L2861 — Addition to lower extremity joint, knee or ankle, concentric adjustable torsion style mechanism for custom fabricated orthotics only, each
L2861 is a HCPCS Level II code for addition to lower extremity joint, knee or ankle, concentric adjustable torsion style mechanism for custom fabricated orthotics only, each. It belongs to the Orthotic and Prosthetic Procedures and Devices section. Medicare does not pay it — see the coverage note below before you bill it.
Medicare coverage: Not payable by Medicare
Medicare does not pay this code. It may still be valid for another payer, but a Medicare claim carrying it will not be reimbursed.
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 L2861 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
- 0 — never payable MAI 3 — Date of Service Edit: Clinical · CMS Policy
- DME supplier
- 0 — never payable MAI 3 — Date of Service Edit: Clinical · Published Contractor Policy
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 L2861
- Long descriptor
- Addition to lower extremity joint, knee or ankle, concentric adjustable torsion style mechanism for custom fabricated orthotics only, each
- Short descriptor
- Torsion mechanism knee/ankle
- Added
- January 1, 2010
- BETOS
- D1F
- Pricing indicator
- 00 — Not priced by Part B
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.
Service not separately priced by Part B — not covered, bundled into another service, or used by Part A only.
Codes adjacent to L2861
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If L2861 is not quite right, the correct code is very often within a few positions of it.
- L2785Addition to lower extremity orthosis, drop lock retainer, each
- L2795Addition to lower extremity orthosis, knee control, full kneecap
- L2800Addition to lower extremity orthosis, knee control, knee cap, medial or lateral pull, for use with custom fabricated orthosis only
- L2810Addition to lower extremity orthosis, knee control, condylar pad
- L2820Addition to lower extremity orthosis, soft interface for molded plastic, below knee section
- L2830Addition to lower extremity orthosis, soft interface for molded plastic, above knee section
- L2840Addition to lower extremity orthosis, tibial length sock, fracture or equal, each
- L2850Addition to lower extremity orthosis, femoral length sock, fracture or equal, each
- L2999Lower extremity orthoses, not otherwise specified
- L3000Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each
- L3001Foot, insert, removable, molded to patient model, spenco, each
- L3002Foot, insert, removable, molded to patient model, plastazote or equal, each
- L3003Foot, insert, removable, molded to patient model, silicone gel, each
- L3010Foot, insert, removable, molded to patient model, longitudinal arch support, each
- L3020Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each
- L3030Foot, insert, removable, formed to patient foot, each
Questions about L2861
What is HCPCS code L2861?
L2861 is a HCPCS Level II code for addition to lower extremity joint, knee or ankle, concentric adjustable torsion style mechanism for custom fabricated orthotics only, each. It sits in the Orthotic and Prosthetic Procedures and Devices section.
Does Medicare cover L2861?
The CMS HCPCS file marks L2861 as "Not payable by Medicare". Medicare does not pay this code. It may still be valid for another payer, but a Medicare claim carrying it will not be reimbursed.