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See a sample rate comparisonHCPCS L2180 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.
Addition to lower extremity fracture orthosis, plastic shoe insert with ankle joints
| Key Fact | Detail |
|---|---|
| Service Type | Orthotic Procedures and services Additions, Lower Extremity, Fracture Orthotics |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for L2180 |
National average reimbursement for HCPCS L2180 by major payers:
$123.19
$78.09
$85.70
$187.69
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HCPCS L2180
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$284.68Published rateStephens County Anesthesia Services,LLC
Stephens County Anesthesia Servicesllc
$89.23Published rateScottish Rite Childrens Medical Ctr, Children'S Healthcare Of Atlanta At Scottish Rite
Childrens Healthcare Of Atlanta Inc
$87.76Published rateElbert Memorial Hospital
$59.75Published rateGood Samaritan Hospital, Inc., St. Mary'S Good Samaritan Hospital
Good Samaritan Hospital Inc
$43.88Published rate
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See a sample payer proposalHCPCS L2180 vs. Other Additions, Lower Extremity, Fracture Orthotics Codes
The HCPCS L2180 code is part of the Orthotic Procedures and services services used for Additions, Lower Extremity, Fracture 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 L2180 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 |
|---|---|---|
| L2136-HCPCS | High | Knee ankle foot orthosis(KAFO), fracture orthosis, femoral fracture cast orthosis, rigid, prefabricated, includes fitting and adjustment |
| L2180-HCPCS | Low | Addition to lower extremity fracture orthosis, plastic shoe insert with ankle joints |
| L2182-HCPCS | Low | Addition to lower extremity fracture orthosis, drop lock knee joint |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L2180. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L2180 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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