L2526 HCPCS code: Addition to lower extremity, thigh/weight bearing, ischial containment/narrow m-l brim, custom fitted
L2526 is the HCPCS Level II code for addition to lower extremity, thigh/weight bearing, ischial containment/narrow m-l brim, custom fitted. The 2026 Medicare DMEPOS fee schedule pays $787.09 to $2,284.23 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 8 of 10 L25 codes (family range $311.28–$1,613.00).
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 | 1989-01-01 |
| Last action effective | 1996-01-01 |
2026 Medicare DMEPOS fee schedule for L2526
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $787.09 | $2,284.23 | $1,049.45 | $787.09 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $968.07 | — |
| AL | — | $978.93 | — |
| AR | — | $787.09 | — |
| AZ | — | $973.17 | — |
| CA | — | $973.17 | — |
| CO | — | $1,019.52 | — |
| CT | — | $1,014.97 | — |
| DC | — | $851.02 | — |
| DE | — | $851.02 | — |
| FL | — | $978.93 | — |
| GA | — | $978.93 | — |
| HI | — | $1,035.18 | — |
| IA | — | $787.09 | — |
| ID | — | $1,049.45 | — |
| IL | — | $787.09 | — |
| IN | — | $787.09 | — |
| KS | — | $787.09 | — |
| KY | — | $978.93 | — |
| LA | — | $787.09 | — |
| MA | — | $1,014.97 | — |
| MD | — | $851.02 | — |
| ME | — | $1,014.97 | — |
| MI | — | $787.09 | — |
| MN | — | $787.09 | — |
| MO | — | $787.09 | — |
| MS | — | $978.93 | — |
| MT | — | $1,019.52 | — |
| NC | — | $978.93 | — |
| ND | — | $1,019.52 | — |
| NE | — | $787.09 | — |
| NH | — | $1,014.97 | — |
| NJ | — | $787.09 | — |
| NM | — | $787.09 | — |
| NV | — | $973.17 | — |
| NY | — | $787.09 | — |
| OH | — | $787.09 | — |
| OK | — | $787.09 | — |
| OR | — | $1,049.45 | — |
| PA | — | $851.02 | — |
| PR | — | $2,284.23 | — |
| RI | — | $1,014.97 | — |
| SC | — | $978.93 | — |
| SD | — | $1,019.52 | — |
| TN | — | $978.93 | — |
| TX | — | $787.09 | — |
| UT | — | $1,019.52 | — |
| VA | — | $851.02 | — |
| VI | — | $787.09 | — |
| VT | — | $1,014.97 | — |
| WA | — | $1,049.45 | — |
| WI | — | $787.09 | — |
| WV | — | $851.02 | — |
| WY | — | $1,019.52 | — |
How the L2526 fee compares
| Measure | Value |
|---|---|
| Rank among 10 L25 codes (lowest = 1) | 8 |
| Family fee range (average of state fees) | $311.28–$1,613.00 |
| 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 L2526
- 2026-01-01: Average state fee rose 2.0%: $918.75 to $937.12
- 1989-01-01: L2526 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 L2526?
L2526 is the HCPCS Level II code for addition to lower extremity, thigh/weight bearing, ischial containment/narrow m-l brim, custom fitted. Short descriptor: "Th/wght bear nar m-l brim cu".
How much does Medicare pay for L2526?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $787.09–$2,284.23. Rural fees can be higher.
Does Medicare cover L2526?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for L2526 change in 2026?
The average non-rural state fee moved from $918.75 in 2025 to $937.12 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of L2526 can be billed per day?
2 on DME suppliers; 2 on outpatient hospital claims (NCCI medically unlikely edits).
Related L25 codes
- L2500 — Addition to lower extremity, thigh/weight bearing, gluteal/ ischial weight bearing, ring ($225.00–$563.67)
- L2510 — Addition to lower extremity, thigh/weight bearing, quadri- lateral brim, molded to patient model ($834.70–$1,431.47)
- L2520 — Addition to lower extremity, thigh/weight bearing, quadri- lateral brim, custom fitted ($529.38–$856.60)
- L2525 — Addition to lower extremity, thigh/weight bearing, ischial containment/narrow m-l brim molded to patient model ($1,400.77–$1,889.47)
- L2530 — Addition to lower extremity, thigh-weight bearing, lacer, non-molded ($269.99–$550.35)
- L2540 — Addition to lower extremity, thigh/weight bearing, lacer, molded to patient model ($485.83–$901.89)
- L2550 — Addition to lower extremity, thigh/weight bearing, high roll cuff ($142.76–$608.48)
- L2570 — Addition to lower extremity, pelvic control, hip joint, clevis type two position joint, each ($511.24–$1,207.51)
- L2580 — Addition to lower extremity, pelvic control, pelvic sling ($533.32–$906.36)
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Next steps
- Run a reimbursement report for a device billed under L2526
- Watch L2526 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for L2526
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.