hcpcs data

L1812

Knee orthosis, elastic with joints, prefabricated, off-the-shelf

Medicare: Carrier judgmentL seriesAdded January 01, 2014

What L1812 means

L1812 (Ko elastic w/joints pre ots) belongs to the HCPCS Level II L series (Orthotic Procedures and services; Prosthetic Procedures). Its Medicare coverage status is Carrier judgment. Medicare coverage is left to the judgment of the local Medicare Administrative Contractor (MAC), so check your MAC's local coverage determinations.

Part B pricing: Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings).

Code details

Short description
Ko elastic w/joints pre ots
Coverage code
C = Carrier judgment
Pricing indicator
38 = Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)
Multiple pricing indicator
A = Not applicable as HCPCS priced under one methodology
Type of service
P = Lump sum purchase of DME, prosthetics, orthotics
Action code
N = No maintenance for this code
Action effective date
January 01, 2014
Code added date
January 01, 2014
Data year
2026

Questions about L1812

What is HCPCS code L1812?

HCPCS code L1812 is a Level II code in the L series (Orthotic Procedures and services; Prosthetic Procedures). Its full description is: "Knee orthosis, elastic with joints, prefabricated, off-the-shelf"

Is L1812 a CPT code?

No. L1812 is a HCPCS Level II code maintained by CMS, not a CPT (Level I) code from the American Medical Association. People often search for it as a CPT code because both code sets are reported on the same claims.

Does Medicare cover HCPCS code L1812?

The Medicare coverage code for L1812 is "Carrier judgment". Medicare coverage is left to the judgment of the local Medicare Administrative Contractor (MAC), so check your MAC's local coverage determinations.

When was HCPCS code L1812 added?

L1812 was added to the HCPCS code set on January 01, 2014. The most recent action on it (No maintenance for this code) took effect on January 01, 2014.

All L codes