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See a sample rate comparisonHCPCS L5712 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, exoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee)
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Exoskeletal Knee-shin System Additions |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for L5712 |
National average reimbursement for HCPCS L5712 by major payers:
$502.89
$308.07
$342.76
$615.66
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HCPCS L5712
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
$1,188.43Published rateHamilton Medical Center, Inc.
Hamilton Medical Center Inc
$437.07Published rateHca Health Services Of Tennessee, Inc., Tristar Centennial Medical Center
Quest Diagnostics Clinical Laboratories, Inc.
$344.66Published rateUjuka Iloabuchi
Atlanta Womens Health Group, P.C.
$262.23Published rateGood Samaritan Hospital, Inc., St. Mary'S Good Samaritan Hospital
Good Samaritan Hospital Inc
$174.83Published rate
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See a sample payer proposalHCPCS L5712 vs. Other Exoskeletal Knee-shin System Additions Codes
The HCPCS L5712 code is part of the Prosthetic Procedures services used for Exoskeletal Knee-shin System 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 L5712 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 |
|---|---|---|
| L5711-HCPCS | Moderate | Additions exoskeletal knee-shin system, single axis, manual lock, ultra-light material |
| L5712-HCPCS | Moderate | Addition, exoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee) |
| L5714-HCPCS | Moderate | Addition, exoskeletal knee-shin system, single axis, variable friction swing phase control |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L5712. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L5712 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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