HCPCS code L9900

Orthotic and prosthetic supply, accessory, and/or service component of another hcpcs "l" code

Medicare: Carrier judgmentL seriesAdded January 01, 2000

What L9900 means

L9900 (O&p supply/accessory/service) 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: Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap - filled amounts).

Code details

Short description
O&p supply/accessory/service
Coverage code
C = Carrier judgment
Pricing indicator
46 = Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap - filled amounts)
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, 2000
Code added date
January 01, 2000
Data year
2026

Questions about L9900

What is HCPCS code L9900?

HCPCS code L9900 is a Level II code in the L series (Orthotic Procedures and services; Prosthetic Procedures). Its full description is: "Orthotic and prosthetic supply, accessory, and/or service component of another hcpcs "l" code"

Is L9900 a CPT code?

No. L9900 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 L9900?

The Medicare coverage code for L9900 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 L9900 added?

L9900 was added to the HCPCS code set on January 01, 2000. The most recent action on it (No maintenance for this code) took effect on January 01, 2000.

All L codes