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See a sample rate comparisonHCPCS L5648 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, above knee, air, fluid, gel or equal, cushion socket
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Various Prosthetic Sockets |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for L5648 |
National average reimbursement for HCPCS L5648 by major payers:
$706.85
$461.75
$502.87
$1,040.32
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HCPCS L5648
5 of 25 sample ratesHigher to lower in this preview
Emory University, Emory University Hospital
Emory University
$1,469.79Published rateDublin Vamc
$603.27Published rateHospital Authority Of Valdosta And Lowndes County Georgia, South Georgia Medical Center
Hospital Authority Of Valdosta And Lowndes County Georgia
$394.23Published rateLower Oconee Community Hospital Inc
$357.95Published rateQuest Diagnostics Incorporated
$180.91Published rate
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See a sample payer proposalHCPCS L5648 vs. Other Various Prosthetic Sockets Codes
The HCPCS L5648 code is part of the Prosthetic Procedures services used for Various Prosthetic Sockets. 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 L5648 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 |
|---|---|---|
| L5647-HCPCS | Moderate | Addition to lower extremity, below knee suction socket |
| L5648-HCPCS | Moderate | Addition to lower extremity, above knee, air, fluid, gel or equal, cushion socket |
| L5649-HCPCS | High | Addition to lower extremity, ischial containment/narrow M-L socket |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L5648. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L5648 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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