molded to patient model
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L2550
Addition to lower extremity, thigh/weight bearing, high roll cuff
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L2570
Addition to lower extremity, pelvic control, hip joint, clevis type two position joint, each
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L2580
Addition to lower extremity, pelvic control, pelvic sling
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L2600
Addition to lower extremity, pelvic control, hip joint, clevis type, or thrust bearing, free, each
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L2610
Addition to lower extremity, pelvic control, hip joint, clevis or thrust bearing, lock, each
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L2620
Addition to lower extremity, pelvic control, hip joint, heavy duty, each
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L2622
Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each
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L2624
Addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction control, each
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L2627
Addition to lower extremity, pelvic control, plastic, molded to patient model, reciprocating hip joint and cables
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L2628
Addition to lower extremity, pelvic control, metal frame, reciprocating hip joint and cables
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L2630
Addition to lower extremity, pelvic control, band and belt, unilateral
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L2640
Addition to lower extremity, pelvic control, band and belt, bilateral
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L2650
Addition to lower extremity, pelvic and thoracic control, gluteal pad, each
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L2660
Addition to lower extremity, thoracic control, thoracic band
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L2670
Addition to lower extremity, thoracic control, paraspinal uprights
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L2680
Addition to lower extremity, thoracic control, lateral support uprights
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L2750
Addition to lower extremity orthosis, plating chrome or nickel, per bar
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L2755
Addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthosis only
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L2760
Addition to lower extremity orthosis, extension, per extension, per bar (for lineal adjustment for growth)
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L2768
Orthotic side bar disconnect device, per bar
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L2780
Addition to lower extremity orthosis, non-corrosive finish, per bar
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L2785
Addition to lower extremity orthosis, drop lock retainer, each
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L2795
Addition to lower extremity orthosis, knee control, full kneecap
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L2800
Addition to lower extremity orthosis, knee control, knee cap, medial or lateral pull, for use with custom fabricated orthosis only
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L2810
Addition to lower extremity orthosis, knee control, condylar pad
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L2820
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section
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L2830
Addition to lower extremity orthosis, soft interface for molded plastic, above knee section
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L2840
Addition to lower extremity orthosis, tibial length sock, fracture or equal, each
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L2850
Addition to lower extremity orthosis, femoral length sock, fracture or equal, each
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L2861
Addition to lower extremity joint, knee or ankle, concentric adjustable torsion style mechanism for custom fabricated orthotics only, each
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L2999
Lower extremity orthoses, not otherwise specified
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Procedure code
CODABLE
L2640
Addition to lower extremity, pelvic control, band and belt, bilateral
Part
HCPCS Level II
L
Orthotic and Prosthetic Procedures and Devices
L2
L2000–L2999
Source
CMS — ICD-10-PCS FY2026, HCPCS Level II october 2026, Procedure Codes 2026.
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