L2570 HCPCS code: Addition to lower extremity, pelvic control, hip joint, clevis type two position joint, each
L2570 is the HCPCS Level II code for addition to lower extremity, pelvic control, hip joint, clevis type two position joint, each. The 2026 Medicare DMEPOS fee schedule pays $511.24 to $1,207.51 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 rose 45% from 2022 to 2024 (11 to 16 services). In 2024, 11 suppliers billed Medicare for L2570 (purchases), serving 11 beneficiaries. Its average fee ranks 7 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 | 1986-01-01 |
| Last action effective | 1996-01-01 |
2026 Medicare DMEPOS fee schedule for L2570
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $511.24 | $1,207.51 | $729.78 | $547.34 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $1,129.23 | — |
| AL | — | $729.78 | — |
| AR | — | $729.78 | — |
| AZ | — | $729.78 | — |
| CA | — | $729.78 | — |
| CO | — | $547.34 | — |
| CT | — | $547.34 | — |
| DC | — | $547.34 | — |
| DE | — | $547.34 | — |
| FL | — | $729.78 | — |
| GA | — | $729.78 | — |
| HI | — | $1,207.51 | — |
| IA | — | $629.71 | — |
| ID | — | $563.84 | — |
| IL | — | $547.34 | — |
| IN | — | $547.34 | — |
| KS | — | $629.71 | — |
| KY | — | $729.78 | — |
| LA | — | $729.78 | — |
| MA | — | $547.34 | — |
| MD | — | $547.34 | — |
| ME | — | $547.34 | — |
| MI | — | $547.34 | — |
| MN | — | $547.34 | — |
| MO | — | $629.71 | — |
| MS | — | $729.78 | — |
| MT | — | $547.34 | — |
| NC | — | $729.78 | — |
| ND | — | $547.34 | — |
| NE | — | $629.71 | — |
| NH | — | $547.34 | — |
| NJ | — | $547.34 | — |
| NM | — | $729.78 | — |
| NV | — | $729.78 | — |
| NY | — | $547.34 | — |
| OH | — | $547.34 | — |
| OK | — | $729.78 | — |
| OR | — | $563.84 | — |
| PA | — | $547.34 | — |
| PR | — | $511.24 | — |
| RI | — | $547.34 | — |
| SC | — | $729.78 | — |
| SD | — | $547.34 | — |
| TN | — | $729.78 | — |
| TX | — | $729.78 | — |
| UT | — | $547.34 | — |
| VA | — | $547.34 | — |
| VI | — | $547.34 | — |
| VT | — | $547.34 | — |
| WA | — | $563.84 | — |
| WI | — | $547.34 | — |
| WV | — | $547.34 | — |
| WY | — | $547.34 | — |
How the L2570 fee compares
| Measure | Value |
|---|---|
| Rank among 10 L25 codes (lowest = 1) | 7 |
| Family fee range (average of state fees) | $311.28–$1,613.00 |
| Rural fee uplift | — |
Who bills L2570 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 11 |
| Referring clinicians | 11 |
| Medicare beneficiaries | 11 |
| States with claims | 0 |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 9 | 0 |
| 2023 | 9 | 0 |
| 2024 | 11 | 11 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for L2570, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 11 | 0 | $538.30 | $425.56 |
| 2023 | 13 | 0 | $615.52 | $482.57 |
| 2024 | 16 | 11 | $605.38 | $474.62 |
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 L2570
- 2026-01-01: Average state fee rose 2.0%: $619.92 to $632.32
- 1986-01-01: L2570 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 L2570?
L2570 is the HCPCS Level II code for addition to lower extremity, pelvic control, hip joint, clevis type two position joint, each. Short descriptor: "Hip clevis type 2 posit jnt".
How much does Medicare pay for L2570?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $511.24–$1,207.51. Rural fees can be higher.
Does Medicare cover L2570?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for L2570 change in 2026?
The average non-rural state fee moved from $619.92 in 2025 to $632.32 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of L2570 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)
- L2526 — Addition to lower extremity, thigh/weight bearing, ischial containment/narrow m-l brim, custom fitted ($787.09–$2,284.23)
- 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)
- L2580 — Addition to lower extremity, pelvic control, pelvic sling ($533.32–$906.36)
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 L2570
- Watch L2570 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for L2570
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.