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See a sample rate comparisonHCPCS L5617 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.
Addition to lower extremity, quick change self-aligning unit, above knee or below knee, each
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Endoskeletal Prosthetic Additions, Lower Extremities |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for L5617 |
National average reimbursement for HCPCS L5617 by major payers:
$569.70
$367.01
$401.39
$799.06
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HCPCS L5617
5 of 25 sample ratesHigher to lower in this preview
Grady Memorial Hospital Corporation, Grady Health Systems
Emory University
$1,146.54Published rateScottish Rite Childrens Medical Ctr, Children'S Healthcare Of Atlanta At Scottish Rite
Childrens Healthcare Of Atlanta Inc
$428.51Published rateQuest Diagnostics Incorporated
$329.51Published rateHospital Authority Of Mitchell County, Mitchell County Hospital
Hospital Authority Of Mitchell County
$307.63Published rateApril Leuzinger
Aztec Urgent Care LLC
$280.10Published rate
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See a sample payer proposalHCPCS L5617 vs. Other Endoskeletal Prosthetic Additions, Lower Extremities Codes
The HCPCS L5617 code is part of the Prosthetic Procedures services used for Endoskeletal Prosthetic Additions, Lower Extremities. 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 L5617 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 |
|---|---|---|
| L5616-HCPCS | High | Addition to lower extremity, endoskeletal system, above knee, universal multiplex system, friction swing phase control |
| L5617-HCPCS | Moderate | Addition to lower extremity, quick change self-aligning unit, above knee or below knee, each |
| L5618-HCPCS | Moderate | Addition to lower extremity, test socket, Symes |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L5617. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L5617 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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