L2640 HCPCS code: Addition to lower extremity, pelvic control, band and belt, bilateral
L2640 is the HCPCS Level II code for addition to lower extremity, pelvic control, band and belt, bilateral. The 2026 Medicare DMEPOS fee schedule pays $386.17 to $958.94 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 1 per day on DME suppliers. Medicare volume rose 18% from 2022 to 2024 (11 to 13 services). In 2024, 12 suppliers billed Medicare for L2640 (purchases), serving 12 beneficiaries. Its average fee ranks 11 of 13 L26 codes (family range $152.90–$2,216.41).
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 L2640
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $386.17 | $958.94 | $514.89 | $386.17 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $896.79 | — |
| AL | — | $386.17 | — |
| AR | — | $442.33 | — |
| AZ | — | $514.89 | — |
| CA | — | $514.89 | — |
| CO | — | $386.17 | — |
| CT | — | $505.70 | — |
| DC | — | $386.17 | — |
| DE | — | $386.17 | — |
| FL | — | $386.17 | — |
| GA | — | $386.17 | — |
| HI | — | $958.94 | — |
| IA | — | $386.17 | — |
| ID | — | $468.46 | — |
| IL | — | $386.17 | — |
| IN | — | $386.17 | — |
| KS | — | $386.17 | — |
| KY | — | $386.17 | — |
| LA | — | $442.33 | — |
| MA | — | $505.70 | — |
| MD | — | $386.17 | — |
| ME | — | $505.70 | — |
| MI | — | $386.17 | — |
| MN | — | $386.17 | — |
| MO | — | $386.17 | — |
| MS | — | $386.17 | — |
| MT | — | $386.17 | — |
| NC | — | $386.17 | — |
| ND | — | $386.17 | — |
| NE | — | $386.17 | — |
| NH | — | $505.70 | — |
| NJ | — | $514.89 | — |
| NM | — | $442.33 | — |
| NV | — | $514.89 | — |
| NY | — | $514.89 | — |
| OH | — | $386.17 | — |
| OK | — | $442.33 | — |
| OR | — | $468.46 | — |
| PA | — | $386.17 | — |
| PR | — | $818.08 | — |
| RI | — | $505.70 | — |
| SC | — | $386.17 | — |
| SD | — | $386.17 | — |
| TN | — | $386.17 | — |
| TX | — | $442.33 | — |
| UT | — | $386.17 | — |
| VA | — | $386.17 | — |
| VI | — | $514.89 | — |
| VT | — | $505.70 | — |
| WA | — | $468.46 | — |
| WI | — | $386.17 | — |
| WV | — | $386.17 | — |
| WY | — | $386.17 | — |
How the L2640 fee compares
| Measure | Value |
|---|---|
| Rank among 13 L26 codes (lowest = 1) | 11 |
| Family fee range (average of state fees) | $152.90–$2,216.41 |
| Rural fee uplift | — |
Who bills L2640 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 12 |
| Referring clinicians | 12 |
| Medicare beneficiaries | 12 |
| States with claims | 0 |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 10 | 0 |
| 2023 | 11 | 11 |
| 2024 | 12 | 12 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for L2640, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 11 | 0 | $361.65 | $284.74 |
| 2023 | 11 | 11 | $408.80 | $320.49 |
| 2024 | 13 | 12 | $430.74 | $337.70 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | Anatomic Consideration |
| outpatient hospital claims | 1 | Anatomic Consideration |
What changed for L2640
- 2026-01-01: Average state fee rose 2.0%: $443.94 to $452.82
- 1986-01-01: L2640 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 L2640?
L2640 is the HCPCS Level II code for addition to lower extremity, pelvic control, band and belt, bilateral. Short descriptor: "Pelvic control band & belt b".
How much does Medicare pay for L2640?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $386.17–$958.94. Rural fees can be higher.
Does Medicare cover L2640?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for L2640 change in 2026?
The average non-rural state fee moved from $443.94 in 2025 to $452.82 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of L2640 can be billed per day?
1 on DME suppliers; 1 on outpatient hospital claims (NCCI medically unlikely edits).
Related L26 codes
- L2600 — Addition to lower extremity, pelvic control, hip joint, clevis type, or thrust bearing, free, each ($102.32–$528.96)
- L2610 — Addition to lower extremity, pelvic control, hip joint, clevis or thrust bearing, lock, each ($133.09–$587.25)
- L2620 — Addition to lower extremity, pelvic control, hip joint, heavy duty, each ($204.45–$558.30)
- L2622 — Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each ($180.88–$699.76)
- L2624 — Addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction control, each ($257.00–$876.33)
- L2627 — Addition to lower extremity, pelvic control, plastic, molded to patient model, reciprocating hip joint and cables ($1,493.68–$2,626.58)
- L2628 — Addition to lower extremity, pelvic control, metal frame, reciprocating hip joint and cables ($1,925.23–$2,566.97)
- L2630 — Addition to lower extremity, pelvic control, band and belt, unilateral ($284.55–$809.00)
- L2650 — Addition to lower extremity, pelvic and thoracic control, gluteal pad, each ($51.03–$183.86)
- L2660 — Addition to lower extremity, thoracic control, thoracic band ($81.66–$307.20)
- L2670 — Addition to lower extremity, thoracic control, paraspinal uprights ($51.03–$261.85)
- L2680 — Addition to lower extremity, thoracic control, lateral support uprights ($51.03–$239.76)
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 L2640
- Watch L2640 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for L2640
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.