HCPCS L1902 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 • Ankle-foot Orthotics |
| Complexity Level | Low |
National average reimbursement for HCPCS L1902 by major payers:
$79.03
$54.33
$67.02
$103.68
| 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 L1902 | ||||||
United | L1902 | $46.16 | 1508851692 - SANDRA GOTMAN | 141941024 - (FL) ASSOCIATES LLC | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | L1902 | $43.02 | 1730369729 - HENKIN NEUROSURGERY P A | 261268549 - (FL) HENKIN NEUROSURGERY, P.A. | FL | Neurological Surgery Physician (207T00000X) |
United | L1902 | $92.23 | 1336100460 - KIM MANWARING | 590634433 - THE NEMOURS FOUNDATION | NH | Neurological Surgery Physician (207T00000X) |
United | L1902 | $44.77 | 1619944311 - SIVASUPIRAMANIAM SRIHARAN | 381976271 - MCLAREN BAY REGION | FL | Neurological Surgery Physician (207T00000X) |
United | L1902 | $44.11 | 1033644133 - KARL TOUSSAINT | 473808924 | FL | Orthopaedic Trauma Physician (207XX0801X) |
United | L1902 | $49.18 | 1639481765 - MICHAEL DOSS | 237134386 - (ME) HOULTON REGIONAL HOSPITAL | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | L1902 | $71.93 | 1144631490 - LUKE LOPAS | 351747218 - INDIANA UNIVERSITY HEALTH CARE ASSOCIATES INC | FL | Orthopaedic Trauma Physician (207XX0801X) |
United | L1902 | $44.86 | 1689293375 - DANIELLE MUSTICO | 591575766 - (FL) CORTEZ FOOT & ANKLE SPECIALISTS, P.A. | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | L1902 | $42.68 | 1851352082 - EUGENE RUCKH | 453822111 - (FL) FOOT ANKLE SPECIALISTS OF JACKSONVILLE INC | FL | Podiatrist (213E00000X) |
United | L1902 | $46.16 | 1790102655 - ROBERT ROTHROCK | 205155995 | FL | Neurological Surgery Physician (207T00000X) |
United | L1902 | $45.20 | 1154542512 - JULIO ORTIZ | 270492585 - (FL) CERTIFIED FOOT ANKLE SPECIALISTS | FL | Foot Surgery Podiatrist (213ES0131X) |
United | L1902 | $47.59 | 1760845879 - RACHEAL PETERSON | 462021581 - (FL) FLORIDA HOSPITAL PHYSICIAN GROUP INC | LA | Neurological Surgery Physician (207T00000X) |
United | L1902 | $39.74 | 1760444343 - GARY KATZ | 593524239 - (FL) KATZ MEDICAL ASSOCIATES, P.A. | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | L1902 | $114.12 | 1760970081 - MORGAN GARCIA | 810599172 - (CA) FOOTHILL PODIATRY CLINIC OF GRASS VALLEY INC | CA | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | L1902 | $46.16 | 1336720010 - ZOHAIB MOON | 592750728 - (FL) ORTHOPEDIC CENTER OF FLORIDA, INC. | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
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 L1902 vs. Other Ankle-foot Orthotics Codes
The HCPCS L1902 code is part of the Orthotic Procedures and services services used for Ankle-foot 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 L1902 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 |
|---|---|---|
| L1900-HCPCS | Moderate | Ankle foot orthosis (AFO), spring wire, dorsiflexion assist calf band, custom-fabricated |
| L1902-HCPCS | Low | Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
| L1904-HCPCS | Moderate | Ankle orthosis, ankle gauntlet or similar, with or without joints, 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 L1902. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L1902 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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