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See a sample rate comparisonHCPCS L5650 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.
Additions to lower extremity, total contact, above knee or knee disarticulation socket
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Various Prosthetic Sockets |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for L5650 |
National average reimbursement for HCPCS L5650 by major payers:
$545.72
$349.77
$378.82
$695.13
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HCPCS L5650
5 of 25 sample ratesHigher to lower in this preview
Emory Healthcare
Emory University
$989.23Published rateQuest Diagnostics Venture LLC
$390.48Published ratePiedmont Newton Ekg Billing LLC
Piedmont Newton Hospital Inc
$270.26Published rateClinch County Hospital Authority
$254.47Published rateGrady Memorial Hospital Corporation, Grady Health Systems
Grady Memorial Hospital Corporation
$248.47Published rate
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See a sample payer proposalHCPCS L5650 vs. Other Various Prosthetic Sockets Codes
The HCPCS L5650 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 L5650 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 |
|---|---|---|
| L5649-HCPCS | High | Addition to lower extremity, ischial containment/narrow M-L socket |
| L5650-HCPCS | Moderate | Additions to lower extremity, total contact, above knee or knee disarticulation socket |
| L5651-HCPCS | High | Addition to lower extremity, above knee, flexible inner socket, external frame |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L5650. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L5650 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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