L2387 – Addition to lower extremity, polycentric knee joint, for custom fabricated knee ankle foot orthosis, each joint
HCPCS Level II code · L codes: Orthotic and Prosthetic Procedures and Devices
HCPCS codeL2387
- Long description
- Addition to lower extremity, polycentric knee joint, for custom fabricated knee ankle foot orthosis, each joint
- Short description
- Add le poly knee custom kafo
- Pricing indicator
38Orthotics, prosthetics, prosthetic devices & vision services- Medicare coverage
CCarrier judgment – coverage decided by the Medicare contractor- BETOS category
D1FProsthetic/Orthotic devices- Added
- January 1, 2006
- Last change
- January 1, 2006 – No change
Frequently asked questions
What is HCPCS code L2387?
L2387 is a HCPCS Level II code for addition to lower extremity, polycentric knee joint, for custom fabricated knee ankle foot orthosis, each joint.
Does Medicare cover L2387?
The HCPCS file lists coverage code C: Carrier judgment – coverage decided by the Medicare contractor. Coverage and payment also depend on local coverage determinations and the patient’s plan.
Nearby L codes
- L2335 – Addition to lower extremity, anterior swing band
- L2340 – Addition to lower extremity, pre-tibial shell, molded to patient model
- L2350 – Addition to lower extremity, prosthetic type, (bk) socket, molded to patient model, (used for 'ptb' 'afo' orthoses)
- L2360 – Addition to lower extremity, extended steel shank
- L2370 – Addition to lower extremity, patten bottom
- L2375 – Addition to lower extremity, torsion control, ankle joint and half solid stirrup
- L2380 – Addition to lower extremity, torsion control, straight knee joint, each joint
- L2385 – Addition to lower extremity, straight knee joint, heavy duty, each joint
- L2390 – Addition to lower extremity, offset knee joint, each joint
- L2395 – Addition to lower extremity, offset knee joint, heavy duty, each joint
- L2397 – Addition to lower extremity orthosis, suspension sleeve
- L2405 – Addition to knee joint, drop lock, each
- L2415 – Addition to knee lock with integrated release mechanism (bail, cable, or equal), any material, each joint
- L2425 – Addition to knee joint, disc or dial lock for adjustable knee flexion, each joint
- L2430 – Addition to knee joint, ratchet lock for active and progressive knee extension, each joint
- L2492 – Addition to knee joint, lift loop for drop lock ring
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.