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See a sample rate comparisonHCPCS L5780 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Addition, exoskeletal knee-shin system, single axis, pneumatic/hydra pneumatic swing phase control
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Exoskeletal Knee-shin System Additions |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for L5780 |
National average reimbursement for HCPCS L5780 by major payers:
$1,253.91
$821.11
$899.86
$1,886.92
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HCPCS L5780
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$2,679.01Published ratePiedmont Newton Hospital, Inc., Newton Medical Center
Piedmont Newton Hospital Inc
$1,520.35Published rateQuest Diagnostics Venture LLC
$915.76Published rateChristopher Raio
Samaritan Emergency Medical Services PC
$656.94Published rateGrady Memorial Hospital Corporation, Grady Health Systems
Grady Memorial Hospital Corporation
$582.72Published rate
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See a sample payer proposalHCPCS L5780 vs. Other Exoskeletal Knee-shin System Additions Codes
The HCPCS L5780 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 L5780 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 |
|---|---|---|
| L5728-HCPCS | High | Addition, exoskeletal knee-shin system, single axis, fluid swing and stance phase control |
| L5780-HCPCS | High | Addition, exoskeletal knee-shin system, single axis, pneumatic/hydra pneumatic swing phase control |
| L5781-HCPCS | High | Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L5780. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L5780 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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