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See a sample rate comparisonHCPCS L5783 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 to lower extremity, user adjustable, mechanical, residual limb volume management system (with or without lamination kit)
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Vacuum Pumps, Lower Limb Prosthetic Additions |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for L5783 |
National average reimbursement for HCPCS L5783 by major payers:
$2,690.05
$2,457.98
$2,670.25
$5,186.29
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HCPCS L5783
5 of 25 sample ratesHigher to lower in this preview
Ujuka Iloabuchi
Gwinnett Obgyn Associates Of Georgia LLC
$4,444.56Published rateBiometrics, Inc.
Biometrics, Inc
$2,714.33Published rateNew England Orthotic & Prosthetic Systems, LLC
New England Orthotic & Prostheti
$2,578.61Published rateNew England Orthotic & Prosthetic Systems, LLC
New England Orthotic & Prostheti
$2,578.61Published rateWildwood Sanitarium Incorporated, Wildwood Medical Clinic
Wildwood Sanitarium Incorporated
$1,206.36Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS L5783 vs. Other Vacuum Pumps, Lower Limb Prosthetic Additions Codes
The HCPCS L5783 code is part of the Prosthetic Procedures services used for Vacuum Pumps, Lower Limb 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 L5783 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 |
|---|---|---|
| L5783-HCPCS | High | Addition to lower extremity, user adjustable, mechanical, residual limb volume management system (with or without lamination kit) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L5783. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L5783 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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