HCPCS Code Section: HCPCS L Codes

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 …

L5673

Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanism Short Description: Socket …

L5649

Addition to lower extremity, ischial containment/narrow m-l socket Short Description: Isch containmt/narrow m-l so Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, …

L5672

Addition to lower extremity, below knee, removable medial brim suspension Short Description: Bk removable medial brim sus Coverage Code: Carrier judgment Action Code: No maintenance for this code Date …

L5648

Addition to lower extremity, above knee, air, fluid, gel or equal, cushion socket Short Description: Above knee cushion socket Coverage Code: Carrier judgment Action Code: No maintenance for this …

L5671

Addition to lower extremity, below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert Short Description: Bk/ak locking mechanism Coverage Code: Carrier judgment Action …

L5647

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

L5670

Addition to lower extremity, below knee, molded supracondylar suspension (‘pts’ or similar) Short Description: Bk molded supracondylar susp Coverage Code: Carrier judgment Action Code: No maintenance for this code …

L5668

Addition to lower extremity, below knee, molded distal cushion Short Description: Bk molded distal cushion Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January …

L5666

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