L2132 HCPCS code: Kafo, fracture orthosis, femoral fracture cast orthosis, soft, prefabricated, includes fitting and adjustment
L2132 is the HCPCS Level II code for kafo, fracture orthosis, femoral fracture cast orthosis, soft, prefabricated, includes fitting and adjustment. The 2026 Medicare DMEPOS fee schedule pays $926.98 to $1,427.66 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 12 of 17 L21 codes (family range $109.80–$2,176.65).
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 | 1988-01-01 |
| Last action effective | 2001-01-01 |
2026 Medicare DMEPOS fee schedule for L2132
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $926.98 | $1,427.66 | $1,235.97 | $926.98 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $993.52 | — |
| AL | — | $926.98 | — |
| AR | — | $1,045.73 | — |
| AZ | — | $955.33 | — |
| CA | — | $955.33 | — |
| CO | — | $1,198.60 | — |
| CT | — | $970.68 | — |
| DC | — | $1,159.73 | — |
| DE | — | $1,159.73 | — |
| FL | — | $926.98 | — |
| GA | — | $926.98 | — |
| HI | — | $1,062.34 | — |
| IA | — | $926.98 | — |
| ID | — | $926.98 | — |
| IL | — | $1,196.02 | — |
| IN | — | $1,196.02 | — |
| KS | — | $926.98 | — |
| KY | — | $926.98 | — |
| LA | — | $1,045.73 | — |
| MA | — | $970.68 | — |
| MD | — | $1,159.73 | — |
| ME | — | $970.68 | — |
| MI | — | $1,196.02 | — |
| MN | — | $1,196.02 | — |
| MO | — | $926.98 | — |
| MS | — | $926.98 | — |
| MT | — | $1,198.60 | — |
| NC | — | $926.98 | — |
| ND | — | $1,198.60 | — |
| NE | — | $926.98 | — |
| NH | — | $970.68 | — |
| NJ | — | $1,235.97 | — |
| NM | — | $1,045.73 | — |
| NV | — | $955.33 | — |
| NY | — | $1,235.97 | — |
| OH | — | $1,196.02 | — |
| OK | — | $1,045.73 | — |
| OR | — | $926.98 | — |
| PA | — | $1,159.73 | — |
| PR | — | $1,427.66 | — |
| RI | — | $970.68 | — |
| SC | — | $926.98 | — |
| SD | — | $1,198.60 | — |
| TN | — | $926.98 | — |
| TX | — | $1,045.73 | — |
| UT | — | $1,198.60 | — |
| VA | — | $1,159.73 | — |
| VI | — | $1,235.97 | — |
| VT | — | $970.68 | — |
| WA | — | $926.98 | — |
| WI | — | $1,196.02 | — |
| WV | — | $1,159.73 | — |
| WY | — | $1,198.60 | — |
How the L2132 fee compares
| Measure | Value |
|---|---|
| Rank among 17 L21 codes (lowest = 1) | 12 |
| Family fee range (average of state fees) | $109.80–$2,176.65 |
| 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 L2132
- 2026-01-01: Average state fee rose 2.0%: $1,042.19 to $1,063.04
- 1988-01-01: L2132 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 L2132?
L2132 is the HCPCS Level II code for kafo, fracture orthosis, femoral fracture cast orthosis, soft, prefabricated, includes fitting and adjustment. Short descriptor: "Kafo femoral fx cast soft".
How much does Medicare pay for L2132?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $926.98–$1,427.66. Rural fees can be higher.
Does Medicare cover L2132?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for L2132 change in 2026?
The average non-rural state fee moved from $1,042.19 in 2025 to $1,063.04 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of L2132 can be billed per day?
2 on DME suppliers; 2 on outpatient hospital claims (NCCI medically unlikely edits).
Related L21 codes
- L2106 — Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, thermoplastic type casting material, custom fabricated ($781.31–$1,468.06)
- L2108 — Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, custom fabricated ($999.36–$1,659.98)
- L2112 — Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, soft, prefabricated, includes fitting and adjustment ($536.14–$708.38)
- L2114 — Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, semi-rigid, prefabricated, includes fitting and adjustment ($666.99–$1,125.78)
- L2116 — Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, rigid, prefabricated, includes fitting and adjustment ($818.05–$1,402.58)
- L2126 — Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, thermoplastic type casting material, custom fabricated ($1,376.03–$1,834.71)
- L2128 — Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, custom fabricated ($1,808.36–$2,786.22)
- L2134 — Kafo, fracture orthosis, femoral fracture cast orthosis, semi-rigid, prefabricated, includes fitting and adjustment ($1,111.41–$1,713.20)
- L2136 — Kafo, fracture orthosis, femoral fracture cast orthosis, rigid, prefabricated, includes fitting and adjustment ($1,358.95–$2,855.32)
- L2180 — Addition to lower extremity fracture orthosis, plastic shoe insert with ankle joints ($95.20–$220.62)
- L2182 — Addition to lower extremity fracture orthosis, drop lock knee joint ($47.61–$140.43)
- L2184 — Addition to lower extremity fracture orthosis, limited motion knee joint ($66.65–$189.80)
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 L2132
- Watch L2132 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for L2132
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.