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See a sample rate comparisonHCPCS L2492 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 knee joint, lift loop for drop lock ring
| Key Fact | Detail |
|---|---|
| Service Type | Orthotic Procedures and services Orthotic Additions to Knee Joints |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for L2492 |
National average reimbursement for HCPCS L2492 by major payers:
$109.30
$69.97
$74.60
$165.89
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HCPCS L2492
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
$244.49Published rateAtl Colorectal Surgery
$127.11Published rateScottish Rite Childrens Medical Ctr, Children'S Healthcare Of Atlanta At Scottish Rite
Childrens Healthcare Of Atlanta Inc
$72.48Published rateChi Memorial Hospital
Chi Memorial Hospital - Georgia
$57.31Published rateClinch County Hospital Authority
$49.88Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS L2492 vs. Other Orthotic Additions to Knee Joints Codes
The HCPCS L2492 code is part of the Orthotic Procedures and services services used for Orthotic Additions to Knee Joints. 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 L2492 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 |
|---|---|---|
| L2430-HCPCS | Low | Addition to knee joint, ratchet lock for active and progressive knee extension, each joint |
| L2492-HCPCS | Low | Addition to knee joint, lift loop for drop lock ring |
| L2500-HCPCS | Moderate | Addition to lower extremity, thigh/weight bearing, gluteal/ ischial weight bearing, ring |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L2492. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L2492 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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