L2387 HCPCS code: Addition to lower extremity, polycentric knee joint, for custom fabricated knee ankle foot orthosis, each joint
L2387 is the HCPCS Level II code for addition to lower extremity, polycentric knee joint, for custom fabricated knee ankle foot orthosis, each joint. The 2026 Medicare DMEPOS fee schedule pays $81.66 to $291.68 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 4 per day on DME suppliers. Its average fee ranks 9 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 | 2006-01-01 |
| Last action effective | 2006-01-01 |
2026 Medicare DMEPOS fee schedule for L2387
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $81.66 | $291.68 | $253.57 | $190.18 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $272.72 | — |
| AL | — | $208.88 | — |
| AR | — | $190.18 | — |
| AZ | — | $253.57 | — |
| CA | — | $253.57 | — |
| CO | — | $190.18 | — |
| CT | — | $253.57 | — |
| DC | — | $221.76 | — |
| DE | — | $221.76 | — |
| FL | — | $208.88 | — |
| GA | — | $208.88 | — |
| HI | — | $291.68 | — |
| IA | — | $190.18 | — |
| ID | — | $233.37 | — |
| IL | — | $234.60 | — |
| IN | — | $234.60 | — |
| KS | — | $190.18 | — |
| KY | — | $208.88 | — |
| LA | — | $190.18 | — |
| MA | — | $253.57 | — |
| MD | — | $221.76 | — |
| ME | — | $253.57 | — |
| MI | — | $234.60 | — |
| MN | — | $234.60 | — |
| MO | — | $190.18 | — |
| MS | — | $208.88 | — |
| MT | — | $190.18 | — |
| NC | — | $208.88 | — |
| ND | — | $190.18 | — |
| NE | — | $190.18 | — |
| NH | — | $253.57 | — |
| NJ | — | $190.18 | — |
| NM | — | $190.18 | — |
| NV | — | $253.57 | — |
| NY | — | $190.18 | — |
| OH | — | $234.60 | — |
| OK | — | $190.18 | — |
| OR | — | $233.37 | — |
| PA | — | $221.76 | — |
| PR | — | $81.66 | — |
| RI | — | $253.57 | — |
| SC | — | $208.88 | — |
| SD | — | $190.18 | — |
| TN | — | $208.88 | — |
| TX | — | $190.18 | — |
| UT | — | $190.18 | — |
| VA | — | $221.76 | — |
| VI | — | $190.18 | — |
| VT | — | $253.57 | — |
| WA | — | $233.37 | — |
| WI | — | $234.60 | — |
| WV | — | $221.76 | — |
| WY | — | $190.18 | — |
How the L2387 fee compares
| Measure | Value |
|---|---|
| Rank among 16 L23 codes (lowest = 1) | 9 |
| 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 | 4 | Anatomic Consideration |
| outpatient hospital claims | 4 | Anatomic Consideration |
What changed for L2387
- 2026-01-01: Average state fee rose 2.0%: $211.99 to $216.24
- 2006-01-01: L2387 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 L2387?
L2387 is the HCPCS Level II code for addition to lower extremity, polycentric knee joint, for custom fabricated knee ankle foot orthosis, each joint. Short descriptor: "Add le poly knee custom kafo".
How much does Medicare pay for L2387?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $81.66–$291.68. Rural fees can be higher.
Does Medicare cover L2387?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for L2387 change in 2026?
The average non-rural state fee moved from $211.99 in 2025 to $216.24 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of L2387 can be billed per day?
4 on DME suppliers; 4 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)
- 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)
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Next steps
- Run a reimbursement report for a device billed under L2387
- Watch L2387 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for L2387
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.