L4110 HCPCS code: Replace leather cuff kafo-afo, calf or distal thigh
L4110 is the HCPCS Level II code for replace leather cuff kafo-afo, calf or distal thigh. The 2026 Medicare DMEPOS fee schedule pays $97.45 to $171.33 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 4 per day on DME suppliers. Its average fee ranks 1 of 3 L41 codes (family range $111.18–$640.48).
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 | 1985-01-01 |
| Last action effective | 1996-01-01 |
2026 Medicare DMEPOS fee schedule for L4110
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $97.45 | $171.33 | $129.93 | $97.45 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $157.29 | — |
| AL | — | $97.45 | — |
| AR | — | $107.83 | — |
| AZ | — | $129.93 | — |
| CA | — | $129.93 | — |
| CO | — | $98.74 | — |
| CT | — | $116.60 | — |
| DC | — | $103.53 | — |
| DE | — | $103.53 | — |
| FL | — | $97.45 | — |
| GA | — | $97.45 | — |
| HI | — | $168.23 | — |
| IA | — | $103.52 | — |
| ID | — | $129.93 | — |
| IL | — | $97.45 | — |
| IN | — | $97.45 | — |
| KS | — | $103.52 | — |
| KY | — | $97.45 | — |
| LA | — | $107.83 | — |
| MA | — | $116.60 | — |
| MD | — | $103.53 | — |
| ME | — | $116.60 | — |
| MI | — | $97.45 | — |
| MN | — | $97.45 | — |
| MO | — | $103.52 | — |
| MS | — | $97.45 | — |
| MT | — | $98.74 | — |
| NC | — | $97.45 | — |
| ND | — | $98.74 | — |
| NE | — | $103.52 | — |
| NH | — | $116.60 | — |
| NJ | — | $128.46 | — |
| NM | — | $107.83 | — |
| NV | — | $129.93 | — |
| NY | — | $128.46 | — |
| OH | — | $97.45 | — |
| OK | — | $107.83 | — |
| OR | — | $129.93 | — |
| PA | — | $103.53 | — |
| PR | — | $171.33 | — |
| RI | — | $116.60 | — |
| SC | — | $97.45 | — |
| SD | — | $98.74 | — |
| TN | — | $97.45 | — |
| TX | — | $107.83 | — |
| UT | — | $98.74 | — |
| VA | — | $103.53 | — |
| VI | — | $128.46 | — |
| VT | — | $116.60 | — |
| WA | — | $129.93 | — |
| WI | — | $97.45 | — |
| WV | — | $103.53 | — |
| WY | — | $98.74 | — |
How the L4110 fee compares
| Measure | Value |
|---|---|
| Rank among 3 L41 codes (lowest = 1) | 1 |
| Family fee range (average of state fees) | $111.18–$640.48 |
| Rural fee uplift | — |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 4 | Nature of Equipment |
| outpatient hospital claims | 4 | Nature of Equipment |
What changed for L4110
- 2026-01-01: Average state fee rose 2.0%: $109.00 to $111.18
- 1985-01-01: L4110 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 L4110?
L4110 is the HCPCS Level II code for replace leather cuff kafo-afo, calf or distal thigh. Short descriptor: "Repl leath cuff kafo-afo cal".
How much does Medicare pay for L4110?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $97.45–$171.33. Rural fees can be higher.
Does Medicare cover L4110?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for L4110 change in 2026?
The average non-rural state fee moved from $109.00 in 2025 to $111.18 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of L4110 can be billed per day?
4 on DME suppliers; 4 on outpatient hospital claims (NCCI medically unlikely edits).
Related L41 codes
- L4100 — Replace leather cuff kafo, proximal thigh ($119.86–$171.33)
- L4130 — Replace pretibial shell ($523.52–$815.92)
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Next steps
- Run a reimbursement report for a device billed under L4110
- Watch L4110 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for L4110
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.