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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Orthotic Procedures and services Orthosis Transfers |
| Complexity Level | Low |
| Medicaid Fee Schedule | $78.995 median of the 8 states in the free preview · View Medicaid rates for L3620 |
National average reimbursement for HCPCS L3620 by major payers:

$77.82

$49.17

$53.85

$107.99
Choose a payer to see a sample of rates for HCPCS L3620.
Emory University, Emory University Hospital
Emory University
Christopher Chambers
Cooperative Healthcare Services Inc
Northeast Georgia Medical Center, Inc.
Gainesville Radiology Group
Michael Guillette
Aztec Urgent Care LLC
Miguel Arenas
Miguel A Arenas Md PC
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS L3620 vs. Other Orthosis Transfers Codes
The HCPCS L3620 code is part of the Orthotic Procedures and services services used for Orthosis Transfers. 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 L3620 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 |
|---|---|---|
| L3610-HCPCS | Low | Transfer of an orthosis from one shoe to another, caliper plate, new |
| L3620-HCPCS | Low | Transfer of an orthosis from one shoe to another, solid stirrup, existing |
| L3630-HCPCS | Low | Transfer of an orthosis from one shoe to another, solid stirrup, new |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L3620. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L3620 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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