L8460 HCPCS code: Prosthetic shrinker, above knee, each
L8460 is the HCPCS Level II code for prosthetic shrinker, above knee, each. The 2026 Medicare DMEPOS fee schedule pays $81.59 to $184.58 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 4 per day on DME suppliers. Medicare volume fell 4% from 2022 to 2024 (9,189 to 8,806 services). In 2024, 1,293 suppliers billed Medicare for L8460 (purchases), serving 3,665 beneficiaries; Texas, Florida, Pennsylvania accounted for 26% of services. Its average fee ranks 13 of 13 L84 codes (family range $8.84–$92.93).
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 | 1982-01-01 |
| Last action effective | 1996-01-01 |
2026 Medicare DMEPOS fee schedule for L8460
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $81.59 | $184.58 | $108.79 | $81.59 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $172.62 | — |
| AL | — | $89.33 | — |
| AR | — | $94.08 | — |
| AZ | — | $108.79 | — |
| CA | — | $108.79 | — |
| CO | — | $81.59 | — |
| CT | — | $93.88 | — |
| DC | — | $81.59 | — |
| DE | — | $81.59 | — |
| FL | — | $89.33 | — |
| GA | — | $89.33 | — |
| HI | — | $184.58 | — |
| IA | — | $81.59 | — |
| ID | — | $106.83 | — |
| IL | — | $81.59 | — |
| IN | — | $81.59 | — |
| KS | — | $81.59 | — |
| KY | — | $89.33 | — |
| LA | — | $94.08 | — |
| MA | — | $93.88 | — |
| MD | — | $81.59 | — |
| ME | — | $93.88 | — |
| MI | — | $81.59 | — |
| MN | — | $81.59 | — |
| MO | — | $81.59 | — |
| MS | — | $89.33 | — |
| MT | — | $81.59 | — |
| NC | — | $89.33 | — |
| ND | — | $81.59 | — |
| NE | — | $81.59 | — |
| NH | — | $93.88 | — |
| NJ | — | $81.59 | — |
| NM | — | $94.08 | — |
| NV | — | $108.79 | — |
| NY | — | $81.59 | — |
| OH | — | $81.59 | — |
| OK | — | $94.08 | — |
| OR | — | $106.83 | — |
| PA | — | $81.59 | — |
| PR | — | $133.22 | — |
| RI | — | $93.88 | — |
| SC | — | $89.33 | — |
| SD | — | $81.59 | — |
| TN | — | $89.33 | — |
| TX | — | $94.08 | — |
| UT | — | $81.59 | — |
| VA | — | $81.59 | — |
| VI | — | $81.59 | — |
| VT | — | $93.88 | — |
| WA | — | $106.83 | — |
| WI | — | $81.59 | — |
| WV | — | $81.59 | — |
| WY | — | $81.59 | — |
How the L8460 fee compares
| Measure | Value |
|---|---|
| Rank among 13 L84 codes (lowest = 1) | 13 |
| Family fee range (average of state fees) | $8.84–$92.93 |
| Rural fee uplift | — |
Who bills L8460 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 1,293 |
| Referring clinicians | 2,803 |
| Medicare beneficiaries | 3,665 |
| States with claims | 45 |
| Share of services in top 3 states (Texas, Florida, Pennsylvania) | 26% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 1,345 | 3,870 |
| 2023 | 1,341 | 3,832 |
| 2024 | 1,293 | 3,665 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for L8460, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 9,189 | 3,870 | $76.06 | $58.76 |
| 2023 | 9,158 | 3,832 | $82.90 | $63.83 |
| 2024 | 8,806 | 3,665 | $85.30 | $65.90 |
States with the most L8460 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Texas | 884 | $69.08 |
| Florida | 726 | $66.19 |
| Pennsylvania | 618 | $60.35 |
| California | 489 | $80.76 |
| New York | 405 | $59.17 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 4 | Clinical: Data |
| outpatient hospital claims | 4 | 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
What changed for L8460
- 2026-01-01: Average state fee rose 2.0%: $91.11 to $92.93
- 1982-01-01: L8460 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 L8460?
L8460 is the HCPCS Level II code for prosthetic shrinker, above knee, each. Short descriptor: "Shrinker above knee".
How much does Medicare pay for L8460?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $81.59–$184.58. Rural fees can be higher.
Does Medicare cover L8460?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Did the Medicare fee for L8460 change in 2026?
The average non-rural state fee moved from $91.11 in 2025 to $92.93 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of L8460 can be billed per day?
4 on DME suppliers; 4 on outpatient hospital claims (NCCI medically unlikely edits).
Related L84 codes
- L8400 — Prosthetic sheath, below knee, each ($19.27–$31.34)
- L8410 — Prosthetic sheath, above knee, each ($25.36–$36.14)
- L8415 — Prosthetic sheath, upper limb, each ($26.24–$34.99)
- L8417 — Prosthetic sheath/sock, including a gel cushion layer, below knee or above knee, each ($90.25–$99.43)
- L8420 — Prosthetic sock, multiple ply, below knee, each ($23.81–$47.61)
- L8430 — Prosthetic sock, multiple ply, above knee, each ($27.10–$47.61)
- L8435 — Prosthetic sock, multiple ply, upper limb, each ($25.74–$35.23)
- L8440 — Prosthetic shrinker, below knee, each ($51.20–$98.92)
- L8465 — Prosthetic shrinker, upper limb, each ($38.70–$79.62)
- L8470 — Prosthetic sock, single ply, fitting, below knee, each ($4.24–$12.04)
- L8480 — Prosthetic sock, single ply, fitting, above knee, each ($6.28–$15.03)
- L8485 — Prosthetic sock, single ply, fitting, upper limb, each ($13.62–$17.97)
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 L8460
- Watch L8460 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for L8460
Sources: CMS HCPCS Level II release October 2026; 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.