L2340 HCPCS code: Addition to lower extremity, pre-tibial shell, molded to patient model
L2340 is the HCPCS Level II code for addition to lower extremity, pre-tibial shell, molded to patient model. The 2026 Medicare DMEPOS fee schedule pays $513.58 to $767.22 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 15 of 16 L23 codes (family range $67.64–$1,175.80).
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 L2340
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $513.58 | $767.22 | $684.77 | $513.58 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $717.50 | — |
| AL | — | $626.36 | — |
| AR | — | $636.87 | — |
| AZ | — | $684.77 | — |
| CA | — | $684.77 | — |
| CO | — | $513.58 | — |
| CT | — | $513.58 | — |
| DC | — | $661.51 | — |
| DE | — | $661.51 | — |
| FL | — | $626.36 | — |
| GA | — | $626.36 | — |
| HI | — | $767.22 | — |
| IA | — | $516.86 | — |
| ID | — | $634.17 | — |
| IL | — | $513.58 | — |
| IN | — | $513.58 | — |
| KS | — | $516.86 | — |
| KY | — | $626.36 | — |
| LA | — | $636.87 | — |
| MA | — | $513.58 | — |
| MD | — | $661.51 | — |
| ME | — | $513.58 | — |
| MI | — | $513.58 | — |
| MN | — | $513.58 | — |
| MO | — | $516.86 | — |
| MS | — | $626.36 | — |
| MT | — | $513.58 | — |
| NC | — | $626.36 | — |
| ND | — | $513.58 | — |
| NE | — | $516.86 | — |
| NH | — | $513.58 | — |
| NJ | — | $558.21 | — |
| NM | — | $636.87 | — |
| NV | — | $684.77 | — |
| NY | — | $558.21 | — |
| OH | — | $513.58 | — |
| OK | — | $636.87 | — |
| OR | — | $634.17 | — |
| PA | — | $661.51 | — |
| PR | — | $571.07 | — |
| RI | — | $513.58 | — |
| SC | — | $626.36 | — |
| SD | — | $513.58 | — |
| TN | — | $626.36 | — |
| TX | — | $636.87 | — |
| UT | — | $513.58 | — |
| VA | — | $661.51 | — |
| VI | — | $558.21 | — |
| VT | — | $513.58 | — |
| WA | — | $634.17 | — |
| WI | — | $513.58 | — |
| WV | — | $661.51 | — |
| WY | — | $513.58 | — |
How the L2340 fee compares
| Measure | Value |
|---|---|
| Rank among 16 L23 codes (lowest = 1) | 15 |
| Family fee range (average of state fees) | $67.64–$1,175.80 |
| 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 L2340
- 2026-01-01: Average state fee rose 2.0%: $576.46 to $587.99
- 1986-01-01: L2340 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 L2340?
L2340 is the HCPCS Level II code for addition to lower extremity, pre-tibial shell, molded to patient model. Short descriptor: "Pre-tibial shell molded to p".
How much does Medicare pay for L2340?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $513.58–$767.22. Rural fees can be higher.
Does Medicare cover L2340?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for L2340 change in 2026?
The average non-rural state fee moved from $576.46 in 2025 to $587.99 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of L2340 can be billed per day?
2 on DME suppliers; 2 on outpatient hospital claims (NCCI medically unlikely edits).
Related L23 codes
- L2300 — Addition to lower extremity, abduction bar (bilateral hip involvement), jointed, adjustable ($61.30–$642.91)
- L2310 — Addition to lower extremity, abduction bar-straight ($61.30–$340.87)
- L2320 — Addition to lower extremity, non-molded lacer, for custom fabricated orthosis only ($236.44–$325.94)
- L2330 — Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only ($429.42–$904.14)
- L2335 — Addition to lower extremity, anterior swing band ($142.76–$463.43)
- L2350 — Addition to lower extremity, prosthetic type, (bk) socket, molded to patient model, (used for 'ptb' 'afo' orthoses) ($1,023.92–$2,531.61)
- L2360 — Addition to lower extremity, extended steel shank ($59.45–$96.81)
- L2370 — Addition to lower extremity, patten bottom ($294.98–$719.55)
- L2375 — Addition to lower extremity, torsion control, ankle joint and half solid stirrup ($85.68–$206.12)
- L2380 — Addition to lower extremity, torsion control, straight knee joint, each joint ($57.10–$243.39)
- L2385 — Addition to lower extremity, straight knee joint, heavy duty, each joint ($51.03–$225.93)
- L2387 — Addition to lower extremity, polycentric knee joint, for custom fabricated knee ankle foot orthosis, each joint ($81.66–$291.68)
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Next steps
- Run a reimbursement report for a device billed under L2340
- Watch L2340 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for L2340
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.