L5230 HCPCS Level II code: Above knee, for proximal femoral focal deficiency, constant friction knee, shin, sach foot
L5230 is the HCPCS code for “Above knee, for proximal femoral focal deficiency, constant friction knee, shin, sach foot” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
L5230Above knee, for proximal femoral focal deficiency, constant friction knee, shin, sach foot
Short description: Fem focal defic constant fri
HCPCS · United States
Medicare details
The indicators CMS publishes with L5230 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, 1982
Where L5230 sits
- 1L codesOrthotics and prosthetics
- 2Active code L5230Above knee, for proximal femoral focal deficiency, constant friction knee, shin, sach foot
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 L5230 mean?
L5230 is the HCPCS code for “Above knee, for proximal femoral focal deficiency, constant friction knee, shin, sach foot” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover L5230?
CMS lists L5230’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 L5230
All L codesL5105Below knee, plastic socket, joints and thigh lacer, sach footL5150Knee disarticulation (or through knee), molded socket, external knee joints, shin, sach footL5160Knee disarticulation (or through knee), molded socket, bent knee configuration, external knee joints, shin, sach footL5200Above knee, molded socket, single axis constant friction knee, shin, sach footL5210Above knee, short prosthesis, no knee joint ('stubbies'), with foot blocks, no ankle joints, eachL5220Above knee, short prosthesis, no knee joint ('stubbies'), with articulated ankle/foot, dynamically aligned, eachL5250Hip disarticulation, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach footL5270Hip disarticulation, tilt table type; molded socket, locking hip joint, single axis constant friction knee, shin, sach footL5280Hemipelvectomy, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach footL5301Below knee, molded socket, shin, sach foot, endoskeletal systemL5312Knee disarticulation (or through knee), molded socket, single axis knee, pylon, sach foot, endoskeletal systemL5321Above knee, molded socket, open end, sach foot, endoskeletal system, single axis knee