L2755 HCPCS code: Addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthosis only
L2755 is the HCPCS Level II code for addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthosis only. The 2026 Medicare DMEPOS fee schedule pays $156.68 to $172.42 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 8 per day on DME suppliers. Medicare volume rose 13% from 2022 to 2024 (8,699 to 9,819 services). In 2024, 1,254 suppliers billed Medicare for L2755 (purchases), serving 5,086 beneficiaries; California, Texas, New York accounted for 18% of services. Its average fee ranks 7 of 7 L27 codes (family range $41.54–$160.04).
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 | 1997-01-01 |
| Last action effective | 2005-01-01 |
2026 Medicare DMEPOS fee schedule for L2755
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $156.68 | $172.42 | $191.26 | $143.45 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $158.29 | — |
| AL | — | $161.49 | — |
| AR | — | $161.48 | — |
| AZ | — | $156.75 | — |
| CA | — | $156.75 | — |
| CO | — | $162.29 | — |
| CT | — | $156.68 | — |
| DC | — | $156.70 | — |
| DE | — | $156.70 | — |
| FL | — | $161.49 | — |
| GA | — | $161.49 | — |
| HI | — | $169.33 | — |
| IA | — | $159.78 | — |
| ID | — | $156.75 | — |
| IL | — | $160.58 | — |
| IN | — | $160.58 | — |
| KS | — | $159.78 | — |
| KY | — | $161.49 | — |
| LA | — | $161.48 | — |
| MA | — | $156.68 | — |
| MD | — | $156.70 | — |
| ME | — | $156.68 | — |
| MI | — | $160.58 | — |
| MN | — | $160.58 | — |
| MO | — | $159.78 | — |
| MS | — | $161.49 | — |
| MT | — | $162.29 | — |
| NC | — | $161.49 | — |
| ND | — | $162.29 | — |
| NE | — | $159.78 | — |
| NH | — | $156.68 | — |
| NJ | — | $156.68 | — |
| NM | — | $161.48 | — |
| NV | — | $156.75 | — |
| NY | — | $156.68 | — |
| OH | — | $160.58 | — |
| OK | — | $161.48 | — |
| OR | — | $156.75 | — |
| PA | — | $156.70 | — |
| PR | — | $172.42 | — |
| RI | — | $156.68 | — |
| SC | — | $161.49 | — |
| SD | — | $162.29 | — |
| TN | — | $161.49 | — |
| TX | — | $161.48 | — |
| UT | — | $162.29 | — |
| VA | — | $156.70 | — |
| VI | — | $172.42 | — |
| VT | — | $156.68 | — |
| WA | — | $156.75 | — |
| WI | — | $160.58 | — |
| WV | — | $156.70 | — |
| WY | — | $162.29 | — |
How the L2755 fee compares
| Measure | Value |
|---|---|
| Rank among 7 L27 codes (lowest = 1) | 7 |
| Family fee range (average of state fees) | $41.54–$160.04 |
| Rural fee uplift | — |
Who bills L2755 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 1,254 |
| Referring clinicians | 4,176 |
| Medicare beneficiaries | 5,086 |
| States with claims | 48 |
| Share of services in top 3 states (California, Texas, New York) | 18% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 1,224 | 4,665 |
| 2023 | 1,262 | 4,870 |
| 2024 | 1,254 | 5,086 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for L2755, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 8,699 | 4,665 | $136.46 | $105.97 |
| 2023 | 9,132 | 4,870 | $147.48 | $113.80 |
| 2024 | 9,819 | 5,086 | $152.05 | $117.33 |
States with the most L2755 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 654 | $115.89 |
| Texas | 560 | $117.66 |
| New York | 505 | $115.12 |
| Virginia | 490 | $116.66 |
| Florida | 473 | $119.85 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 8 | Clinical: Data |
| outpatient hospital claims | 8 | Clinical: Data |
Medicare policy articles for this code
- A52457: Ankle-Foot/Knee-Ankle-Foot Orthoses - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
- A52465: Knee Orthoses - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
Covered diagnoses (4,818 ICD-10-CM codes)
The diagnoses most often listed as covered in the policy articles above:
| ICD-10-CM | Diagnosis | Articles listing it |
|---|---|---|
| A52.16 | Charcot's arthropathy (tabetic) | 1 |
| E08.610 | Diabetes mellitus due to underlying condition with diabetic neuropathic arthropathy | 1 |
| E09.610 | Drug or chemical induced diabetes mellitus with diabetic neuropathic arthropathy | 1 |
| E10.610 | Type 1 diabetes mellitus with diabetic neuropathic arthropathy | 1 |
| E11.610 | Type 2 diabetes mellitus with diabetic neuropathic arthropathy | 1 |
| G04.1 | Tropical spastic paraplegia | 1 |
| G35.A | Relapsing-remitting multiple sclerosis | 1 |
| G35.B0 | Primary progressive multiple sclerosis, unspecified | 1 |
| G35.B1 | Active primary progressive multiple sclerosis | 1 |
| G35.B2 | Non-active primary progressive multiple sclerosis | 1 |
Showing 10 of 4,818. The full list, non-covered diagnoses and CSV export are in Caduvo.
What changed for L2755
- 2026-01-01: Average state fee rose 2.0%: $156.91 to $160.04
- 1997-01-01: L2755 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 L2755?
L2755 is the HCPCS Level II code for addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthosis only. Short descriptor: "Carbon graphite lamination".
How much does Medicare pay for L2755?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $156.68–$172.42. Rural fees can be higher.
Does Medicare cover L2755?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Which diagnoses support coverage for L2755?
Medicare policy articles that cite L2755 list 4,818 covered ICD-10-CM diagnosis codes across 2 articles. The most cited include A52.16 (Charcot's arthropathy (tabetic)), E08.610 (Diabetes mellitus due to underlying condition with diabetic neuropathic arthropathy), E09.610 (Drug or chemical induced diabetes mellitus with diabetic neuropathic arthropathy). A listed diagnosis is necessary but not sufficient; the policy's other criteria still apply.
Did the Medicare fee for L2755 change in 2026?
The average non-rural state fee moved from $156.91 in 2025 to $160.04 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of L2755 can be billed per day?
8 on DME suppliers; 8 on outpatient hospital claims (NCCI medically unlikely edits).
Related L27 codes
- L2750 — Addition to lower extremity orthosis, plating chrome or nickel, per bar ($40.94–$128.06)
- L2760 — Addition to lower extremity orthosis, extension, per extension, per bar (for lineal adjustment for growth) ($50.24–$158.45)
- L2768 — Orthotic side bar disconnect device, per bar ($156.26–$171.87)
- L2780 — Addition to lower extremity orthosis, non-corrosive finish, per bar ($40.94–$124.00)
- L2785 — Addition to lower extremity orthosis, drop lock retainer, each ($36.42–$72.99)
- L2795 — Addition to lower extremity orthosis, knee control, full kneecap ($68.71–$175.32)
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 L2755
- Watch L2755 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for L2755
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.