L2020 HCPCS code: Knee ankle foot orthosis, double upright, free ankle, solid stirrup, thigh and calf bands/cuffs (double bar 'ak' orthosis), custom fabricated
L2020 is the HCPCS Level II code for knee ankle foot orthosis, double upright, free ankle, solid stirrup, thigh and calf bands/cuffs (double bar 'ak' orthosis), custom fabricated. The 2026 Medicare DMEPOS fee schedule pays $1,341.77 to $3,211.79 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 11 of 17 L20 codes (family range $173.92–$39,772.87).
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 L2020
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $1,341.77 | $3,211.79 | $1,789.03 | $1,341.77 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $3,003.63 | — |
| AL | — | $1,341.77 | — |
| AR | — | $1,341.77 | — |
| AZ | — | $1,789.03 | — |
| CA | — | $1,789.03 | — |
| CO | — | $1,341.77 | — |
| CT | — | $1,706.53 | — |
| DC | — | $1,425.40 | — |
| DE | — | $1,425.40 | — |
| FL | — | $1,341.77 | — |
| GA | — | $1,341.77 | — |
| HI | — | $3,211.79 | — |
| IA | — | $1,341.77 | — |
| ID | — | $1,789.03 | — |
| IL | — | $1,354.33 | — |
| IN | — | $1,354.33 | — |
| KS | — | $1,341.77 | — |
| KY | — | $1,341.77 | — |
| LA | — | $1,341.77 | — |
| MA | — | $1,706.53 | — |
| MD | — | $1,425.40 | — |
| ME | — | $1,706.53 | — |
| MI | — | $1,354.33 | — |
| MN | — | $1,354.33 | — |
| MO | — | $1,341.77 | — |
| MS | — | $1,341.77 | — |
| MT | — | $1,341.77 | — |
| NC | — | $1,341.77 | — |
| ND | — | $1,341.77 | — |
| NE | — | $1,341.77 | — |
| NH | — | $1,706.53 | — |
| NJ | — | $1,457.75 | — |
| NM | — | $1,341.77 | — |
| NV | — | $1,789.03 | — |
| NY | — | $1,457.75 | — |
| OH | — | $1,354.33 | — |
| OK | — | $1,341.77 | — |
| OR | — | $1,789.03 | — |
| PA | — | $1,425.40 | — |
| PR | — | $1,856.00 | — |
| RI | — | $1,706.53 | — |
| SC | — | $1,341.77 | — |
| SD | — | $1,341.77 | — |
| TN | — | $1,341.77 | — |
| TX | — | $1,341.77 | — |
| UT | — | $1,341.77 | — |
| VA | — | $1,425.40 | — |
| VI | — | $1,457.75 | — |
| VT | — | $1,706.53 | — |
| WA | — | $1,789.03 | — |
| WI | — | $1,354.33 | — |
| WV | — | $1,425.40 | — |
| WY | — | $1,341.77 | — |
How the L2020 fee compares
| Measure | Value |
|---|---|
| Rank among 17 L20 codes (lowest = 1) | 11 |
| Family fee range (average of state fees) | $173.92–$39,772.87 |
| 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 L2020
- 2026-01-01: Average state fee rose 2.0%: $1,497.54 to $1,527.49
- 1985-01-01: L2020 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 L2020?
L2020 is the HCPCS Level II code for knee ankle foot orthosis, double upright, free ankle, solid stirrup, thigh and calf bands/cuffs (double bar 'ak' orthosis), custom fabricated. Short descriptor: "Kafo dbl solid stirrup band/".
How much does Medicare pay for L2020?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $1,341.77–$3,211.79. Rural fees can be higher.
Does Medicare cover L2020?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for L2020 change in 2026?
The average non-rural state fee moved from $1,497.54 in 2025 to $1,527.49 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of L2020 can be billed per day?
2 on DME suppliers; 2 on outpatient hospital claims (NCCI medically unlikely edits).
Related L20 codes
- L2000 — Knee ankle foot orthosis, single upright, free knee, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'ak' orthosis), custom fabricated ($1,165.54–$2,572.50)
- 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 ($4,915.21–$5,406.75)
- 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 ($38,584.76–$44,514.91)
- 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 ($1,062.50–$2,247.91)
- 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 ($1,164.11–$1,944.13)
- 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 ($2,400.14–$2,850.68)
- L2035 — Knee ankle foot orthosis, full plastic, static (pediatric size), without free motion ankle, prefabricated, includes fitting and adjustment ($207.77–$249.34)
- L2036 — Knee ankle foot orthosis, full plastic, double upright, with or without free motion knee, with or without free motion ankle, custom fabricated ($2,131.99–$4,092.63)
- L2037 — Knee ankle foot orthosis, full plastic, single upright, with or without free motion knee, with or without free motion ankle, custom fabricated ($1,913.97–$2,959.04)
- L2038 — Knee ankle foot orthosis, full plastic, with or without free motion knee, multi-axis ankle, custom fabricated ($1,642.94–$2,190.58)
- L2040 — Hip knee ankle foot orthosis, torsion control, bilateral rotation straps, pelvic band/belt, custom fabricated ($151.04–$265.10)
- L2050 — Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, hip joint, pelvic band/belt, custom fabricated ($547.39–$1,025.08)
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 L2020
- Watch L2020 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for L2020
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.