HCPCS Code Section: HCPCS L Codes

Preparatory, below knee ‘ptb’ type socket, non-alignable system, pylon, no cover, sach foot, plaster socket, molded to model Short Description: Prep bk ptb plaster molded Coverage Code: Carrier judgment …

Addition to lower extremity, exoskeletal system, above knee-knee disarticulation, 4 bar linkage, with pneumatic swing phase control Short Description: 4-bar link above knee w/swng Coverage Code: Carrier judgment Action …

Initial, above knee – knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, plaster socket, direct formed Short Description: Init ak ischal plstr direct Coverage Code: …

Addition to lower extremity, endoskeletal system, above knee-knee disarticulation, 4 bar linkage, with hydraulic swing phase control Short Description: Ak 4 bar ling w/hydraul swig Coverage Code: Carrier judgment …

Addition to lower extremity, endoskeletal system, above knee – knee disarticulation, 4 bar linkage, with friction swing phase control Short Description: Ak 4 bar link w/fric swing Coverage Code: …

Addition to lower extremity, endoskeletal system, above knee, hydracadence system Short Description: Above knee hydracadence Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January …

Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot, laminated socket, molded to patient model Short Description: Hip disart sach laminat mold Coverage Code: Carrier judgment Action Code: No maintenance …

Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot, thermoplastic or equal, molded to patient model Short Description: Hip disartic sach thermopls Coverage Code: Carrier judgment Action Code: No maintenance …

Preparatory, above knee – knee disarticulation ischial level socket, non-alignable system, pylon no cover, sach foot, laminated socket, molded to model Short Description: Prep ak ischial laminated Coverage Code: …

Preparatory, above knee – knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, prefabricated adjustable open end socket Short Description: Prep ak ischial open end Coverage …