HCPCS Code Section: HCPCS L Codes

L5690

Addition to lower extremity, below knee, waist belt, padded and lined Short Description: Bk waist belt padded and lin Coverage Code: Carrier judgment Action Code: No maintenance for this …

L5688

Addition to lower extremity, below knee, waist belt, webbing Short Description: Bk waist belt webbing 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, …

L5700

Replacement, socket, below knee, molded to patient model Short Description: Replace socket below knee Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, …

L5680

Addition to lower extremity, below knee, thigh lacer, nonmolded Short Description: Bk thigh lacer non-molded Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January …