HCPCS Code Section: HCPCS L Codes

L5642

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

L5640

Addition to lower extremity, knee disarticulation, leather socket Short Description: Knee disarticulat leather so Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, …

L5639

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

L5638

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

L5654

Addition to lower extremity, socket insert, symes, (kemblo, pelite, aliplast, plastazote or equal) Short Description: Socket insert symes Coverage Code: Carrier judgment Action Code: No maintenance for this code …

L5653

Addition to lower extremity, knee disarticulation, expandable wall socket Short Description: Knee disart expand wall sock Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: …

L5652

Addition to lower extremity, suction suspension, above knee or knee disarticulation socket Short Description: Suction susp ak/knee disart Coverage Code: Carrier judgment Action Code: No maintenance for this code …

L5651

Addition to lower extremity, above knee, flexible inner socket, external frame Short Description: Ak flex inner socket ext fra Coverage Code: Carrier judgment Action Code: No maintenance for this …

L5676

Additions to lower extremity, below knee, knee joints, single axis, pair Short Description: Bk knee joints single axis p Coverage Code: Carrier judgment Action Code: No maintenance for this …

L5650

Additions to lower extremity, total contact, above knee or knee disarticulation socket Short Description: Tot contact ak/knee disart s Coverage Code: Carrier judgment Action Code: No maintenance for this …