L2640 — Addition to lower extremity, pelvic control, band and belt, bilateral
L2640 is a HCPCS Level II code for addition to lower extremity, pelvic control, band and belt, bilateral. It belongs to the Orthotic and Prosthetic Procedures and Devices section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Carrier judgment
Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
Medically Unlikely Edits — units per day
The most units of L2640 Medicare will pay on one date of service. Bill more on a single line and it is denied. The limit is not the same in every setting, so the row that matters is the one matching the claim you are building.
- practitioner
- 0 — never payable MAI 3 — Date of Service Edit: Clinical · CMS Policy
- outpatient
- 1 unit MAI 2 — Date of Service Edit: Policy · Anatomic Consideration
- DME supplier
- 1 unit MAI 2 — Date of Service Edit: Policy · Anatomic Consideration
The adjudication indicator decides whether exceeding the limit is worth appealing at all: MAI 1 is a line edit you can support with documentation, MAI 3 is a date-of-service edit that is also appealable, and MAI 2 is absolute — no documentation overrides it. CMS MUE 2026Q3.
The CMS record for L2640
- Long descriptor
- Addition to lower extremity, pelvic control, band and belt, bilateral
- Short descriptor
- Pelvic control band & belt b
- Added
- January 1, 1986
- BETOS
- D1F
- Pricing indicator
- 38 — DMEPOS
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Orthotics, prosthetics, prosthetic devices and vision services. Price subject to floors and ceilings.
Codes adjacent to L2640
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If L2640 is not quite right, the correct code is very often within a few positions of it.
- L2600Addition to lower extremity, pelvic control, hip joint, clevis type, or thrust bearing, free, each
- L2610Addition to lower extremity, pelvic control, hip joint, clevis or thrust bearing, lock, each
- L2620Addition to lower extremity, pelvic control, hip joint, heavy duty, each
- L2622Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each
- L2624Addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction control, each
- L2627Addition to lower extremity, pelvic control, plastic, molded to patient model, reciprocating hip joint and cables
- L2628Addition to lower extremity, pelvic control, metal frame, reciprocating hip joint and cables
- L2630Addition to lower extremity, pelvic control, band and belt, unilateral
- L2650Addition to lower extremity, pelvic and thoracic control, gluteal pad, each
- L2660Addition to lower extremity, thoracic control, thoracic band
- L2670Addition to lower extremity, thoracic control, paraspinal uprights
- L2680Addition to lower extremity, thoracic control, lateral support uprights
- L2750Addition to lower extremity orthosis, plating chrome or nickel, per bar
- L2755Addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthosis only
- L2760Addition to lower extremity orthosis, extension, per extension, per bar (for lineal adjustment for growth)
- L2768Orthotic side bar disconnect device, per bar
Questions about L2640
What is HCPCS code L2640?
L2640 is a HCPCS Level II code for addition to lower extremity, pelvic control, band and belt, bilateral. It sits in the Orthotic and Prosthetic Procedures and Devices section.
Does Medicare cover L2640?
The CMS HCPCS file marks L2640 as "Carrier judgment". Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.