L8330 HCPCS code: Truss, addition to standard pad, scrotal pad
L8330 is the HCPCS Level II code for truss, addition to standard pad, scrotal pad. The 2026 Medicare DMEPOS fee schedule pays $60.44 to $98.92 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 2 per day on DME suppliers. Medicare volume rose 15% from 2022 to 2024 (13 to 15 services). In 2024, 8 suppliers billed Medicare for L8330 (purchases), serving 14 beneficiaries. Its average fee ranks 1 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 L8330
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $60.44 | $98.92 | $80.58 | $60.44 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $92.49 | — |
| AL | — | $79.38 | — |
| AR | — | $80.58 | — |
| AZ | — | $80.58 | — |
| CA | — | $80.58 | — |
| CO | — | $60.44 | — |
| CT | — | $80.58 | — |
| DC | — | $60.44 | — |
| DE | — | $60.44 | — |
| FL | — | $79.38 | — |
| GA | — | $79.38 | — |
| HI | — | $98.92 | — |
| IA | — | $60.44 | — |
| ID | — | $60.44 | — |
| IL | — | $60.44 | — |
| IN | — | $60.44 | — |
| KS | — | $60.44 | — |
| KY | — | $79.38 | — |
| LA | — | $80.58 | — |
| MA | — | $80.58 | — |
| MD | — | $60.44 | — |
| ME | — | $80.58 | — |
| MI | — | $60.44 | — |
| MN | — | $60.44 | — |
| MO | — | $60.44 | — |
| MS | — | $79.38 | — |
| MT | — | $60.44 | — |
| NC | — | $79.38 | — |
| ND | — | $60.44 | — |
| NE | — | $60.44 | — |
| NH | — | $80.58 | — |
| NJ | — | $60.44 | — |
| NM | — | $80.58 | — |
| NV | — | $80.58 | — |
| NY | — | $60.44 | — |
| OH | — | $60.44 | — |
| OK | — | $80.58 | — |
| OR | — | $60.44 | — |
| PA | — | $60.44 | — |
| PR | — | $66.65 | — |
| RI | — | $80.58 | — |
| SC | — | $79.38 | — |
| SD | — | $60.44 | — |
| TN | — | $79.38 | — |
| TX | — | $80.58 | — |
| UT | — | $60.44 | — |
| VA | — | $60.44 | — |
| VI | — | $60.44 | — |
| VT | — | $80.58 | — |
| WA | — | $60.44 | — |
| WI | — | $60.44 | — |
| WV | — | $60.44 | — |
| WY | — | $60.44 | — |
How the L8330 fee compares
| Measure | Value |
|---|---|
| Rank among 4 L83 codes (lowest = 1) | 1 |
| Family fee range (average of state fees) | $70.07–$187.91 |
| Rural fee uplift | — |
Who bills L8330 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 8 |
| Referring clinicians | 10 |
| Medicare beneficiaries | 14 |
| States with claims | 0 |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 6 | 11 |
| 2024 | 8 | 14 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for L8330, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 13 | 11 | $52.99 | $41.77 |
| 2024 | 15 | 14 | $72.43 | $56.79 |
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 L8330
- 2026-01-01: Average state fee rose 2.0%: $68.69 to $70.07
- 1986-01-01: L8330 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 L8330?
L8330 is the HCPCS Level II code for truss, addition to standard pad, scrotal pad. Short descriptor: "Truss add to std pad scrotal".
How much does Medicare pay for L8330?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $60.44–$98.92. Rural fees can be higher.
Does Medicare cover L8330?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Did the Medicare fee for L8330 change in 2026?
The average non-rural state fee moved from $68.69 in 2025 to $70.07 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of L8330 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)
- L8320 — Truss, addition to standard pad, water pad ($47.61–$105.79)
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 L8330
- Watch L8330 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for L8330
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.