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See a sample rate comparisonHCPCS L0980 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.
Peroneal straps, prefabricated, off-the-shelf, pair
| Key Fact | Detail |
|---|---|
| Service Type | Orthotic Procedures and services Accessories for Spinal Orthotics |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for L0980 |
National average reimbursement for HCPCS L0980 by major payers:
$17.22
$11.68
$12.76
$24.21
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HCPCS L0980
5 of 25 sample ratesHigher to lower in this preview
Grady Memorial Hospital Corporation, Grady Health Systems
Emory University
$33.20Published rateVictoria Lewis-Holland
$14.77Published rateHospital Authority Of Candler County, Candler County Hospital
$9.40Published ratePaulding Medical Center, Inc., Wellstar Paulding Hospital
Paulding Medical Center Inc
$8.53Published rateWildwood Sanitarium, Incorporated, Wildwood Lifestyle Center And Hospital
Wildwood Sanitarium Incorporated
$6.53Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS L0980 vs. Other Accessories for Spinal Orthotics Codes
The HCPCS L0980 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 L0980 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 |
|---|---|---|
| L0978-HCPCS | Low | Axillary crutch extension |
| L0980-HCPCS | Low | Peroneal straps, prefabricated, off-the-shelf, pair |
| L0982-HCPCS | Low | Stocking supporter grips, prefabricated, off-the-shelf, set of four (4) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L0980. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L0980 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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