L7520 HCPCS code: Repair prosthetic device, labor component, per 15 minutes
L7520 is the HCPCS Level II code for repair prosthetic device, labor component, per 15 minutes. The 2026 Medicare DMEPOS fee schedule pays $40.67 to $63.34 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 12 per day on DME suppliers. Medicare volume rose 70% from 2022 to 2024 (738 to 1,258 services). In 2024, 618 suppliers billed Medicare for L7520 (purchases), serving 3,270 beneficiaries; California, New York, Georgia accounted for 45% of services.
Code details
| Field | Value |
|---|
| Section | L codes — Orthotic and prosthetic procedures and devices |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 46 — Priced by the Medicare contractor (no national fee) |
| BETOS category | D1F — Prosthetic and orthotic devices |
| Added | 1997-01-01 |
| Last action effective | 2000-01-01 |
2026 Medicare DMEPOS fee schedule for L7520
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|
| — | base fee | $40.67 | $63.34 | — | — |
| State | Modifier | Fee | Rural fee |
|---|
| AK | — | $50.77 | — |
| AL | — | $40.67 | — |
| AR | — | $40.67 | — |
| AZ | — | $50.06 | — |
| CA | — | $57.32 | — |
| CO | — | $40.67 | — |
| CT | — | $40.67 | — |
| DC | — | $40.67 | — |
| DE | — | $40.67 | — |
| FL | — | $40.67 | — |
| GA | — | $40.67 | — |
| HI | — | $50.77 | — |
| IA | — | $48.69 | — |
| ID | — | $40.67 | — |
| IL | — | $40.67 | — |
| IN | — | $40.67 | — |
| KS | — | $50.77 | — |
| KY | — | $52.00 | — |
| LA | — | $40.67 | — |
| MA | — | $40.67 | — |
| MD | — | $40.67 | — |
| ME | — | $40.67 | — |
| MI | — | $40.67 | — |
| MN | — | $40.67 | — |
| MO | — | $40.67 | — |
| MS | — | $40.67 | — |
| MT | — | $50.77 | — |
| NC | — | $40.67 | — |
| ND | — | $50.77 | — |
| NE | — | $56.71 | — |
| NH | — | $40.67 | — |
| NJ | — | $40.67 | — |
| NM | — | $40.67 | — |
| NV | — | $55.43 | — |
| NY | — | $40.67 | — |
| OH | — | $40.67 | — |
| OK | — | $40.67 | — |
| OR | — | $58.49 | — |
| PA | — | $40.67 | — |
| PR | — | $40.67 | — |
| RI | — | $40.67 | — |
| SC | — | $40.67 | — |
| SD | — | $54.38 | — |
| TN | — | $40.67 | — |
| TX | — | $40.67 | — |
| UT | — | $63.34 | — |
| VA | — | $40.67 | — |
| VI | — | $40.67 | — |
| VT | — | $40.67 | — |
| WA | — | $52.16 | — |
| WI | — | $40.67 | — |
| WV | — | $40.67 | — |
| WY | — | $56.71 | — |
How the L7520 fee compares
| Measure | Value |
|---|
| Rank among 1 L75 codes (lowest = 1) | 1 |
| Family fee range (average of state fees) | $44.60–$44.60 |
| Rural fee uplift | — |
Who bills L7520 (2024)
| Measure | Value |
|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 618 |
| Referring clinicians | 2,613 |
| Medicare beneficiaries | 3,270 |
| States with claims | 43 |
| Share of services in top 3 states (California, New York, Georgia) | 45% |
| Year | Suppliers | Beneficiaries |
|---|
| 2022 | 724 | 4,004 |
| 2023 | 688 | 3,558 |
| 2024 | 618 | 3,270 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for L7520, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|
| 2022 | 738 | 259 | $31.48 | $24.52 |
| 2023 | 856 | 262 | $36.52 | $27.26 |
| 2024 | 1,258 | 372 | $36.16 | $27.30 |
States with the most L7520 services (2024)
| State | Services | Avg. paid |
|---|
| Colorado | 1,258 | $27.30 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|
| DME suppliers | 12 | 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 L7520
- 1997-01-01: L7520 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 L7520?
L7520 is the HCPCS Level II code for repair prosthetic device, labor component, per 15 minutes. Short descriptor: "Repair prosthesis per 15 min".
How much does Medicare pay for L7520?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $40.67–$63.34. Rural fees can be higher.
Does Medicare cover L7520?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
How many units of L7520 can be billed per day?
12 on DME suppliers (NCCI medically unlikely edits).
Related L75 codes
- L7510 — Repair of prosthetic device, repair or replace minor parts
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
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.
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