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See a sample rate comparisonHCPCS L8465 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.
Prosthetic shrinker, upper limb, each
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Prosthetic Sheaths, Socks, and Shrinkers |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for L8465 |
National average reimbursement for HCPCS L8465 by major payers:
$57.81
$36.63
$41.59
$85.66
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HCPCS L8465
5 of 25 sample ratesHigher to lower in this preview
Emory University Hospital
Emory University
$131.78Published rateThe Medical Center Inc, Piedmont Columbus Regional Midtown
The Medical Center Inc
$89.91Published rateHospital Authority Of Valdosta And Lowndes County Georgia, South Georgia Medical Center
Hospital Authority Of Valdosta And Lowndes County Georgia
$38.95Published rateThe Medical Center Inc, Piedmont Columbus Regional Midtown
The Medical Center Inc
$34.75Published rateUnilab Corporation, Quest Diagnostics Clinical Lab
$16.00Published rate
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See a sample payer proposalHCPCS L8465 vs. Other Prosthetic Sheaths, Socks, and Shrinkers Codes
The HCPCS L8465 code is part of the Prosthetic Procedures services used for Prosthetic Sheaths, Socks, and Shrinkers. 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 L8465 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 |
|---|---|---|
| L8460-HCPCS | Low | Prosthetic shrinker, above knee, each |
| L8465-HCPCS | Low | Prosthetic shrinker, upper limb, each |
| L8470-HCPCS | Low | Prosthetic sock, single ply, fitting, below knee, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L8465. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L8465 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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