L7510 HCPCS code: Repair of prosthetic device, repair or replace minor parts
L7510 is the HCPCS Level II code for repair of prosthetic device, repair or replace minor parts. In 2024 Medicare paid an average of $37.94 per service for L7510 across 2,412 services. Its Medicare coverage code is D (Special coverage instructions apply): Medicare covers it when its national or local coverage criteria are met. The NCCI unit limit is 4 per day on DME suppliers. Medicare volume rose 110% from 2022 to 2024 (1,150 to 2,412 services). In 2024, 650 suppliers billed Medicare for L7510 (purchases), serving 1,797 beneficiaries; New York, Minnesota, Pennsylvania accounted for 27% of services.
Code details
| Field | Value |
|---|---|
| Section | L codes — Orthotic and prosthetic procedures and devices |
| Coverage code | D — Special coverage instructions apply |
| Pricing indicator | 46 — Priced by the Medicare contractor (no national fee) |
| BETOS category | D1F — Prosthetic and orthotic devices |
| Added | 1985-01-01 |
| Last action effective | 2003-01-01 |
Who bills L7510 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 650 |
| Referring clinicians | 1,586 |
| Medicare beneficiaries | 1,797 |
| States with claims | 40 |
| Share of services in top 3 states (New York, Minnesota, Pennsylvania) | 27% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 714 | 2,108 |
| 2023 | 716 | 2,003 |
| 2024 | 650 | 1,797 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for L7510, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 1,150 | 809 | $64.37 | $48.94 |
| 2023 | 928 | 629 | $90.68 | $68.86 |
| 2024 | 2,412 | 1,062 | $50.67 | $37.94 |
States with the most L7510 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Texas | 1,694 | $12.06 |
| Colorado | 430 | $20.45 |
| North Carolina | 249 | $171.29 |
| California | 33 | $591.28 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 4 | Clinical: Data |
| outpatient hospital claims | 4 | Clinical: Data |
| practitioner claims | 4 | Clinical: Data |
Medicare policy articles for this code
- A52496: Lower Limb Prostheses - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
- A53708: Billing and Coding: External Components for Cochlear Implants (Palmetto GBA (MAC - Part B))
What changed for L7510
- 1985-01-01: L7510 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 L7510?
L7510 is the HCPCS Level II code for repair of prosthetic device, repair or replace minor parts. Short descriptor: "Prosthetic device repair rep".
How much does Medicare pay for L7510?
In 2024, the average Medicare payment was $37.94 per service (average allowed $50.67).
Does Medicare cover L7510?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
How many units of L7510 can be billed per day?
4 on DME suppliers; 4 on outpatient hospital claims; 4 on practitioner claims (NCCI medically unlikely edits).
Related L75 codes
- L7520 — Repair prosthetic device, labor component, per 15 minutes ($40.67–$63.34)
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 L7510
- Watch L7510 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for L7510
Sources: CMS HCPCS Level II release October 2026; 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.