L1720 HCPCS code: Legg perthes orthosis, trilateral, (tachdijan type), custom fabricated
L1720 is the HCPCS Level II code for legg perthes orthosis, trilateral, (tachdijan type), custom fabricated. The 2026 Medicare DMEPOS fee schedule pays $428.29 to $3,267.49 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 2 per day on DME suppliers. Its average fee ranks 2 of 5 L17 codes (family range $1,464.25–$2,373.25).
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 | 1985-01-01 |
| Last action effective | 2001-01-01 |
2026 Medicare DMEPOS fee schedule for L1720
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $428.29 | $3,267.49 | $2,018.95 | $1,514.21 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $3,055.67 | — |
| AL | — | $1,726.01 | — |
| AR | — | $1,880.37 | — |
| AZ | — | $2,018.95 | — |
| CA | — | $2,018.95 | — |
| CO | — | $1,514.21 | — |
| CT | — | $1,548.91 | — |
| DC | — | $1,514.21 | — |
| DE | — | $1,514.21 | — |
| FL | — | $1,726.01 | — |
| GA | — | $1,726.01 | — |
| HI | — | $3,267.49 | — |
| IA | — | $1,778.58 | — |
| ID | — | $1,592.92 | — |
| IL | — | $1,812.94 | — |
| IN | — | $1,812.94 | — |
| KS | — | $1,778.58 | — |
| KY | — | $1,726.01 | — |
| LA | — | $1,880.37 | — |
| MA | — | $1,548.91 | — |
| MD | — | $1,514.21 | — |
| ME | — | $1,548.91 | — |
| MI | — | $1,812.94 | — |
| MN | — | $1,812.94 | — |
| MO | — | $1,778.58 | — |
| MS | — | $1,726.01 | — |
| MT | — | $1,514.21 | — |
| NC | — | $1,726.01 | — |
| ND | — | $1,514.21 | — |
| NE | — | $1,778.58 | — |
| NH | — | $1,548.91 | — |
| NJ | — | $1,514.21 | — |
| NM | — | $1,880.37 | — |
| NV | — | $2,018.95 | — |
| NY | — | $1,514.21 | — |
| OH | — | $1,812.94 | — |
| OK | — | $1,880.37 | — |
| OR | — | $1,592.92 | — |
| PA | — | $1,514.21 | — |
| PR | — | $428.29 | — |
| RI | — | $1,548.91 | — |
| SC | — | $1,726.01 | — |
| SD | — | $1,514.21 | — |
| TN | — | $1,726.01 | — |
| TX | — | $1,880.37 | — |
| UT | — | $1,514.21 | — |
| VA | — | $1,514.21 | — |
| VI | — | $1,514.21 | — |
| VT | — | $1,548.91 | — |
| WA | — | $1,592.92 | — |
| WI | — | $1,812.94 | — |
| WV | — | $1,514.21 | — |
| WY | — | $1,514.21 | — |
How the L1720 fee compares
| Measure | Value |
|---|---|
| Rank among 5 L17 codes (lowest = 1) | 2 |
| Family fee range (average of state fees) | $1,464.25–$2,373.25 |
| Rural fee uplift | — |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 2 | Anatomic Consideration |
| outpatient hospital claims | 2 | Anatomic Consideration |
What changed for L1720
- 2026-01-01: Average state fee rose 2.0%: $1,679.53 to $1,713.12
- 1985-01-01: L1720 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 L1720?
L1720 is the HCPCS Level II code for legg perthes orthosis, trilateral, (tachdijan type), custom fabricated. Short descriptor: "Legg perthes orthosis trilat".
How much does Medicare pay for L1720?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $428.29–$3,267.49. Rural fees can be higher.
Does Medicare cover L1720?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for L1720 change in 2026?
The average non-rural state fee moved from $1,679.53 in 2025 to $1,713.12 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of L1720 can be billed per day?
2 on DME suppliers; 2 on outpatient hospital claims (NCCI medically unlikely edits).
Related L17 codes
- L1700 — Legg perthes orthosis, (toronto type), custom fabricated ($1,754.84–$3,351.80)
- L1710 — Legg perthes orthosis, (newington type), custom fabricated ($2,054.23–$3,711.50)
- L1730 — Legg perthes orthosis, (scottish rite type), custom fabricated ($1,300.56–$2,410.20)
- L1755 — Legg perthes orthosis, (patten bottom type), custom fabricated ($1,819.35–$2,619.20)
Building a device that would bill under a code like this? Caduvo matches a device description to HCPCS/CPT codes, Medicare coverage and payment, and the FDA pathway in one report.
Next steps
- Run a reimbursement report for a device billed under L1720
- Watch L1720 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for L1720
Sources: CMS HCPCS Level II release October 2026; 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.