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See a sample rate comparisonHCPCS L1690 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.
Combination, bilateral, lumbo-sacral, hip, femur orthosis providing adduction and internal rotation control, prefabricated, includes fitting and adjustment
| Key Fact | Detail |
|---|---|
| Service Type | Orthotic Procedures and services Hip Orthotics |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for L1690 |
National average reimbursement for HCPCS L1690 by major payers:
$1,932.11
$1,245.06
$1,368.95
$2,740.83
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HCPCS L1690
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$4,159.83Published rateAztec Urgent Care, LLC
Aztec Urgent Care LLC
$1,564.15Published rateHospital Authority Of Washington County, Washington County Regional Medical Center
$1,100.06Published rateAlicia Encinas
Miguel A Arenas Md PC
$1,038.36Published rateAlicia Encinas
Miguel A Arenas Md PC
$692.23Published rate
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See a sample payer proposalHCPCS L1690 vs. Other Hip Orthotics Codes
The HCPCS L1690 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 L1690 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 |
|---|---|---|
| L1686-HCPCS | Moderate | Hip orthosis (HO), abduction control of hip joint, postoperative hip abduction type, prefabricated, includes fitting and adjustment |
| L1690-HCPCS | High | Combination, bilateral, lumbo-sacral, hip, femur orthosis providing adduction and internal rotation control, prefabricated, includes fitting and adjustment |
| L1700-HCPCS | High | Legg perthes orthosis, (Toronto 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 L1690. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L1690 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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