L5980 HCPCS code: All lower extremity prostheses, flex foot system
L5980 is the HCPCS Level II code for all lower extremity prostheses, flex foot system. The 2026 Medicare DMEPOS fee schedule pays $4,539.15 to $6,928.90 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. Its average fee ranks 28 of 32 L59 codes (family range $280.68–$21,399.63).
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 | 1989-01-01 |
| Last action effective | 1996-01-01 |
2026 Medicare DMEPOS fee schedule for L5980
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $4,539.15 | $6,928.90 | $6,052.20 | $4,539.15 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $5,429.04 | — |
| AL | — | $4,539.15 | — |
| AR | — | $4,801.22 | — |
| AZ | — | $5,166.71 | — |
| CA | — | $5,166.71 | — |
| CO | — | $6,052.20 | — |
| CT | — | $5,328.59 | — |
| DC | — | $4,539.15 | — |
| DE | — | $4,539.15 | — |
| FL | — | $4,539.15 | — |
| GA | — | $4,539.15 | — |
| HI | — | $5,805.29 | — |
| IA | — | $5,051.89 | — |
| ID | — | $4,963.11 | — |
| IL | — | $4,677.59 | — |
| IN | — | $4,677.59 | — |
| KS | — | $5,051.89 | — |
| KY | — | $4,539.15 | — |
| LA | — | $4,801.22 | — |
| MA | — | $5,328.59 | — |
| MD | — | $4,539.15 | — |
| ME | — | $5,328.59 | — |
| MI | — | $4,677.59 | — |
| MN | — | $4,677.59 | — |
| MO | — | $5,051.89 | — |
| MS | — | $4,539.15 | — |
| MT | — | $6,052.20 | — |
| NC | — | $4,539.15 | — |
| ND | — | $6,052.20 | — |
| NE | — | $5,051.89 | — |
| NH | — | $5,328.59 | — |
| NJ | — | $5,960.65 | — |
| NM | — | $4,801.22 | — |
| NV | — | $5,166.71 | — |
| NY | — | $5,960.65 | — |
| OH | — | $4,677.59 | — |
| OK | — | $4,801.22 | — |
| OR | — | $4,963.11 | — |
| PA | — | $4,539.15 | — |
| PR | — | $6,928.90 | — |
| RI | — | $5,328.59 | — |
| SC | — | $4,539.15 | — |
| SD | — | $6,052.20 | — |
| TN | — | $4,539.15 | — |
| TX | — | $4,801.22 | — |
| UT | — | $6,052.20 | — |
| VA | — | $4,539.15 | — |
| VI | — | $5,960.63 | — |
| VT | — | $5,328.59 | — |
| WA | — | $4,963.11 | — |
| WI | — | $4,677.59 | — |
| WV | — | $4,539.15 | — |
| WY | — | $6,052.20 | — |
How the L5980 fee compares
| Measure | Value |
|---|---|
| Rank among 32 L59 codes (lowest = 1) | 28 |
| Family fee range (average of state fees) | $280.68–$21,399.63 |
| Rural fee uplift | — |
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 L5980
- 2026-01-01: Average state fee rose 2.0%: $5,004.56 to $5,104.65
- 1989-01-01: L5980 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 L5980?
L5980 is the HCPCS Level II code for all lower extremity prostheses, flex foot system. Short descriptor: "Flex foot system".
How much does Medicare pay for L5980?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $4,539.15–$6,928.90. Rural fees can be higher.
Does Medicare cover L5980?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for L5980 change in 2026?
The average non-rural state fee moved from $5,004.56 in 2025 to $5,104.65 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of L5980 can be billed per day?
2 on DME suppliers; 2 on outpatient hospital claims (NCCI medically unlikely edits).
Related L59 codes
- L5910 — Addition, endoskeletal system, below knee, alignable system ($379.75–$856.60)
- L5920 — Addition, endoskeletal system, above knee or hip disarticulation, alignable system ($612.00–$1,713.20)
- L5925 — Addition, endoskeletal system, above knee, knee disarticulation or hip disarticulation, manual lock ($411.36–$742.65)
- L5926 — Addition to lower extremity prosthesis, endoskeletal, knee disarticulation, above knee, hip disarticulation, positional rotation unit, any type ($494.92–$1,173.77)
- L5930 — Addition, endoskeletal system, high activity knee control frame ($4,045.31–$4,449.83)
- L5940 — Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal) ($614.10–$1,142.13)
- L5950 — Addition, endoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal) ($939.43–$1,269.97)
- L5960 — Addition, endoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal) ($1,134.89–$2,331.87)
- L5961 — Addition, endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control ($5,299.60–$6,659.78)
- L5962 — Addition, endoskeletal system, below knee, flexible protective outer surface covering system ($719.60–$959.46)
- L5964 — Addition, endoskeletal system, above knee, flexible protective outer surface covering system ($1,146.54–$1,408.24)
- L5966 — Addition, endoskeletal system, hip disarticulation, flexible protective outer surface covering system ($1,460.97–$1,825.66)
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Next steps
- Run a reimbursement report for a device billed under L5980
- Watch L5980 for fee, coverage and descriptor changes
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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.