HCPCS Code Section: HCPCS L Codes

L5420

Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension and one cast change ‘ak’ or knee disarticulation Coverage Code: Carrier judgment Action …

L5410

Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension, below knee, each additional cast change and realignment Short Description: Postop dsg bk …

L5400

Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment, suspension, and one cast change, below knee Coverage Code: Carrier judgment Action Code: No maintenance …

L5341

Hemipelvectomy, canadian type, molded socket, endoskeletal system, hip joint, single axis knee, sach foot Short Description: Hemipelvectomy canadian sach Coverage Code: Carrier judgment Action Code: No maintenance for this …

L5331

Hip disarticulation, canadian type, molded socket, endoskeletal system, hip joint, single axis knee, sach foot Short Description: Hip disart canadian sach ft Coverage Code: Carrier judgment Action Code: No …

L5321

Above knee, molded socket, open end, sach foot, endoskeletal system, single axis knee Short Description: Ak open end sach Coverage Code: Carrier judgment Action Code: No maintenance for this …

L5312

Knee disarticulation (or through knee), molded socket, single axis knee, pylon, sach foot, endoskeletal system Short Description: Knee disart, sach ft, endo Coverage Code: Carrier judgment Action Code: No …

L5301

Below knee, molded socket, shin, sach foot, endoskeletal system Short Description: Bk mold socket sach ft endo Coverage Code: Carrier judgment Action Code: No maintenance for this code Date …

L5280

Hemipelvectomy, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach foot Short Description: Hemipelvect canad sing axis Coverage Code: Carrier judgment Action Code: No maintenance …

L5270

Hip disarticulation, tilt table type; molded socket, locking hip joint, single axis constant friction knee, shin, sach foot Short Description: Tilt table locking hip sing Coverage Code: Carrier judgment …