HCPCS Procedure & Supply Codes

Prosthetic Procedures

section notes

section notes

section notes

L5615	‑	L5840	Addition, endoskeletal knee-shin system, 4 bar linkage or multiaxial
L5810	‑	L5830	Addition, endoskeletal knee-shin system, single axis
L5814	‑	L5841	Addition, endoskeletal knee-shin system, polycentric
L5845			Knee-shin sys stance flexion
L5848			Knee-shin sys hydraul stance
L5850			Endo ak/hip knee extens assi
L5855			Mech hip extension assist
L5856			Elec knee-shin swing/stance
L5857			Elec knee-shin swing only
L5858			Stance phase only
L5859			Knee-shin pro flex/ext cont
L5910			Endo below knee alignable sy
L5920			Endo ak/hip alignable system
L5925			Above knee manual lock
L5926			Endoskel posit rotat unit
L5930			High activity knee frame
L5940			Endo bk ultra-light material
L5950			Endo ak ultra-light material
L5960			Endo hip ultra-light materia
L5961			Endo poly hip, pneu/hyd/rot
L5962			Below knee flex cover system
L5964			Above knee flex cover system
L5966			Hip flexible cover system
L5968			Multiaxial ankle w dorsiflex
L5969			Ak/ft power asst incl motors
L5970			Foot external keel sach foot
L5971			Sach foot, replacement
L5972			Flexible keel foot
L5973			Ank-foot sys dors-plant flex
L5974			Foot single axis ankle/foot
L5975			Combo ankle/foot prosthesis
L5976			Energy storing foot
L5978			Ft prosth multiaxial ankl/ft
L5979			Multi-axial ankle/ft prosth
L5980			Flex foot system
L5981			Flex-walk sys low ext prosth
L5982			Exoskeletal axial rotation u
L5984			Endoskeletal axial rotation
L5985			Lwr ext dynamic prosth pylon
L5986			Multi-axial rotation unit
L5987			Shank ft w vert load pylon
L5988			Vertical shock reducing pylo
L5990			User adjustable heel height

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