HCPCS Code Section: HCPCS L Codes

L5614

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 …

L5505

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: …

L5613

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 …

L5611

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: …

L5634

Addition to lower extremity, symes type, posterior opening (canadian) socket Short Description: Symes type poster opening so Coverage Code: Carrier judgment Action Code: No maintenance for this code Date …

L5632

Addition to lower extremity, symes type, ‘ptb’ brim design socket Short Description: Symes type ptb brim design s Coverage Code: Carrier judgment Action Code: No maintenance for this code …

L5631

Addition to lower extremity, above knee or knee disarticulation, acrylic socket Short Description: Ak/knee disartic acrylic soc Coverage Code: Carrier judgment Action Code: No maintenance for this code Date …

L5630

Addition to lower extremity, symes type, expandable wall socket Short Description: Syme typ expandabl wall sckt Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: …

L5629

Addition to lower extremity, below knee, acrylic socket Short Description: Below knee acrylic socket Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, …

L5628

Addition to lower extremity, test socket, hemipelvectomy Short Description: Test socket hemipelvectomy Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1986 Effective …