L2628 – Addition to lower extremity, pelvic control, metal frame, reciprocating hip joint and cables
HCPCS Level II code · L codes: Orthotic and Prosthetic Procedures and Devices
HCPCS codeL2628
- Long description
- Addition to lower extremity, pelvic control, metal frame, reciprocating hip joint and cables
- Short description
- Metal frame recipro hip & ca
- 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, 1989
- Last change
- January 1, 1996 – No change
Frequently asked questions
What is HCPCS code L2628?
L2628 is a HCPCS Level II code for addition to lower extremity, pelvic control, metal frame, reciprocating hip joint and cables.
Does Medicare cover L2628?
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
- L2570 – Addition to lower extremity, pelvic control, hip joint, clevis type two position joint, each
- L2580 – Addition to lower extremity, pelvic control, pelvic sling
- L2600 – Addition to lower extremity, pelvic control, hip joint, clevis type, or thrust bearing, free, each
- L2610 – Addition to lower extremity, pelvic control, hip joint, clevis or thrust bearing, lock, each
- L2620 – Addition to lower extremity, pelvic control, hip joint, heavy duty, each
- L2622 – Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each
- L2624 – Addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction control, each
- L2627 – Addition to lower extremity, pelvic control, plastic, molded to patient model, reciprocating hip joint and cables
- L2630 – Addition to lower extremity, pelvic control, band and belt, unilateral
- L2640 – Addition to lower extremity, pelvic control, band and belt, bilateral
- L2650 – Addition to lower extremity, pelvic and thoracic control, gluteal pad, each
- L2660 – Addition to lower extremity, thoracic control, thoracic band
- L2670 – Addition to lower extremity, thoracic control, paraspinal uprights
- L2680 – Addition to lower extremity, thoracic control, lateral support uprights
- L2750 – Addition to lower extremity orthosis, plating chrome or nickel, per bar
- L2755 – Addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthosis only
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.