L2861 HCPCS code: Addition to lower extremity joint, knee or ankle, concentric adjustable torsion style mechanism for custom fabricated orthotics only, each
L2861 is the HCPCS Level II code for addition to lower extremity joint, knee or ankle, concentric adjustable torsion style mechanism for custom fabricated orthotics only, each. Its Medicare coverage code is I (Not payable by Medicare): Medicare does not pay separately under this code; another code applies.
Code details
| Field | Value |
|---|---|
| Section | L codes — Orthotic and prosthetic procedures and devices |
| Coverage code | I — Not payable by Medicare |
| Pricing indicator | 00 — Not separately priced by Medicare |
| BETOS category | D1F — Prosthetic and orthotic devices |
| Added | 2010-01-01 |
| Last action effective | 2010-01-01 |
Related codes Medicare does pay
Medicare does not pay under L2861. These codes in the same L28 family carry a current DMEPOS fee:
- L2800 — Addition to lower extremity orthosis, knee control, knee cap, medial or lateral pull, for use with custom fabricated orthosis only: $104.71–$215.66
- L2810 — Addition to lower extremity orthosis, knee control, condylar pad: $85.68–$173.70
- L2820 — Addition to lower extremity orthosis, soft interface for molded plastic, below knee section: $99.79–$399.72
- L2830 — Addition to lower extremity orthosis, soft interface for molded plastic, above knee section: $107.96–$399.72
- L2840 — Addition to lower extremity orthosis, tibial length sock, fracture or equal, each: $50.21–$66.94
- L2850 — Addition to lower extremity orthosis, femoral length sock, fracture or equal, each: $71.15–$94.86
What changed for L2861
- 2010-01-01: L2861 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 L2861?
L2861 is the HCPCS Level II code for addition to lower extremity joint, knee or ankle, concentric adjustable torsion style mechanism for custom fabricated orthotics only, each. Short descriptor: "Torsion mechanism knee/ankle".
Does Medicare cover L2861?
Coverage code I — Not payable by Medicare. Medicare does not pay separately under this code; another code applies.
Which related codes does Medicare pay instead of L2861?
Codes in the same L28 family with a DMEPOS fee include L2800 ($104.71–$215.66), L2810 ($85.68–$173.70), L2820 ($99.79–$399.72). Check the item matches the code's descriptor before billing.
Related L28 codes
- L2800 — Addition to lower extremity orthosis, knee control, knee cap, medial or lateral pull, for use with custom fabricated orthosis only ($104.71–$215.66)
- L2810 — Addition to lower extremity orthosis, knee control, condylar pad ($85.68–$173.70)
- L2820 — Addition to lower extremity orthosis, soft interface for molded plastic, below knee section ($99.79–$399.72)
- L2830 — Addition to lower extremity orthosis, soft interface for molded plastic, above knee section ($107.96–$399.72)
- L2840 — Addition to lower extremity orthosis, tibial length sock, fracture or equal, each ($50.21–$66.94)
- L2850 — Addition to lower extremity orthosis, femoral length sock, fracture or equal, each ($71.15–$94.86)
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Next steps
- Run a reimbursement report for a device billed under L2861
- Watch L2861 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for L2861
Sources: CMS HCPCS Level II release October 2025; CMS DMEPOS fee schedule; 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.