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See a sample rate comparisonHCPCS L2275 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, varus/valgus correction, plastic modification, padded/lined
| Key Fact | Detail |
|---|---|
| Service Type | Orthotic Procedures and services Additions, Lower Extremity Orthotics |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for L2275 |
National average reimbursement for HCPCS L2275 by major payers:
$130.09
$83.12
$92.26
$185.68
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HCPCS L2275
5 of 25 sample ratesHigher to lower in this preview
Emory Healthcare
Emory University
$248.55Published rateScottish Rite Childrens Medical Ctr, Children'S Healthcare Of Atlanta At Scottish Rite
Childrens Healthcare Of Atlanta Inc
$92.88Published rateUpson County Hospital Inc, Upson Regional Medical Center
Upson County Hospital Inc
$73.44Published rateEvans Memorial Hospital, Inc.
Evans Memorial Hospital Inc
$70.37Published rateGrady Memorial Hospital Corporation, Grady Health Systems
Grady Memorial Hospital Corporation
$62.43Published rate
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See a sample payer proposalHCPCS L2275 vs. Other Additions, Lower Extremity Orthotics Codes
The HCPCS L2275 code is part of the Orthotic Procedures and services services used for Additions, Lower Extremity 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 L2275 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 |
|---|---|---|
| L2270-HCPCS | Low | Addition to lower extremity, varus/valgus correction ('T') strap, padded/lined or malleolus pad |
| L2275-HCPCS | Low | Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
| L2280-HCPCS | Moderate | Addition to lower extremity, molded inner boot |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L2275. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L2275 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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