L2350 HCPCS code: Addition to lower extremity, prosthetic type, (bk) socket, molded to patient model, (used for 'ptb' 'afo' orthoses)
L2350 is the HCPCS Level II code for addition to lower extremity, prosthetic type, (bk) socket, molded to patient model, (used for 'ptb' 'afo' orthoses). The 2026 Medicare DMEPOS fee schedule pays $1,023.92 to $2,531.61 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 19% from 2022 to 2024 (458 to 372 services). In 2024, 175 suppliers billed Medicare for L2350 (purchases), serving 320 beneficiaries; New York, Missouri, Arizona accounted for 60% of services. Its average fee ranks 16 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 L2350
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $1,023.92 | $2,531.61 | $1,365.23 | $1,023.92 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $2,367.54 | — |
| AL | — | $1,023.92 | — |
| AR | — | $1,091.08 | — |
| AZ | — | $1,365.23 | — |
| CA | — | $1,365.23 | — |
| CO | — | $1,195.95 | — |
| CT | — | $1,023.92 | — |
| DC | — | $1,142.48 | — |
| DE | — | $1,142.48 | — |
| FL | — | $1,023.92 | — |
| GA | — | $1,023.92 | — |
| HI | — | $2,531.61 | — |
| IA | — | $1,120.18 | — |
| ID | — | $1,155.18 | — |
| IL | — | $1,023.92 | — |
| IN | — | $1,023.92 | — |
| KS | — | $1,120.18 | — |
| KY | — | $1,023.92 | — |
| LA | — | $1,091.08 | — |
| MA | — | $1,023.92 | — |
| MD | — | $1,142.48 | — |
| ME | — | $1,023.92 | — |
| MI | — | $1,023.92 | — |
| MN | — | $1,023.92 | — |
| MO | — | $1,120.18 | — |
| MS | — | $1,023.92 | — |
| MT | — | $1,195.95 | — |
| NC | — | $1,023.92 | — |
| ND | — | $1,195.95 | — |
| NE | — | $1,120.18 | — |
| NH | — | $1,023.92 | — |
| NJ | — | $1,360.84 | — |
| NM | — | $1,091.08 | — |
| NV | — | $1,365.23 | — |
| NY | — | $1,360.84 | — |
| OH | — | $1,023.92 | — |
| OK | — | $1,091.08 | — |
| OR | — | $1,155.18 | — |
| PA | — | $1,142.48 | — |
| PR | — | $1,329.43 | — |
| RI | — | $1,023.92 | — |
| SC | — | $1,023.92 | — |
| SD | — | $1,195.95 | — |
| TN | — | $1,023.92 | — |
| TX | — | $1,091.08 | — |
| UT | — | $1,195.95 | — |
| VA | — | $1,142.48 | — |
| VI | — | $1,360.84 | — |
| VT | — | $1,023.92 | — |
| WA | — | $1,155.18 | — |
| WI | — | $1,023.92 | — |
| WV | — | $1,142.48 | — |
| WY | — | $1,195.95 | — |
How the L2350 fee compares
| Measure | Value |
|---|---|
| Rank among 16 L23 codes (lowest = 1) | 16 |
| Family fee range (average of state fees) | $67.64–$1,175.80 |
| Rural fee uplift | — |
Who bills L2350 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 175 |
| Referring clinicians | 251 |
| Medicare beneficiaries | 320 |
| States with claims | 9 |
| Share of services in top 3 states (New York, Missouri, Arizona) | 60% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 214 | 387 |
| 2023 | 218 | 385 |
| 2024 | 175 | 320 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for L2350, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 458 | 387 | $950.69 | $742.04 |
| 2023 | 468 | 385 | $1,028.41 | $801.65 |
| 2024 | 372 | 320 | $1,120.74 | $857.46 |
States with the most L2350 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| New York | 71 | $1,005.19 |
| Missouri | 29 | $830.85 |
| Arizona | 27 | $1,020.85 |
| Pennsylvania | 16 | $783.90 |
| Oregon | 14 | $867.09 |
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 L2350
- 2026-01-01: Average state fee rose 2.0%: $1,152.75 to $1,175.80
- 1986-01-01: L2350 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 L2350?
L2350 is the HCPCS Level II code for addition to lower extremity, prosthetic type, (bk) socket, molded to patient model, (used for 'ptb' 'afo' orthoses). Short descriptor: "Prosthetic type socket molde".
How much does Medicare pay for L2350?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $1,023.92–$2,531.61. Rural fees can be higher.
Does Medicare cover L2350?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for L2350 change in 2026?
The average non-rural state fee moved from $1,152.75 in 2025 to $1,175.80 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of L2350 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)
- L2340 — Addition to lower extremity, pre-tibial shell, molded to patient model ($513.58–$767.22)
- 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)
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 L2350
- Watch L2350 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for L2350
Sources: CMS HCPCS Level II release October 2026; 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.