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HCPCS Procedure & Supply Codes

Prosthetic Procedures

section notes

Lower Limb

section notes

Additions: Endoskeletal Knee-Shin System

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   Addition, endoskeletal, knee-shin system, stance flexion feature, adjustable
L5848   Addition to endoskeletal knee-shin system, fluid stance extension, dampening fea...
L5850   Addition, endoskeletal system, above knee or hip disarticulation, knee extension...
L5855   Addition, endoskeletal system, hip disarticulation, mechanical hip extension assist
L5856   Addition to lower extremity prosthesis, endoskeletal knee-shin system, microproc...
L5857   Addition to lower extremity prosthesis, endoskeletal knee-shin system, microproc...
L5858   Addition to lower extremity prosthesis, endoskeletal knee shin system, microproc...
L5859   Addition to lower extremity prosthesis, endoskeletal knee-shin system, powered a...
L5910   Addition, endoskeletal system, below knee, alignable system
L5920   Addition, endoskeletal system, above knee or hip disarticulation, alignable system
L5925   Addition, endoskeletal system, above knee, knee disarticulation or hip disarticu...
L5926   Addition to lower extremity prosthesis, endoskeletal, knee disarticulation, abov...
L5930   Addition, endoskeletal system, high activity knee control frame
L5940   Addition, endoskeletal system, below knee, ultra-light material (titanium, carbo...
L5950   Addition, endoskeletal system, above knee, ultra-light material (titanium, carbo...
L5960   Addition, endoskeletal system, hip disarticulation, ultra-light material (titani...
L5961   Addition, endoskeletal system, polycentric hip joint, pneumatic or hydraulic con...
L5962   Addition, endoskeletal system, below knee, flexible protective outer surface cov...
L5964   Addition, endoskeletal system, above knee, flexible protective outer surface cov...
L5966   Addition, endoskeletal system, hip disarticulation, flexible protective outer su...
L5968   Addition to lower limb prosthesis, multiaxial ankle with swing phase active dors...
L5969   Addition, endoskeletal ankle-foot or ankle system, power assist, includes any ty...
L5970   All lower extremity prostheses, foot, external keel, sach foot
L5971   All lower extremity prosthesis, solid ankle cushion heel (sach) foot, replacemen...
L5972   All lower extremity prostheses, foot, flexible keel
L5973   Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion ...
L5974   All lower extremity prostheses, foot, single axis ankle/foot
L5975   All lower extremity prosthesis, combination single axis ankle and flexible keel foot
L5976   All lower extremity prostheses, energy storing foot (seattle carbon copy ii or equal)
L5978   All lower extremity prostheses, foot, multiaxial ankle/foot
L5979   All lower extremity prosthesis, multi-axial ankle, dynamic response foot, one pi...
L5980   All lower extremity prostheses, flex foot system
L5981   All lower extremity prostheses, flex-walk system or equal
L5982   All exoskeletal lower extremity prostheses, axial rotation unit
L5984   All endoskeletal lower extremity prosthesis, axial rotation unit, with or withou...
L5985   All endoskeletal lower extremity prostheses, dynamic prosthetic pylon
L5986   All lower extremity prostheses, multi-axial rotation unit ('mcp' or equal)
L5987   All lower extremity prosthesis, shank foot system with vertical loading pylon
L5988   Addition to lower limb prosthesis, vertical shock reducing pylon feature
L5990   Addition to lower extremity prosthesis, user adjustable heel height
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