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See a sample rate comparisonHCPCS L2192 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, hip joint, pelvic band, thigh flange, and pelvic belt
| Key Fact | Detail |
|---|---|
| Service Type | Orthotic Procedures and services Additions, Lower Extremity, Fracture Orthotics |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for L2192 |
National average reimbursement for HCPCS L2192 by major payers:
$360.34
$243.50
$253.14
$476.34
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HCPCS L2192
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
$847.25Published rateUnilab Corporation, Quest Diagnostics Clinical Lab
$345.77Published rateChildrens National Medical Center
Childrens Hospital
$230.15Published rateKarlie Ryan
Bama Heart Doc, PC Dba Alabama Heart & Vascular Medicine
$200.39Published rateProfessional Resources Management Of Rabun, LLC, Mountain Lakes Medical Center
$174.46Published rate
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See a sample payer proposalHCPCS L2192 vs. Other Additions, Lower Extremity, Fracture Orthotics Codes
The HCPCS L2192 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 L2192 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 |
|---|---|---|
| L2190-HCPCS | Low | Addition to lower extremity fracture orthosis, waist belt |
| L2192-HCPCS | Moderate | Addition to lower extremity fracture orthosis, hip joint, pelvic band, thigh flange, and pelvic belt |
| L2200-HCPCS | Low | Addition to lower extremity, limited ankle motion, each joint |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L2192. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L2192 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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