HCPCS Code Section: HCPCS L Codes

Custom shaped protective cover, above knee Short Description: Custom shape cover ak Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1994 Effective …

Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system, heavy duty Short Description: Hd low limb pros vacuum pump Coverage Code: Carrier judgment …

Custom shaped protective cover, below knee Short Description: Custom shape cover bk Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1994 Effective …

Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system Short Description: Lower limb pros vacuum pump Coverage Code: Carrier judgment Action Code: No …

Ankle, symes, molded to patient model, socket without solid ankle cushion heel (sach) foot, replacement only Short Description: Symes ankle w/o (sach) foot Coverage Code: Carrier judgment Action Code: …

Addition, exoskeletal knee-shin system, single axis, pneumatic/hydra pneumatic swing phase control Short Description: Knee-shin pneum/hydra pneum Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: …

Replacement, socket, hip disarticulation, including hip joint, molded to patient model Short Description: Replace socket hip Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: …

Addition, exoskeletal knee-shin system, single axis, fluid swing and stance phase control Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1986 Effective …

Replacement, socket, above knee/knee disarticulation, including attachment plate, molded to patient model Short Description: Replace socket above knee Coverage Code: Carrier judgment Action Code: No maintenance for this code …

Addition, exoskeletal knee-shin system, single axis, external joints fluid swing phase control Short Description: Knee-shin ext jnts fld swg e Coverage Code: Carrier judgment Action Code: No maintenance for …