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See a sample rate comparisonHCPCS L2005 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.
Knee ankle foot orthosis (KAFO), any material, single or double upright, stance control, automatic lock and swing phase release, any type activation, includes ankle joint, any type, custom fabricated
| Key Fact | Detail |
|---|---|
| Service Type | Orthotic Procedures and services Knee-ankle-foot Orthotics |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for L2005 |
National average reimbursement for HCPCS L2005 by major payers:
$4,203.55
$2,627.09
$2,925.59
$3,828.39
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HCPCS L2005
5 of 25 sample ratesHigher to lower in this preview
Emory University, Emory University Hospital
Emory University
$9,232.96Published rateThe Hospital Authority Of Monroe County, Georgia, Monroe County Hospital
The Hospital Authority Of Monroe County Georgia
$3,357.39Published rateTattnall Hospital Company, LLC, Optim Medical Center - Tattnall
$2,331.09Published rateAlicia Encinas
Miguel A Arenas Md PC
$2,200.90Published rateMichael Guillette
Aztec Urgent Care LLC
$2,034.92Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS L2005 vs. Other Knee-ankle-foot Orthotics Codes
The HCPCS L2005 code is part of the Orthotic Procedures and services services used for Knee-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 L2005 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 |
|---|---|---|
| L2000-HCPCS | High | Knee ankle foot orthosis (KAFO), single upright, free knee, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'AK' orthosis), custom-fabricated |
| L2005-HCPCS | High | Knee ankle foot orthosis (KAFO), any material, single or double upright, stance control, automatic lock and swing phase release, any type activation, includes ankle joint, any type, custom fabricated |
| L2006-HCPCS | High | Knee ankle foot device, any material, single or double upright, swing and stance phase microprocessor control with adjustability, includes all components (e.g., sensors, batteries, charger), any type activation, with or without ankle joint(s), 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 L2005. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L2005 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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