L8320 HCPCS code: Truss, addition to standard pad, water pad
L8320 is the HCPCS Level II code for truss, addition to standard pad, water pad. The 2026 Medicare DMEPOS fee schedule pays $47.61 to $105.79 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 2 per day on DME suppliers. Its average fee ranks 2 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 L8320
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $47.61 | $105.79 | $87.25 | $65.44 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $98.95 | — |
| AL | — | $80.07 | — |
| AR | — | $75.29 | — |
| AZ | — | $87.25 | — |
| CA | — | $87.25 | — |
| CO | — | $65.44 | — |
| CT | — | $86.67 | — |
| DC | — | $73.10 | — |
| DE | — | $73.10 | — |
| FL | — | $80.07 | — |
| GA | — | $80.07 | — |
| HI | — | $105.79 | — |
| IA | — | $65.44 | — |
| ID | — | $68.42 | — |
| IL | — | $75.90 | — |
| IN | — | $75.90 | — |
| KS | — | $65.44 | — |
| KY | — | $80.07 | — |
| LA | — | $75.29 | — |
| MA | — | $86.67 | — |
| MD | — | $73.10 | — |
| ME | — | $86.67 | — |
| MI | — | $75.90 | — |
| MN | — | $75.90 | — |
| MO | — | $65.44 | — |
| MS | — | $80.07 | — |
| MT | — | $65.44 | — |
| NC | — | $80.07 | — |
| ND | — | $65.44 | — |
| NE | — | $65.44 | — |
| NH | — | $86.67 | — |
| NJ | — | $65.44 | — |
| NM | — | $75.29 | — |
| NV | — | $87.25 | — |
| NY | — | $65.44 | — |
| OH | — | $75.90 | — |
| OK | — | $75.29 | — |
| OR | — | $68.42 | — |
| PA | — | $73.10 | — |
| PR | — | $47.61 | — |
| RI | — | $86.67 | — |
| SC | — | $80.07 | — |
| SD | — | $65.44 | — |
| TN | — | $80.07 | — |
| TX | — | $75.29 | — |
| UT | — | $65.44 | — |
| VA | — | $73.10 | — |
| VI | — | $65.44 | — |
| VT | — | $86.67 | — |
| WA | — | $68.42 | — |
| WI | — | $75.90 | — |
| WV | — | $73.10 | — |
| WY | — | $65.44 | — |
How the L8320 fee compares
| Measure | Value |
|---|---|
| Rank among 4 L83 codes (lowest = 1) | 2 |
| Family fee range (average of state fees) | $70.07–$187.91 |
| Rural fee uplift | — |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 2 | Nature of Equipment |
| outpatient hospital claims | 2 | Nature of Equipment |
What changed for L8320
- 2026-01-01: Average state fee rose 2.0%: $74.01 to $75.49
- 1986-01-01: L8320 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 L8320?
L8320 is the HCPCS Level II code for truss, addition to standard pad, water pad. Short descriptor: "Truss addition to std pad wa".
How much does Medicare pay for L8320?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $47.61–$105.79. Rural fees can be higher.
Does Medicare cover L8320?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Did the Medicare fee for L8320 change in 2026?
The average non-rural state fee moved from $74.01 in 2025 to $75.49 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of L8320 can be billed per day?
2 on DME suppliers; 2 on outpatient hospital claims (NCCI medically unlikely edits).
Related L83 codes
- L8300 — Truss, single with standard pad ($103.28–$260.92)
- L8310 — Truss, double with standard pads ($163.05–$280.56)
- L8330 — Truss, addition to standard pad, scrotal pad ($60.44–$98.92)
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Next steps
- Run a reimbursement report for a device billed under L8320
- Watch L8320 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for L8320
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.