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See a sample rate comparisonHCPCS L0976 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Lumbar-sacral orthotic (LSO), full corset
| Key Fact | Detail |
|---|---|
| Service Type | Orthotic Procedures and services Accessories for Spinal Orthotics |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for L0976 |
National average reimbursement for HCPCS L0976 by major payers:
$176.79
$107.92
$122.73
$214.31
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HCPCS L0976
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$352.24Published rateScottish Rite Childrens Medical Ctr, Children'S Healthcare Of Atlanta At Scottish Rite
Childrens Healthcare Of Atlanta Inc
$151.55Published rateJasper Health Services, Inc., Jasper Memorial Hospital
Jasper Health Services Inc
$104.30Published rateUnilab Corporation, Quest Diagnostics Clinical Lab
$91.72Published rateMiguel A. Arenas, M.D., PC
Miguel A Arenas Md PC
$59.91Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS L0976 vs. Other Accessories for Spinal Orthotics Codes
The HCPCS L0976 code is part of the Orthotic Procedures and services services used for Accessories for Spinal Orthotics. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS L0976 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| L0974-HCPCS | Low | Thoracic-lumbar-sacral orthosis (TLSO), full corset |
| L0976-HCPCS | Low | Lumbar-sacral orthotic (LSO), full corset |
| L0978-HCPCS | Low | Axillary crutch extension |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L0976. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L0976 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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