L8300 HCPCS code: Truss, single with standard pad
L8300 is the HCPCS Level II code for truss, single with standard pad. The 2026 Medicare DMEPOS fee schedule pays $103.28 to $260.92 depending on the state. 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 1 per day on DME suppliers. Medicare volume fell 19% from 2022 to 2024 (377 to 306 services). In 2024, 148 suppliers billed Medicare for L8300 (purchases), serving 305 beneficiaries. Its average fee ranks 3 of 4 L83 codes (family range $70.07–$187.91).
Code details
| Field | Value |
|---|---|
| Section | L codes — Orthotic and prosthetic procedures and devices |
| Coverage code | D — Special coverage instructions apply |
| Pricing indicator | 38 — DMEPOS: orthotics, prosthetics, prosthetic devices and vision services |
| BETOS category | D1F — Prosthetic and orthotic devices |
| Added | 1986-01-01 |
| Last action effective | 1996-01-01 |
2026 Medicare DMEPOS fee schedule for L8300
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $103.28 | $260.92 | $137.70 | $103.28 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $243.97 | — |
| AL | — | $119.24 | — |
| AR | — | $103.28 | — |
| AZ | — | $137.70 | — |
| CA | — | $137.70 | — |
| CO | — | $117.83 | — |
| CT | — | $103.28 | — |
| DC | — | $103.28 | — |
| DE | — | $103.28 | — |
| FL | — | $119.24 | — |
| GA | — | $119.24 | — |
| HI | — | $260.92 | — |
| IA | — | $137.70 | — |
| ID | — | $128.30 | — |
| IL | — | $103.28 | — |
| IN | — | $103.28 | — |
| KS | — | $137.70 | — |
| KY | — | $119.24 | — |
| LA | — | $103.28 | — |
| MA | — | $103.28 | — |
| MD | — | $103.28 | — |
| ME | — | $103.28 | — |
| MI | — | $103.28 | — |
| MN | — | $103.28 | — |
| MO | — | $137.70 | — |
| MS | — | $119.24 | — |
| MT | — | $117.83 | — |
| NC | — | $119.24 | — |
| ND | — | $117.83 | — |
| NE | — | $137.70 | — |
| NH | — | $103.28 | — |
| NJ | — | $103.28 | — |
| NM | — | $103.28 | — |
| NV | — | $137.70 | — |
| NY | — | $103.28 | — |
| OH | — | $103.28 | — |
| OK | — | $103.28 | — |
| OR | — | $128.30 | — |
| PA | — | $103.28 | — |
| PR | — | $171.33 | — |
| RI | — | $103.28 | — |
| SC | — | $119.24 | — |
| SD | — | $117.83 | — |
| TN | — | $119.24 | — |
| TX | — | $103.28 | — |
| UT | — | $117.83 | — |
| VA | — | $103.28 | — |
| VI | — | $103.28 | — |
| VT | — | $103.28 | — |
| WA | — | $128.30 | — |
| WI | — | $103.28 | — |
| WV | — | $103.28 | — |
| WY | — | $117.83 | — |
How the L8300 fee compares
| Measure | Value |
|---|---|
| Rank among 4 L83 codes (lowest = 1) | 3 |
| Family fee range (average of state fees) | $70.07–$187.91 |
| Rural fee uplift | — |
Who bills L8300 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 148 |
| Referring clinicians | 242 |
| Medicare beneficiaries | 305 |
| States with claims | 4 |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 196 | 376 |
| 2023 | 152 | 299 |
| 2024 | 148 | 305 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for L8300, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 377 | 376 | $96.09 | $70.75 |
| 2023 | 300 | 299 | $100.00 | $73.09 |
| 2024 | 306 | 305 | $107.02 | $76.08 |
States with the most L8300 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 134 | $86.38 |
| New York | 31 | $70.54 |
| Florida | 18 | $60.54 |
| Michigan | 14 | $62.94 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | Clinical: Data |
| outpatient hospital claims | 1 | Clinical: Data |
What changed for L8300
- 2026-01-01: Average state fee rose 2.0%: $117.85 to $120.21
- 1986-01-01: L8300 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 L8300?
L8300 is the HCPCS Level II code for truss, single with standard pad. Short descriptor: "Truss single w/ standard pad".
How much does Medicare pay for L8300?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $103.28–$260.92. Rural fees can be higher.
Does Medicare cover L8300?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Did the Medicare fee for L8300 change in 2026?
The average non-rural state fee moved from $117.85 in 2025 to $120.21 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of L8300 can be billed per day?
1 on DME suppliers; 1 on outpatient hospital claims (NCCI medically unlikely edits).
Related L83 codes
- L8310 — Truss, double with standard pads ($163.05–$280.56)
- L8320 — Truss, addition to standard pad, water pad ($47.61–$105.79)
- L8330 — Truss, addition to standard pad, scrotal pad ($60.44–$98.92)
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 L8300
- Watch L8300 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for L8300
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.