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See a sample rate comparisonHCPCS L5450 Fee Schedule
Last Verified: October 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.
Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, below knee
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Prosthetic Fitting, Immediate Postsurgical or Early, Lower Limbs |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for L5450 |
National average reimbursement for HCPCS L5450 by major payers:
$449.73
$291.35
$324.97
$666.21
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HCPCS L5450
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$894.48Published rateEmory Crawford Long Hospital
Emory University
$705.15Published rateChristopher Raio
St Joseph Hospital
$260.05Published rateQuest Diagnostics LLC Il
$244.39Published rateWildwood Sanitarium Incorporated, Wildwood Medical Clinic
Wildwood Sanitarium Incorporated
$163.41Published rate
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See a sample payer proposalHCPCS L5450 vs. Other Prosthetic Fitting, Immediate Postsurgical or Early, Lower Limbs Codes
The HCPCS L5450 code is part of the Prosthetic Procedures services used for Prosthetic Fitting, Immediate Postsurgical or Early, Lower Limbs. 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 L5450 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 |
|---|---|---|
| L5430-HCPCS | Moderate | Immediate post surgical or early fitting, application of initial rigid dressing, incl. fitting, alignment and suspension, 'AK' or knee disarticulation, each additional cast change and realignment |
| L5450-HCPCS | Moderate | Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, below knee |
| L5460-HCPCS | Moderate | Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, above knee |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L5450. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L5450 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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