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See a sample rate comparisonHCPCS L5672 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, below knee, removable medial brim suspension
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Socket Insert, Suspensions, and Other Prosthetic Additions |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for L5672 |
National average reimbursement for HCPCS L5672 by major payers:
$338.61
$214.40
$228.44
$508.53
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HCPCS L5672
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
$769.76Published ratePiedmont Newton Ekg Billing LLC
Piedmont Newton Hospital Inc
$395.97Published rateChristopher Chambers
Cooperative Healthcare Services Inc
$239.13Published rateStephens County Hospital Authority
$162.11Published rateChristopher Raio
St Francis Hospital
$107.13Published rate
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See a sample payer proposalHCPCS L5672 vs. Other Socket Insert, Suspensions, and Other Prosthetic Additions Codes
The HCPCS L5672 code is part of the Prosthetic Procedures services used for Socket Insert, Suspensions, and Other Prosthetic Additions. 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 L5672 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 |
|---|---|---|
| L5671-HCPCS | Moderate | Addition to lower extremity, below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert |
| L5672-HCPCS | Moderate | Addition to lower extremity, below knee, removable medial brim suspension |
| L5673-HCPCS | Moderate | Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric, or equal, with or without perforations, with or without breathable material, for use with locking mechanism |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L5672. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L5672 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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