L8417 — Prosthetic sheath/sock, including a gel cushion layer, below knee or above knee, each
L8417 is a HCPCS Level II code for prosthetic sheath/sock, including a gel cushion layer, below knee or above knee, each. 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 L8417 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
- 12 units MAI 3 — Date of Service Edit: Clinical · Clinical: Data
- DME supplier
- 12 units MAI 3 — Date of Service Edit: Clinical · Clinical: Data
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 L8417
- Long descriptor
- Prosthetic sheath/sock, including a gel cushion layer, below knee or above knee, each
- Short descriptor
- Pros sheath/sock w gel cushn
- Added
- January 1, 1997
- 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 L8417
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If L8417 is not quite right, the correct code is very often within a few positions of it.
- L8049Repair or modification of maxillofacial prosthesis, labor component, 15 minute increments, provided by a non-physician
- L8300Truss, single with standard pad
- L8310Truss, double with standard pads
- L8320Truss, addition to standard pad, water pad
- L8330Truss, addition to standard pad, scrotal pad
- L8400Prosthetic sheath, below knee, each
- L8410Prosthetic sheath, above knee, each
- L8415Prosthetic sheath, upper limb, each
- L8420Prosthetic sock, multiple ply, below knee, each
- L8430Prosthetic sock, multiple ply, above knee, each
- L8435Prosthetic sock, multiple ply, upper limb, each
- L8440Prosthetic shrinker, below knee, each
- L8460Prosthetic shrinker, above knee, each
- L8465Prosthetic shrinker, upper limb, each
- L8470Prosthetic sock, single ply, fitting, below knee, each
- L8480Prosthetic sock, single ply, fitting, above knee, each
Questions about L8417
What is HCPCS code L8417?
L8417 is a HCPCS Level II code for prosthetic sheath/sock, including a gel cushion layer, below knee or above knee, each. It sits in the Orthotic and Prosthetic Procedures and Devices section.
Does Medicare cover L8417?
The CMS HCPCS file marks L8417 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.