L2270 HCPCS code: Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad
L2270 is the HCPCS Level II code for addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad. The 2026 Medicare DMEPOS fee schedule pays $61.71 to $161.82 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 6% from 2022 to 2024 (8,259 to 7,778 services). In 2024, 1,411 suppliers billed Medicare for L2270 (purchases), serving 6,284 beneficiaries; New York, California, Pennsylvania accounted for 26% of services. Its average fee ranks 2 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 |
2026 Medicare DMEPOS fee schedule for L2270
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $61.71 | $161.82 | $82.28 | $61.71 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $122.47 | — |
| AL | — | $61.71 | — |
| AR | — | $61.71 | — |
| AZ | — | $82.28 | — |
| CA | — | $82.28 | — |
| CO | — | $67.76 | — |
| CT | — | $72.17 | — |
| DC | — | $63.44 | — |
| DE | — | $63.44 | — |
| FL | — | $61.71 | — |
| GA | — | $61.71 | — |
| HI | — | $130.98 | — |
| IA | — | $61.71 | — |
| ID | — | $82.28 | — |
| IL | — | $75.76 | — |
| IN | — | $75.76 | — |
| KS | — | $61.71 | — |
| KY | — | $61.71 | — |
| LA | — | $61.71 | — |
| MA | — | $72.17 | — |
| MD | — | $63.44 | — |
| ME | — | $72.17 | — |
| MI | — | $75.76 | — |
| MN | — | $75.76 | — |
| MO | — | $61.71 | — |
| MS | — | $61.71 | — |
| MT | — | $67.76 | — |
| NC | — | $61.71 | — |
| ND | — | $67.76 | — |
| NE | — | $61.71 | — |
| NH | — | $72.17 | — |
| NJ | — | $63.08 | — |
| NM | — | $61.71 | — |
| NV | — | $82.28 | — |
| NY | — | $63.08 | — |
| OH | — | $75.76 | — |
| OK | — | $61.71 | — |
| OR | — | $82.28 | — |
| PA | — | $63.44 | — |
| PR | — | $161.82 | — |
| RI | — | $72.17 | — |
| SC | — | $61.71 | — |
| SD | — | $67.76 | — |
| TN | — | $61.71 | — |
| TX | — | $61.71 | — |
| UT | — | $67.76 | — |
| VA | — | $63.44 | — |
| VI | — | $63.08 | — |
| VT | — | $72.17 | — |
| WA | — | $82.28 | — |
| WI | — | $75.76 | — |
| WV | — | $63.44 | — |
| WY | — | $67.76 | — |
How the L2270 fee compares
| Measure | Value |
|---|---|
| Rank among 12 L22 codes (lowest = 1) | 2 |
| Family fee range (average of state fees) | $64.40–$580.99 |
| Rural fee uplift | — |
Who bills L2270 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 1,411 |
| Referring clinicians | 5,164 |
| Medicare beneficiaries | 6,284 |
| States with claims | 50 |
| Share of services in top 3 states (New York, California, Pennsylvania) | 26% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 1,517 | 6,701 |
| 2023 | 1,441 | 6,706 |
| 2024 | 1,411 | 6,284 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for L2270, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 8,259 | 6,701 | $59.38 | $45.83 |
| 2023 | 8,249 | 6,706 | $64.44 | $49.48 |
| 2024 | 7,778 | 6,284 | $66.01 | $50.67 |
States with the most L2270 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| New York | 788 | $46.55 |
| California | 781 | $60.92 |
| Pennsylvania | 487 | $46.71 |
| Massachusetts | 442 | $52.42 |
| Ohio | 397 | $54.71 |
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 L2270
- 2026-01-01: Average state fee rose 2.0%: $70.70 to $72.11
- 1986-01-01: L2270 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 L2270?
L2270 is the HCPCS Level II code for addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad. Short descriptor: "Varus/valgus strap padded/li".
How much does Medicare pay for L2270?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $61.71–$161.82. Rural fees can be higher.
Does Medicare cover L2270?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for L2270 change in 2026?
The average non-rural state fee moved from $70.70 in 2025 to $72.11 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of L2270 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)
- L2230 — Addition to lower extremity, split flat caliper stirrups and plate attachment ($51.03–$220.94)
- 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)
- 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 L2270
- Watch L2270 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for L2270
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.