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See a sample rate comparisonHCPCS L2184 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, limited motion knee joint
| Key Fact | Detail |
|---|---|
| Service Type | Orthotic Procedures and services Additions, Lower Extremity, Fracture Orthotics |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for L2184 |
National average reimbursement for HCPCS L2184 by major payers:
$129.17
$83.72
$93.94
$165.80
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HCPCS L2184
5 of 25 sample ratesHigher to lower in this preview
Emory University Hospital
Emory University
$314.16Published rateThe Hospital Authority Of Habersham County
$125.86Published rateHospital Authority Of Liberty County, Liberty Regional Medical Center
$88.95Published rateClinch County Hospital Authority
$80.80Published rateHca Health Services Of Tennessee, Inc., Tristar Centennial Medical Center
$40.00Published rate
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See a sample payer proposalHCPCS L2184 vs. Other Additions, Lower Extremity, Fracture Orthotics Codes
The HCPCS L2184 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 L2184 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 |
|---|---|---|
| L2182-HCPCS | Low | Addition to lower extremity fracture orthosis, drop lock knee joint |
| L2184-HCPCS | Low | Addition to lower extremity fracture orthosis, limited motion knee joint |
| L2186-HCPCS | Low | Addition to lower extremity fracture orthosis, adjustable motion knee joint, lerman type |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L2184. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L2184 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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