L1820 HCPCS Level II code: Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or…
L1820 is the HCPCS code for “Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific…” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
L1820Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
Short description: Ko elas w/ condyle pads & jo
HCPCS · United States
Medicare details
The indicators CMS publishes with L1820 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Carrier judgment
- Medicare pricing
- DMEPOS fee schedule – Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)
- Type of service
- Lump sum purchase of DME, prosthetics, orthotics
- BETOS category
- Prosthetic/Orthotic devices
- Added
- Jan 1, 1986
Where L1820 sits
- 1L codesOrthotics and prosthetics
- 2Active code L1820Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
Source and release
- Data release
- HCPCS Level II · October 2026
- Effective date
- Oct 1, 2026
- Publisher
- CMS
This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.
Frequently asked questions
What does HCPCS code L1820 mean?
L1820 is the HCPCS code for “Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover L1820?
CMS lists L1820’s Medicare coverage as “Carrier judgment” and its pricing as “DMEPOS fee schedule – Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.
Which HCPCS Level II release does this page use?
It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.
Codes beside L1820
All L codesL1710Legg perthes orthosis, (newington type), custom fabricatedL1720Legg perthes orthosis, trilateral, (tachdijan type), custom fabricatedL1730Legg perthes orthosis, (scottish rite type), custom fabricatedL1755Legg perthes orthosis, (patten bottom type), custom fabricatedL1810Knee orthosis, elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with…L1812Knee orthosis, elastic with joints, prefabricated, off-the-shelfL1821Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, off the shelfL1830Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelfL1831Knee orthosis, locking knee joint(s), positional orthosis, prefabricated, includes fitting and adjustmentL1832Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or…L1833Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelfL1834Knee orthosis, without knee joint, rigid, custom fabricated