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HCPCS Procedure & Supply Codes

Prosthetic Procedures

section notes

Lower Limb

section notes

Additions: Endoskeletal Knee-Shin System

section notes
L5810 Endoskel knee-shin mnl lock
L5811 Endo knee-shin mnl lck ultra
L5812 Endo knee-shin frct swg & st
L5814 Endo knee-shin hydral swg ph
L5816 Endo knee-shin polyc mch sta
L5818 Endo knee-shin frct swg & st
L5822 Endo knee-shin pneum swg frc
L5824 Endo knee-shin fluid swing p
L5826 Miniature knee joint
L5828 Endo knee-shin fluid swg/sta
L5830 Endo knee-shin pneum/swg pha
L5840 Multi-axial knee/shin system
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
L5910 Endo below knee alignable sy
L5920 Endo ak/hip alignable system
L5925 Above knee manual lock
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
L5999 Lowr extremity prosthes nos
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