L0984 HCPCS code: Protective body sock, prefabricated, off-the-shelf, each
L0984 is the HCPCS Level II code for protective body sock, prefabricated, off-the-shelf, each. The 2026 Medicare DMEPOS fee schedule pays $69.77 to $90.32 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 3 per day on outpatient hospital claims. Its average fee ranks 3 of 8 L09 codes (family range $20.91–$251.90).
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 | 1994-01-01 |
| Last action effective | 2014-01-01 |
2026 Medicare DMEPOS fee schedule for L0984
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $69.77 | $90.32 | $91.72 | $68.79 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $90.32 | — |
| AL | — | $69.77 | — |
| AR | — | $69.77 | — |
| AZ | — | $78.58 | — |
| CA | — | $78.58 | — |
| CO | — | $76.57 | — |
| CT | — | $78.60 | — |
| DC | — | $77.67 | — |
| DE | — | $77.67 | — |
| FL | — | $69.77 | — |
| GA | — | $69.77 | — |
| HI | — | $90.32 | — |
| IA | — | $80.07 | — |
| ID | — | $78.58 | — |
| IL | — | $83.16 | — |
| IN | — | $83.16 | — |
| KS | — | $80.07 | — |
| KY | — | $69.77 | — |
| LA | — | $69.77 | — |
| MA | — | $78.60 | — |
| MD | — | $77.67 | — |
| ME | — | $78.60 | — |
| MI | — | $83.16 | — |
| MN | — | $83.16 | — |
| MO | — | $80.07 | — |
| MS | — | $69.77 | — |
| MT | — | $76.57 | — |
| NC | — | $69.77 | — |
| ND | — | $76.57 | — |
| NE | — | $80.07 | — |
| NH | — | $78.60 | — |
| NJ | — | $75.25 | — |
| NM | — | $69.77 | — |
| NV | — | $78.58 | — |
| NY | — | $75.25 | — |
| OH | — | $83.16 | — |
| OK | — | $69.77 | — |
| OR | — | $78.58 | — |
| PA | — | $77.67 | — |
| PR | — | $85.99 | — |
| RI | — | $78.60 | — |
| SC | — | $69.77 | — |
| SD | — | $76.57 | — |
| TN | — | $69.77 | — |
| TX | — | $69.77 | — |
| UT | — | $76.57 | — |
| VA | — | $77.67 | — |
| VI | — | $75.25 | — |
| VT | — | $78.60 | — |
| WA | — | $78.58 | — |
| WI | — | $83.16 | — |
| WV | — | $77.67 | — |
| WY | — | $76.57 | — |
How the L0984 fee compares
| Measure | Value |
|---|---|
| Rank among 8 L09 codes (lowest = 1) | 3 |
| Family fee range (average of state fees) | $20.91–$251.90 |
| Rural fee uplift | — |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 3 | Nature of Equipment |
Medicare policy articles for this code
- A52500: Spinal Orthoses: TLSO and LSO - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
What changed for L0984
- 2026-01-01: Average state fee rose 2.0%: $75.60 to $77.12
- 1994-01-01: L0984 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 L0984?
L0984 is the HCPCS Level II code for protective body sock, prefabricated, off-the-shelf, each. Short descriptor: "Protect body sock ea pre ots".
How much does Medicare pay for L0984?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $69.77–$90.32. Rural fees can be higher.
Does Medicare cover L0984?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for L0984 change in 2026?
The average non-rural state fee moved from $75.60 in 2025 to $77.12 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of L0984 can be billed per day?
3 on outpatient hospital claims (NCCI medically unlikely edits).
Related L09 codes
- L0970 — Tlso, corset front ($81.66–$221.47)
- L0972 — Lso, corset front ($81.66–$198.16)
- L0974 — Tlso, full corset ($133.09–$285.59)
- L0976 — Lso, full corset ($133.09–$244.99)
- L0978 — Axillary crutch extension ($81.66–$692.78)
- L0980 — Peroneal straps, prefabricated, off-the-shelf, pair ($16.07–$26.75)
- L0982 — Stocking supporter grips, prefabricated, off-the-shelf, set of four (4) ($17.45–$24.95)
- L0999 — Addition to spinal orthosis, not otherwise specified
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Next steps
- Run a reimbursement report for a device billed under L0984
- Watch L0984 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for L0984
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.