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See a sample rate comparisonHCPCS L2380 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, torsion control, straight knee joint, each joint
| Key Fact | Detail |
|---|---|
| Service Type | Orthotic Procedures and services Additions, Lower Extremity Orthotics |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for L2380 |
National average reimbursement for HCPCS L2380 by major payers:
$128.10
$81.37
$89.96
$182.36
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HCPCS L2380
5 of 25 sample ratesHigher to lower in this preview
Emory Healthcare
Emory University
$199.05Published rateIrwin County Hospital
$93.80Published rateLeigh Taylor
$69.19Published rateDevon Daney
Aztec Urgent Care LLC
$63.97Published rateGood Samaritan Hospital, Inc., St. Mary'S Good Samaritan Hospital
Good Samaritan Hospital Inc
$46.13Published rate
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See a sample payer proposalHCPCS L2380 vs. Other Additions, Lower Extremity Orthotics Codes
The HCPCS L2380 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 L2380 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 |
|---|---|---|
| L2375-HCPCS | Low | Addition to lower extremity, torsion control, ankle joint and half solid stirrup |
| L2380-HCPCS | Low | Addition to lower extremity, torsion control, straight knee joint, each joint |
| L2385-HCPCS | Low | Addition to lower extremity, straight knee joint, heavy duty, 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 L2380. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L2380 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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