HCPCS Code Section: HCPCS L Codes

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 …

L5686

Addition to lower extremity, below knee, back check (extension control) Short Description: Bk back check Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January …

L5685

Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or without valve, any material, each Short Description: Below knee sus/seal sleeve Coverage Code: Carrier judgment Action Code: No …

L5684

Addition to lower extremity, below knee, fork strap Short Description: Bk fork strap Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1986 …

L5683

Addition to lower extremity, below knee/above knee, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without …

L5682

Addition to lower extremity, below knee, thigh lacer, gluteal/ischial, molded Short Description: Bk thigh lacer glut/ischia m Coverage Code: Carrier judgment Action Code: No maintenance for this code Date …

L5681

Addition to lower extremity, below knee/above knee, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, …