L2230 HCPCS code: Addition to lower extremity, split flat caliper stirrups and plate attachment
L2230 is the HCPCS Level II code for addition to lower extremity, split flat caliper stirrups and plate attachment. The 2026 Medicare DMEPOS fee schedule pays $51.03 to $220.94 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. Medicare volume fell 29% from 2022 to 2024 (663 to 473 services). In 2024, 227 suppliers billed Medicare for L2230 (purchases), serving 373 beneficiaries; Tennessee, Florida, North Carolina accounted for 46% of services. Its average fee ranks 4 of 12 L22 codes (family range $64.40–$580.99).
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 | 1986-01-01 |
| Last action effective | 1996-01-01 |
2026 Medicare DMEPOS fee schedule for L2230
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $51.03 | $220.94 | $117.56 | $88.17 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $206.62 | — |
| AL | — | $88.17 | — |
| AR | — | $92.77 | — |
| AZ | — | $117.56 | — |
| CA | — | $117.56 | — |
| CO | — | $96.19 | — |
| CT | — | $88.17 | — |
| DC | — | $88.17 | — |
| DE | — | $88.17 | — |
| FL | — | $88.17 | — |
| GA | — | $88.17 | — |
| HI | — | $220.94 | — |
| IA | — | $90.78 | — |
| ID | — | $108.27 | — |
| IL | — | $117.56 | — |
| IN | — | $117.56 | — |
| KS | — | $90.78 | — |
| KY | — | $88.17 | — |
| LA | — | $92.77 | — |
| MA | — | $88.17 | — |
| MD | — | $88.17 | — |
| ME | — | $88.17 | — |
| MI | — | $117.56 | — |
| MN | — | $117.56 | — |
| MO | — | $90.78 | — |
| MS | — | $88.17 | — |
| MT | — | $96.19 | — |
| NC | — | $88.17 | — |
| ND | — | $96.19 | — |
| NE | — | $90.78 | — |
| NH | — | $88.17 | — |
| NJ | — | $88.17 | — |
| NM | — | $92.77 | — |
| NV | — | $117.56 | — |
| NY | — | $88.17 | — |
| OH | — | $117.56 | — |
| OK | — | $92.77 | — |
| OR | — | $108.27 | — |
| PA | — | $88.17 | — |
| PR | — | $51.03 | — |
| RI | — | $88.17 | — |
| SC | — | $88.17 | — |
| SD | — | $96.19 | — |
| TN | — | $88.17 | — |
| TX | — | $92.77 | — |
| UT | — | $96.19 | — |
| VA | — | $88.17 | — |
| VI | — | $88.17 | — |
| VT | — | $88.17 | — |
| WA | — | $108.27 | — |
| WI | — | $117.56 | — |
| WV | — | $88.17 | — |
| WY | — | $96.19 | — |
How the L2230 fee compares
| Measure | Value |
|---|---|
| Rank among 12 L22 codes (lowest = 1) | 4 |
| Family fee range (average of state fees) | $64.40–$580.99 |
| Rural fee uplift | — |
Who bills L2230 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 227 |
| Referring clinicians | 357 |
| Medicare beneficiaries | 373 |
| States with claims | 12 |
| Share of services in top 3 states (Tennessee, Florida, North Carolina) | 46% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 318 | 534 |
| 2023 | 273 | 473 |
| 2024 | 227 | 373 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for L2230, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 663 | 534 | $81.37 | $62.29 |
| 2023 | 571 | 473 | $88.08 | $66.97 |
| 2024 | 473 | 373 | $90.30 | $70.11 |
States with the most L2230 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Tennessee | 59 | $63.60 |
| Florida | 51 | $66.16 |
| North Carolina | 43 | $66.31 |
| Ohio | 40 | $86.51 |
| Virginia | 24 | $63.83 |
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 L2230
- 2026-01-01: Average state fee rose 2.0%: $97.92 to $99.88
- 1986-01-01: L2230 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 L2230?
L2230 is the HCPCS Level II code for addition to lower extremity, split flat caliper stirrups and plate attachment. Short descriptor: "Split flat caliper stirr & p".
How much does Medicare pay for L2230?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $51.03–$220.94. Rural fees can be higher.
Does Medicare cover L2230?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for L2230 change in 2026?
The average non-rural state fee moved from $97.92 in 2025 to $99.88 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of L2230 can be billed per day?
2 on DME suppliers; 2 on outpatient hospital claims (NCCI medically unlikely edits).
Related L22 codes
- L2200 — Addition to lower extremity, limited ankle motion, each joint ($54.63–$132.78)
- L2210 — Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint ($66.65–$164.31)
- L2220 — Addition to lower extremity, dorsiflexion and plantar flexion assist/resist, each joint ($94.10–$196.92)
- L2232 — Addition to lower extremity orthosis, rocker bottom for total contact ankle foot orthosis, for custom fabricated orthosis only ($119.38–$119.38)
- L2240 — Addition to lower extremity, round caliper and plate attachment ($25.45–$219.49)
- L2250 — Addition to lower extremity, foot plate, molded to patient model, stirrup attachment ($348.31–$972.13)
- L2260 — Addition to lower extremity, reinforced solid stirrup (scott-craig type) ($230.35–$839.25)
- L2265 — Addition to lower extremity, long tongue stirrup ($135.33–$352.26)
- L2270 — Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad ($61.71–$161.82)
- L2275 — Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined ($144.84–$212.26)
- L2280 — Addition to lower extremity, molded inner boot ($520.33–$865.99)
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 L2230
- Watch L2230 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for L2230
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.