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See a sample rate comparisonHCPCS L1830 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.
Knee orthosis (KO), immobilizer, canvas longitudinal, prefabricated, off-the-shelf
| Key Fact | Detail |
|---|---|
| Service Type | Orthotic Procedures and services Knee Orthotics |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for L1830 |
National average reimbursement for HCPCS L1830 by major payers:
$63.57
$58.72
$65.50
$83.86
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HCPCS L1830
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$180.29Published rateKelly Ridges
Allergy & Asthma Of Dupage, S.C.
$97.71Published rateMichael Shuler
Athens Orthopedic Clinic, PA
$60.96Published rateMichael Jacobson
Hroa 401k Plan
$52.15Published rateChristopher Raio
Good Samaritan Hosptial Medical Center
$38.86Published rate
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See a sample payer proposalHCPCS L1830 vs. Other Knee Orthotics Codes
The HCPCS L1830 code is part of the Orthotic Procedures and services services used for Knee 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 L1830 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 |
|---|---|---|
| L1820-HCPCS | Low | Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
| L1830-HCPCS | Low | Knee orthosis (KO), immobilizer, canvas longitudinal, prefabricated, off-the-shelf |
| L1831-HCPCS | Moderate | Knee orthosis (KO), locking knee joint(s), positional orthosis, prefabricated, includes fitting and adjustment |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L1830. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L1830 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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