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See a sample rate comparisonHCPCS L1680 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Hip orthosis (HO), abduction control of hip joints, dynamic, pelvic control, adjustable hip motion control, thigh cuffs (Rancho hip action type), custom fabricated
| Key Fact | Detail |
|---|---|
| Service Type | Orthotic Procedures and services Hip Orthotics |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for L1680 |
National average reimbursement for HCPCS L1680 by major payers:
$1,349.28
$813.20
$901.79
$1,630.29
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HCPCS L1680
5 of 25 sample ratesHigher to lower in this preview
Emory Healthcare
Emory University
$2,676.12Published rateAugusta Vamc
$1,047.93Published rateMeriwether County Hospital Authority, Warm Springs Medical Center
Meriwether Healthcare, LLC D/B/A Warm Springs Medical Center
$790.78Published rateHospital Authority Of Ben Hill, Dorminy Medical Center
$718.03Published rateMichael Guillette
Aztec Urgent Care LLC
$633.15Published rate
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See a sample payer proposalHCPCS L1680 vs. Other Hip Orthotics Codes
The HCPCS L1680 code is part of the Orthotic Procedures and services services used for Hip 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 L1680 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 |
|---|---|---|
| L1660-HCPCS | Low | Hip orthosis (HO), abduction control of hip joints, static, plastic, prefabricated, includes fitting and adjustment |
| L1680-HCPCS | High | Hip orthosis (HO), abduction control of hip joints, dynamic, pelvic control, adjustable hip motion control, thigh cuffs (Rancho hip action type), custom fabricated |
| L1685-HCPCS | High | Hip orthosis (HO), abduction control of hip joint, postoperative hip abduction type, custom fabricated |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L1680. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L1680 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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