L2275 HCPCS code: Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined
L2275 is the HCPCS Level II code for addition to lower extremity, varus/valgus correction, plastic modification, padded/lined. The 2026 Medicare DMEPOS fee schedule pays $144.84 to $212.26 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 4% from 2022 to 2024 (21,677 to 20,811 services). In 2024, 2,277 suppliers billed Medicare for L2275 (purchases), serving 17,150 beneficiaries; California, New York, Texas accounted for 25% of services. Its average fee ranks 9 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 | 1994-01-01 |
| Last action effective | 1996-01-01 |
2026 Medicare DMEPOS fee schedule for L2275
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $144.84 | $212.26 | $192.15 | $144.12 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $212.26 | — |
| AL | — | $150.16 | — |
| AR | — | $150.13 | — |
| AZ | — | $179.72 | — |
| CA | — | $179.72 | — |
| CO | — | $171.17 | — |
| CT | — | $151.30 | — |
| DC | — | $149.59 | — |
| DE | — | $149.59 | — |
| FL | — | $150.16 | — |
| GA | — | $150.16 | — |
| HI | — | $212.26 | — |
| IA | — | $183.22 | — |
| ID | — | $179.72 | — |
| IL | — | $160.19 | — |
| IN | — | $160.19 | — |
| KS | — | $183.22 | — |
| KY | — | $150.16 | — |
| LA | — | $150.13 | — |
| MA | — | $151.30 | — |
| MD | — | $149.59 | — |
| ME | — | $151.30 | — |
| MI | — | $160.19 | — |
| MN | — | $160.19 | — |
| MO | — | $183.22 | — |
| MS | — | $150.16 | — |
| MT | — | $171.17 | — |
| NC | — | $150.16 | — |
| ND | — | $171.17 | — |
| NE | — | $183.22 | — |
| NH | — | $151.30 | — |
| NJ | — | $144.84 | — |
| NM | — | $150.13 | — |
| NV | — | $179.72 | — |
| NY | — | $144.84 | — |
| OH | — | $160.19 | — |
| OK | — | $150.13 | — |
| OR | — | $179.72 | — |
| PA | — | $149.59 | — |
| PR | — | $185.06 | — |
| RI | — | $151.30 | — |
| SC | — | $150.16 | — |
| SD | — | $171.17 | — |
| TN | — | $150.16 | — |
| TX | — | $150.13 | — |
| UT | — | $171.17 | — |
| VA | — | $149.59 | — |
| VI | — | $144.84 | — |
| VT | — | $151.30 | — |
| WA | — | $179.72 | — |
| WI | — | $160.19 | — |
| WV | — | $149.59 | — |
| WY | — | $171.17 | — |
How the L2275 fee compares
| Measure | Value |
|---|---|
| Rank among 12 L22 codes (lowest = 1) | 9 |
| Family fee range (average of state fees) | $64.40–$580.99 |
| Rural fee uplift | — |
Who bills L2275 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 2,277 |
| Referring clinicians | 11,891 |
| Medicare beneficiaries | 17,150 |
| States with claims | 51 |
| Share of services in top 3 states (California, New York, Texas) | 25% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 2,417 | 17,837 |
| 2023 | 2,382 | 18,085 |
| 2024 | 2,277 | 17,150 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for L2275, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 21,677 | 17,837 | $137.16 | $106.48 |
| 2023 | 21,986 | 18,085 | $148.64 | $114.66 |
| 2024 | 20,811 | 17,150 | $152.85 | $117.88 |
States with the most L2275 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 2,146 | $131.47 |
| New York | 1,813 | $106.54 |
| Texas | 1,177 | $110.38 |
| Florida | 1,150 | $111.15 |
| Illinois | 1,098 | $119.40 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 2 | Anatomic Consideration |
| outpatient hospital claims | 2 | Anatomic Consideration |
Medicare policy articles for this code
- A52465: Knee Orthoses - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
Covered diagnoses (4,806 ICD-10-CM codes)
The diagnoses most often listed as covered in the policy articles above:
| ICD-10-CM | Diagnosis | Articles listing it |
|---|---|---|
| G04.1 | Tropical spastic paraplegia | 1 |
| G35.A | Relapsing-remitting multiple sclerosis | 1 |
| G35.B0 | Primary progressive multiple sclerosis, unspecified | 1 |
| G35.B1 | Active primary progressive multiple sclerosis | 1 |
| G35.B2 | Non-active primary progressive multiple sclerosis | 1 |
| G35.C0 | Secondary progressive multiple sclerosis, unspecified | 1 |
| G35.C1 | Active secondary progressive multiple sclerosis | 1 |
| G35.C2 | Non-active secondary progressive multiple sclerosis | 1 |
| G35.D | Multiple sclerosis, unspecified | 1 |
| G57.01 | Lesion of sciatic nerve, right lower limb | 1 |
Showing 10 of 4,806. The full list, non-covered diagnoses and CSV export are in Caduvo.
What changed for L2275
- 2026-01-01: Average state fee rose 2.0%: $159.10 to $162.28
- 1994-01-01: L2275 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 L2275?
L2275 is the HCPCS Level II code for addition to lower extremity, varus/valgus correction, plastic modification, padded/lined. Short descriptor: "Plastic mod low ext pad/line".
How much does Medicare pay for L2275?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $144.84–$212.26. Rural fees can be higher.
Does Medicare cover L2275?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Which diagnoses support coverage for L2275?
Medicare policy articles that cite L2275 list 4,806 covered ICD-10-CM diagnosis codes across 1 article. The most cited include G04.1 (Tropical spastic paraplegia), G35.A (Relapsing-remitting multiple sclerosis), G35.B0 (Primary progressive multiple sclerosis, unspecified). A listed diagnosis is necessary but not sufficient; the policy's other criteria still apply.
Did the Medicare fee for L2275 change in 2026?
The average non-rural state fee moved from $159.10 in 2025 to $162.28 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of L2275 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)
- L2270 — Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad ($61.71–$161.82)
- 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 L2275
- Watch L2275 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for L2275
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.