HCPCS Code Section: HCPCS L Codes

L5970

All lower extremity prostheses, foot, external keel, sach foot Short Description: Foot external keel sach foot Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: …

L5857

Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing phase only, includes electronic sensor(s), any type Short Description: Elec knee-shin swing only Coverage Code: Carrier judgment …

L5969

Addition, endoskeletal ankle-foot or ankle system, power assist, includes any type motor(s) Short Description: Ak/ft power asst incl motors Coverage Code: Carrier judgment Action Code: No maintenance for this …

L5968

Addition to lower limb prosthesis, multiaxial ankle with swing phase active dorsiflexion feature Short Description: Multiaxial ankle w dorsiflex Coverage Code: Carrier judgment Action Code: No maintenance for this …

L5966

Addition, endoskeletal system, hip disarticulation, flexible protective outer surface covering system Short Description: Hip flexible cover system Coverage Code: Carrier judgment Action Code: No maintenance for this code Date …

L5964

Addition, endoskeletal system, above knee, flexible protective outer surface covering system Short Description: Above knee flex cover system Coverage Code: Carrier judgment Action Code: No maintenance for this code …

L5962

Addition, endoskeletal system, below knee, flexible protective outer surface covering system Short Description: Below knee flex cover system Coverage Code: Carrier judgment Action Code: No maintenance for this code …

L5961

Addition, endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control Short Description: Endo poly hip, pneu/hyd/rot Coverage Code: Carrier judgment …

L5960

Addition, endoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal) Short Description: Endo hip ultra-light materia Coverage Code: Carrier judgment Action Code: No maintenance for this code …

L5950

Addition, endoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal) Short Description: Endo ak ultra-light material Coverage Code: Carrier judgment Action Code: No maintenance for this code …