Addition to lower extremity orthosis, plating chrome or nickel, per bar
Medicare coverage: Carrier judgment
Status: active (October 2026 file)
Medically Unlikely Edits (effective October 1, 2026)
Practitioner: max 0 units per day (clinical), rationale: CMS Policy
Outpatient hospital: max 8 units per day (clinical), rationale: Clinical: Data
DME supplier: max 8 units per day (clinical), rationale: Clinical: Data
Medicare pricing for L2750
DMEPOS fee schedule, July 2026 (DME26-C)
no modifier, prosthetics and orthotics (PO): non-rural $96.05 to $128.06 in the contiguous states; $40.94 to $113.05 in AK, HI, PR and VI; ceiling $128.06, floor $96.05
Payer policies and prior authorization for L2750
1 of 1 payer prior-auth lists that name L2750 require prior authorization or set conditions: Blue Shield of California Promise Health Plan.
From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.