L2360 HCPCS code: Addition to lower extremity, extended steel shank
L2360 is the HCPCS Level II code for addition to lower extremity, extended steel shank. The 2026 Medicare DMEPOS fee schedule pays $59.45 to $96.81 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 34% from 2022 to 2024 (930 to 610 services). In 2024, 241 suppliers billed Medicare for L2360 (purchases), serving 507 beneficiaries; Tennessee, California, Pennsylvania accounted for 51% of services. Its average fee ranks 1 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 L2360
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $59.45 | $96.81 | $79.27 | $59.45 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $77.83 | — |
| AL | — | $59.45 | — |
| AR | — | $79.27 | — |
| AZ | — | $78.42 | — |
| CA | — | $78.42 | — |
| CO | — | $66.07 | — |
| CT | — | $59.45 | — |
| DC | — | $59.45 | — |
| DE | — | $59.45 | — |
| FL | — | $59.45 | — |
| GA | — | $59.45 | — |
| HI | — | $83.25 | — |
| IA | — | $63.59 | — |
| ID | — | $79.27 | — |
| IL | — | $63.37 | — |
| IN | — | $63.37 | — |
| KS | — | $63.59 | — |
| KY | — | $59.45 | — |
| LA | — | $79.27 | — |
| MA | — | $59.45 | — |
| MD | — | $59.45 | — |
| ME | — | $59.45 | — |
| MI | — | $63.37 | — |
| MN | — | $63.37 | — |
| MO | — | $63.59 | — |
| MS | — | $59.45 | — |
| MT | — | $66.07 | — |
| NC | — | $59.45 | — |
| ND | — | $66.07 | — |
| NE | — | $63.59 | — |
| NH | — | $59.45 | — |
| NJ | — | $79.27 | — |
| NM | — | $79.27 | — |
| NV | — | $78.42 | — |
| NY | — | $79.27 | — |
| OH | — | $63.37 | — |
| OK | — | $79.27 | — |
| OR | — | $79.27 | — |
| PA | — | $59.45 | — |
| PR | — | $96.81 | — |
| RI | — | $59.45 | — |
| SC | — | $59.45 | — |
| SD | — | $66.07 | — |
| TN | — | $59.45 | — |
| TX | — | $79.27 | — |
| UT | — | $66.07 | — |
| VA | — | $59.45 | — |
| VI | — | $79.27 | — |
| VT | — | $59.45 | — |
| WA | — | $79.27 | — |
| WI | — | $63.37 | — |
| WV | — | $59.45 | — |
| WY | — | $66.07 | — |
How the L2360 fee compares
| Measure | Value |
|---|---|
| Rank among 16 L23 codes (lowest = 1) | 1 |
| Family fee range (average of state fees) | $67.64–$1,175.80 |
| Rural fee uplift | — |
Who bills L2360 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 241 |
| Referring clinicians | 432 |
| Medicare beneficiaries | 507 |
| States with claims | 14 |
| Share of services in top 3 states (Tennessee, California, Pennsylvania) | 51% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 296 | 741 |
| 2023 | 265 | 617 |
| 2024 | 241 | 507 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for L2360, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 930 | 741 | $56.80 | $43.82 |
| 2023 | 764 | 617 | $62.14 | $47.80 |
| 2024 | 610 | 507 | $62.15 | $47.78 |
States with the most L2360 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Tennessee | 97 | $44.57 |
| California | 69 | $50.03 |
| Pennsylvania | 66 | $43.77 |
| Virginia | 49 | $44.63 |
| Ohio | 28 | $49.44 |
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 L2360
- 2026-01-01: Average state fee rose 2.0%: $66.32 to $67.64
- 1986-01-01: L2360 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 L2360?
L2360 is the HCPCS Level II code for addition to lower extremity, extended steel shank. Short descriptor: "Extended steel shank".
How much does Medicare pay for L2360?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $59.45–$96.81. Rural fees can be higher.
Does Medicare cover L2360?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for L2360 change in 2026?
The average non-rural state fee moved from $66.32 in 2025 to $67.64 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of L2360 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)
- L2350 — Addition to lower extremity, prosthetic type, (bk) socket, molded to patient model, (used for 'ptb' 'afo' orthoses) ($1,023.92–$2,531.61)
- 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 L2360
- Watch L2360 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for L2360
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.