L4205 HCPCS Level II code: Repair of orthotic device, labor component, per 15 minutes
L4205 is the HCPCS code for “Repair of orthotic device, labor component, per 15 minutes” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
L4205Repair of orthotic device, labor component, per 15 minutes
Short description: Ortho dvc repair per 15 min
HCPCS · United States
Medicare details
The indicators CMS publishes with L4205 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Special coverage instructions apply
- Medicare pricing
- DMEPOS fee schedule – Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)
- Type of service
- Lump sum purchase of DME, prosthetics, orthotics
- BETOS category
- Prosthetic/Orthotic devices
- Added
- Jan 1, 1997
Where L4205 sits
- 1L codesOrthotics and prosthetics
- 2Active code L4205Repair of orthotic device, labor component, per 15 minutes
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 L4205 mean?
L4205 is the HCPCS code for “Repair of orthotic device, labor component, per 15 minutes” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover L4205?
CMS lists L4205’s Medicare coverage as “Special coverage instructions apply” and its pricing as “DMEPOS fee schedule – Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)”. 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 L4205
All L codesL4070Replace proximal and distal upright for kafoL4080Replace metal bands kafo, proximal thighL4090Replace metal bands kafo-afo, calf or distal thighL4100Replace leather cuff kafo, proximal thighL4110Replace leather cuff kafo-afo, calf or distal thighL4130Replace pretibial shellL4210Repair of orthotic device, repair or replace minor partsL4350Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelfL4360Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise…L4361Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelfL4370Pneumatic full leg splint, prefabricated, off-the-shelfL4386Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise…