L7170 HCPCS code: Electronic elbow, hosmer or equal, switch controlled
L7170 is the HCPCS Level II code for electronic elbow, hosmer or equal, switch controlled. The 2026 Medicare DMEPOS fee schedule pays $7,052.45 to $9,571.18 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 1 of 7 L71 codes (family range $7,789.04–$49,092.41).
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 | 1988-01-01 |
| Last action effective | 1996-01-01 |
2026 Medicare DMEPOS fee schedule for L7170
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $7,052.45 | $9,571.18 | $9,571.18 | $7,178.38 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $7,065.66 | — |
| AL | — | $9,111.07 | — |
| AR | — | $9,571.18 | — |
| AZ | — | $7,178.38 | — |
| CA | — | $7,178.38 | — |
| CO | — | $7,531.84 | — |
| CT | — | $7,248.15 | — |
| DC | — | $7,178.38 | — |
| DE | — | $7,178.38 | — |
| FL | — | $9,111.07 | — |
| GA | — | $9,111.07 | — |
| HI | — | $7,555.40 | — |
| IA | — | $7,178.38 | — |
| ID | — | $7,475.36 | — |
| IL | — | $7,406.87 | — |
| IN | — | $7,406.87 | — |
| KS | — | $7,178.38 | — |
| KY | — | $9,111.07 | — |
| LA | — | $9,571.18 | — |
| MA | — | $7,248.15 | — |
| MD | — | $7,178.38 | — |
| ME | — | $7,248.15 | — |
| MI | — | $7,406.87 | — |
| MN | — | $7,406.87 | — |
| MO | — | $7,178.38 | — |
| MS | — | $9,111.07 | — |
| MT | — | $7,531.84 | — |
| NC | — | $9,111.07 | — |
| ND | — | $7,531.84 | — |
| NE | — | $7,178.38 | — |
| NH | — | $7,248.15 | — |
| NJ | — | $7,178.38 | — |
| NM | — | $9,571.18 | — |
| NV | — | $7,178.38 | — |
| NY | — | $7,178.38 | — |
| OH | — | $7,406.87 | — |
| OK | — | $9,571.18 | — |
| OR | — | $7,475.36 | — |
| PA | — | $7,178.38 | — |
| PR | — | $7,052.45 | — |
| RI | — | $7,248.15 | — |
| SC | — | $9,111.07 | — |
| SD | — | $7,531.84 | — |
| TN | — | $9,111.07 | — |
| TX | — | $9,571.18 | — |
| UT | — | $7,531.84 | — |
| VA | — | $7,178.38 | — |
| VI | — | $7,178.38 | — |
| VT | — | $7,248.15 | — |
| WA | — | $7,475.36 | — |
| WI | — | $7,406.87 | — |
| WV | — | $7,178.38 | — |
| WY | — | $7,531.84 | — |
How the L7170 fee compares
| Measure | Value |
|---|---|
| Rank among 7 L71 codes (lowest = 1) | 1 |
| Family fee range (average of state fees) | $7,789.04–$49,092.41 |
| 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 L7170
- 2026-01-01: Average state fee rose 2.0%: $7,636.32 to $7,789.04
- 1988-01-01: L7170 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 L7170?
L7170 is the HCPCS Level II code for electronic elbow, hosmer or equal, switch controlled. Short descriptor: "Electronic elbow hosmer swit".
How much does Medicare pay for L7170?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $7,052.45–$9,571.18. Rural fees can be higher.
Does Medicare cover L7170?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for L7170 change in 2026?
The average non-rural state fee moved from $7,636.32 in 2025 to $7,789.04 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of L7170 can be billed per day?
2 on DME suppliers; 2 on outpatient hospital claims (NCCI medically unlikely edits).
Related L71 codes
- L7180 — Electronic elbow, microprocessor sequential control of elbow and terminal device ($18,180.91–$50,007.15)
- L7181 — Electronic elbow, microprocessor simultaneous control of elbow and terminal device ($48,155.50–$52,971.00)
- L7185 — Electronic elbow, adolescent, variety village or equal, switch controlled ($7,269.08–$9,692.10)
- L7186 — Electronic elbow, child, variety village or equal, switch controlled ($10,430.01–$14,162.40)
- L7190 — Electronic elbow, adolescent, variety village or equal, myoelectronically controlled ($9,330.76–$13,407.96)
- L7191 — Electronic elbow, child, variety village or equal, myoelectronically controlled ($10,261.32–$14,868.87)
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Next steps
- Run a reimbursement report for a device billed under L7170
- Watch L7170 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for L7170
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.