L0700 HCPCS code: Cervical-thoracic-lumbar-sacral-orthoses (ctlso), anterior-posterior-lateral control, molded to patient model, (minerva type)
L0700 is the HCPCS Level II code for cervical-thoracic-lumbar-sacral-orthoses (ctlso), anterior-posterior-lateral control, molded to patient model, (minerva type). The 2026 Medicare DMEPOS fee schedule pays $1,615.53 to $3,418.84 depending on the state. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. The NCCI unit limit is 1 per day on DME suppliers. Its average fee ranks 2 of 3 L07 codes (family range $2,299.33–$2,700.12).
Code details
| Field | Value |
|---|---|
| Section | L codes — Orthotic and prosthetic procedures and devices |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 38 — DMEPOS: orthotics, prosthetics, prosthetic devices and vision services |
| BETOS category | D1F — Prosthetic and orthotic devices |
| Added | 1984-01-01 |
| Last action effective | 1996-01-01 |
2026 Medicare DMEPOS fee schedule for L0700
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $1,615.53 | $3,418.84 | $3,097.57 | $2,323.18 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $3,197.26 | — |
| AL | — | $2,660.31 | — |
| AR | — | $2,358.12 | — |
| AZ | — | $3,097.57 | — |
| CA | — | $3,097.57 | — |
| CO | — | $2,350.21 | — |
| CT | — | $2,581.09 | — |
| DC | — | $2,349.14 | — |
| DE | — | $2,349.14 | — |
| FL | — | $2,660.31 | — |
| GA | — | $2,660.31 | — |
| HI | — | $3,418.84 | — |
| IA | — | $3,097.57 | — |
| ID | — | $2,323.18 | — |
| IL | — | $2,446.57 | — |
| IN | — | $2,446.57 | — |
| KS | — | $3,097.57 | — |
| KY | — | $2,660.31 | — |
| LA | — | $2,358.12 | — |
| MA | — | $2,581.09 | — |
| MD | — | $2,349.14 | — |
| ME | — | $2,581.09 | — |
| MI | — | $2,446.57 | — |
| MN | — | $2,446.57 | — |
| MO | — | $3,097.57 | — |
| MS | — | $2,660.31 | — |
| MT | — | $2,350.21 | — |
| NC | — | $2,660.31 | — |
| ND | — | $2,350.21 | — |
| NE | — | $3,097.57 | — |
| NH | — | $2,581.09 | — |
| NJ | — | $2,323.18 | — |
| NM | — | $2,358.12 | — |
| NV | — | $3,097.57 | — |
| NY | — | $2,323.18 | — |
| OH | — | $2,446.57 | — |
| OK | — | $2,358.12 | — |
| OR | — | $2,323.18 | — |
| PA | — | $2,349.14 | — |
| PR | — | $1,615.53 | — |
| RI | — | $2,581.09 | — |
| SC | — | $2,660.31 | — |
| SD | — | $2,350.21 | — |
| TN | — | $2,660.31 | — |
| TX | — | $2,358.12 | — |
| UT | — | $2,350.21 | — |
| VA | — | $2,349.14 | — |
| VI | — | $2,323.18 | — |
| VT | — | $2,581.09 | — |
| WA | — | $2,323.18 | — |
| WI | — | $2,446.57 | — |
| WV | — | $2,349.14 | — |
| WY | — | $2,350.21 | — |
How the L0700 fee compares
| Measure | Value |
|---|---|
| Rank among 3 L07 codes (lowest = 1) | 2 |
| Family fee range (average of state fees) | $2,299.33–$2,700.12 |
| Rural fee uplift | — |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | Anatomic Consideration |
| outpatient hospital claims | 1 | Anatomic Consideration |
What changed for L0700
- 2026-01-01: Average state fee rose 2.0%: $2,502.57 to $2,552.62
- 1984-01-01: L0700 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code L0700?
L0700 is the HCPCS Level II code for cervical-thoracic-lumbar-sacral-orthoses (ctlso), anterior-posterior-lateral control, molded to patient model, (minerva type). Short descriptor: "Ctlso a-p-l control molded".
How much does Medicare pay for L0700?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $1,615.53–$3,418.84. Rural fees can be higher.
Does Medicare cover L0700?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for L0700 change in 2026?
The average non-rural state fee moved from $2,502.57 in 2025 to $2,552.62 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of L0700 can be billed per day?
1 on DME suppliers; 1 on outpatient hospital claims (NCCI medically unlikely edits).
Related L07 codes
- L0710 — Ctlso, anterior-posterior-lateral-control, molded to patient model, with interface material, (minerva type) ($1,717.75–$3,497.73)
- L0720 — Cervical-thoracic-lumbar-sacral-orthoses (ctlso), anterior-posterior-lateral control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise ($2,220.69–$2,437.98)
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Next steps
- Run a reimbursement report for a device billed under L0700
- Watch L0700 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for L0700
Sources: CMS HCPCS Level II release October 2025; CMS DMEPOS fee schedule 2026; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.