HCPCS L1833 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Orthotic Procedures and services • Knee Orthotics |
| Complexity Level | Moderate |
National average reimbursement for HCPCS L1833 by major payers:
$441.99
$446.69
$459.90
$605.92
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for HCPCS L1833 | ||||||
United | L1833 | $428.85 | 1811964273 - PETER KAZMIER | 592650464 - (FL) LAKELAND REGIONAL HEALTH SYSTEMS INC | FL | Orthopaedic Trauma Physician (207XX0801X) |
United | L1833 | $910.08 | 1336100460 - KIM MANWARING | 590634433 - THE NEMOURS FOUNDATION | NH | Neurological Surgery Physician (207T00000X) |
United | L1833 | $455.60 | 1942263348 - DARYL GERSHBEIN | 650339840 - (FL) DARYL GERSHBEIN DPM PA | FL | Podiatrist (213E00000X) |
United | L1833 | $341.70 | 1952612707 - PALM BEACH FOOT & ANKLE INC | 592852254 - (FL) PALM BEACH FOOT AND ANKLE INC | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | L1833 | $455.60 | 1417074196 - ANKLE & FOOT ASSOCIATES PA | 592644133 - (FL) ANKLE FOOT ASSOCIATES PA | FL | Podiatrist (213E00000X) |
United | L1833 | $455.60 | 1144601105 - TERESA CONTRERAS | 273213039 - (FL) NAILA ESMAIL MBBS DPM PA | NY | Podiatrist (213E00000X) |
United | L1833 | $714.77 | 1609139336 - RICHARD HOWELL | 593598056 - TALLAHASSEE ORTHOPEDIC CLINIC III | PA | Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X) |
United | L1833 | $464.60 | 1013957166 - MICHAEL GARVIN | 650323790 - (FL) MICHAEL A. GARVIN, D.P.M., P.A. | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | L1833 | $455.60 | 1538426820 - MARVIN SMITH | 596014973 - (FL) SOUTH BROWARD HOSPITAL DISTRICT | FL | Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X) |
United | L1833 | $455.60 | 1881057321 - RYAN CANTWELL | 593293632 - (FL) KEVIN M. LYNCH, D.P.M., P.A. | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | L1833 | $455.60 | 1245712207 - JOACIR GRACIOLLI CORDEIRO | 592579938 - UNIVERSITY OF MIAMI | FL | Neurological Surgery Physician (207T00000X) |
United | L1833 | $455.60 | 1396920658 - JOY ANDERSON | 203174207 - (FL) LANDSMAN AND DORSCH DPM PA | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | L1833 | $455.60 | 1144601105 - TERESA CONTRERAS | 273213039 - (FL) NAILA ESMAIL MBBS DPM PA | FL | Podiatrist (213E00000X) |
United | L1833 | $341.70 | 1245693654 - JEYAN KUMAR | 901116753 | FL | Neurological Surgery Physician (207T00000X) |
United | L1833 | $464.60 | 1164625349 - FEIT & GOLDBERG FOOT SPECIALISTS, P.A., ASSOCIATED FOOT AND ANKLE CARE | 592481565 - (FL) FEIT & GOLDBERG, FOOT SPECIALISTS, P.A. | FL | Podiatrist (213E00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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HCPCS L1833 vs. Other Knee Orthotics Codes
The HCPCS L1833 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 L1833 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 |
|---|---|---|
| L1832-HCPCS | Moderate | Knee orthosis (KO), adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
| L1833-HCPCS | Moderate | Knee orthosis (KO), adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf |
| L1834-HCPCS | Moderate | Knee orthosis (KO), without knee joint, rigid, 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 L1833. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L1833 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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