L7700 HCPCS code: Gasket or seal, for use with prosthetic socket insert, any type, each
L7700 is the HCPCS Level II code for gasket or seal, for use with prosthetic socket insert, any type, each. The 2026 Medicare DMEPOS fee schedule pays $116.54 to $184.22 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.
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 | 2018-01-01 |
| Last action effective | 2018-01-01 |
2026 Medicare DMEPOS fee schedule for L7700
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $116.54 | $184.22 | $184.22 | $138.17 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $118.82 | — |
| AL | — | $138.17 | — |
| AR | — | $138.17 | — |
| AZ | — | $150.54 | — |
| CA | — | $150.54 | — |
| CO | — | $146.37 | — |
| CT | — | $177.82 | — |
| DC | — | $176.42 | — |
| DE | — | $176.42 | — |
| FL | — | $138.17 | — |
| GA | — | $138.17 | — |
| HI | — | $116.54 | — |
| IA | — | $159.83 | — |
| ID | — | $158.02 | — |
| IL | — | $184.22 | — |
| IN | — | $184.22 | — |
| KS | — | $159.83 | — |
| KY | — | $138.17 | — |
| LA | — | $138.17 | — |
| MA | — | $177.82 | — |
| MD | — | $176.42 | — |
| ME | — | $177.82 | — |
| MI | — | $184.22 | — |
| MN | — | $184.22 | — |
| MO | — | $159.83 | — |
| MS | — | $138.17 | — |
| MT | — | $146.37 | — |
| NC | — | $138.17 | — |
| ND | — | $146.37 | — |
| NE | — | $159.83 | — |
| NH | — | $177.82 | — |
| NJ | — | $167.05 | — |
| NM | — | $138.17 | — |
| NV | — | $150.54 | — |
| NY | — | $167.05 | — |
| OH | — | $184.22 | — |
| OK | — | $138.17 | — |
| OR | — | $158.02 | — |
| PA | — | $176.42 | — |
| PR | — | $128.95 | — |
| RI | — | $177.82 | — |
| SC | — | $138.17 | — |
| SD | — | $146.37 | — |
| TN | — | $138.17 | — |
| TX | — | $138.17 | — |
| UT | — | $146.37 | — |
| VA | — | $176.42 | — |
| VI | — | $167.01 | — |
| VT | — | $177.82 | — |
| WA | — | $158.02 | — |
| WI | — | $184.22 | — |
| WV | — | $176.42 | — |
| WY | — | $146.37 | — |
How the L7700 fee compares
| Measure | Value |
|---|---|
| Rank among 1 L77 codes (lowest = 1) | 1 |
| Family fee range (average of state fees) | $157.28–$157.28 |
| Rural fee uplift | — |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 2 | Clinical: CMS Workgroup |
| outpatient hospital claims | 2 | Clinical: CMS Workgroup |
What changed for L7700
- 2026-01-01: Average state fee rose 2.0%: $154.19 to $157.28
- 2018-01-01: L7700 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 L7700?
L7700 is the HCPCS Level II code for gasket or seal, for use with prosthetic socket insert, any type, each. Short descriptor: "Pros soc insert gasket/seal".
How much does Medicare pay for L7700?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $116.54–$184.22. Rural fees can be higher.
Does Medicare cover L7700?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for L7700 change in 2026?
The average non-rural state fee moved from $154.19 in 2025 to $157.28 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of L7700 can be billed per day?
2 on DME suppliers; 2 on outpatient hospital claims (NCCI medically unlikely edits).
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Next steps
- Run a reimbursement report for a device billed under L7700
- Watch L7700 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for L7700
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.