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See a sample rate comparisonHCPCS L5624 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, test socket, above knee
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Test Socket Prosthetic Additions, Lower Extremities |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for L5624 |
National average reimbursement for HCPCS L5624 by major payers:
$391.26
$263.42
$291.75
$568.26
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HCPCS L5624
5 of 25 sample ratesHigher to lower in this preview
Emory University Hospital
Emory University
$736.71Published rateScottish Rite Childrens Medical Ctr, Children'S Healthcare Of Atlanta At Scottish Rite
Childrens Healthcare Of Atlanta Inc
$275.35Published rateHospital Authority Of Jefferson County And The City Of Louisville, Jefferson Hospital
Hospital Authority Of Jefferson County And The City Of Louisville
$220.08Published rateEvans Memorial Hospital, Inc.
Evans Memorial Hospital Inc
$208.60Published rateHospital Authority Of Jenkins County
$189.50Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS L5624 vs. Other Test Socket Prosthetic Additions, Lower Extremities Codes
The HCPCS L5624 code is part of the Prosthetic Procedures services used for Test Socket 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 L5624 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 |
|---|---|---|
| L5622-HCPCS | Moderate | Addition to lower extremity, test socket, knee disarticulation |
| L5624-HCPCS | Moderate | Addition to lower extremity, test socket, above knee |
| L5626-HCPCS | Moderate | Addition to lower extremity, test socket, hip disarticulation |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L5624. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L5624 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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