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See a sample rate comparisonHCPCS L7185 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.
Electronic elbow, adolescent, Variety Village or equal, switch controlled
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Electronic Elbow and Additions |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for L7185 |
National average reimbursement for HCPCS L7185 by major payers:
$6,760.66
$4,355.46
$4,939.92
$6,360.39
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HCPCS L7185
5 of 25 sample ratesHigher to lower in this preview
Emory University Hospital
Emory University
$14,892.33Published rateTift Regional Health System Inc., Tift Regional Medical Center
Tift Regional Health System Inc
$5,966.06Published rateEffingham Hospital, Inc., Effingham Health System
Effingham Hospital Inc
$4,216.95Published rateEmanuel County Hospital Authority, Emanuel Medical Center
$3,831.02Published rateGood Samaritan Hospital, Inc., St. Mary'S Good Samaritan Hospital
Good Samaritan Hospital Inc
$2,933.77Published rate
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See a sample payer proposalHCPCS L7185 vs. Other Electronic Elbow and Additions Codes
The HCPCS L7185 code is part of the Prosthetic Procedures services used for Electronic Elbow and 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 L7185 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 |
|---|---|---|
| L7181-HCPCS | High | Electronic elbow, microprocessor simultaneous control of elbow and terminal device |
| L7185-HCPCS | High | Electronic elbow, adolescent, Variety Village or equal, switch controlled |
| L7186-HCPCS | High | Electronic elbow, child, Variety Village or equal, switch controlled |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L7185. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L7185 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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