CAM walking boot HCPCS code
A CAM walking boot is usually billed under HCPCS code L4360 (Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise); related codes are L4361, L4386, L4387. The 2026 Medicare DMEPOS fee schedule pays $318.18 to $424.24 for L4360, depending on the state. Medicare paid for 12,006 L4360 services from 2,206 suppliers in 2024.
HCPCS codes for CAM walking boot
| Code | Description | Medicare coverage | DMEPOS fee (state range) | Medicare services |
|---|---|---|---|---|
| L4360 | Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | Carrier judgment | $318.18–$424.24 | 12,006 (2024) |
| L4361 | Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf | Carrier judgment | $318.18–$424.24 | 157,737 (2024) |
| L4386 | Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | Carrier judgment | $190.16–$209.24 | 3,114 (2024) |
| L4387 | Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf | Carrier judgment | $190.16–$209.24 | 15,538 (2024) |
Medicare revenue estimate for L4360
Units per month × state fee = monthly Medicare revenue. At 10 units a month, L4360 pays $4,242.40 in CT and $3,181.80 in AR, before the 20% patient coinsurance.
Frequently asked questions
What is the HCPCS code for a CAM walking boot?
L4360: Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise. Other CAM walking boot codes: L4361 (Pneuma/vac walk boot pre ots); L4386 (Non-pneum walk boot pre cst); L4387 (Non-pneum walk boot pre ots).
Does Medicare cover a CAM walking boot?
By HCPCS coverage code — L4360: Carrier judgment; L4361: Carrier judgment; L4386: Carrier judgment; L4387: Carrier judgment.
How much does Medicare pay for a CAM walking boot?
Under the 2026 DMEPOS fee schedule (non-rural state fees): L4360 $318.18 to $424.24; L4361 $318.18 to $424.24; L4386 $190.16 to $209.24; L4387 $190.16 to $209.24.
Next steps
- Run a reimbursement report for a device billed under L4360
- Watch L4360 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for L4360
Part of Orthotic braces.
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Sources: CMS HCPCS Level II; CMS DMEPOS fee schedule 2026; CMS Medicare utilization; CMS Medicare Coverage Database. Fees are Medicare allowables (non-rural, by state), not commercial rates. Code choice depends on the exact item; check the descriptor. Not billing or legal advice.