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HCPCS Procedure & Supply Codes →
Prosthetics →
section notes
Lower Limb →
section notes
Additions: Socket Insert and Suspension →
section notes
L5654   Addition to lower extremity, socket insert, symes, (kemblo, pelite, aliplast, pl...
L5655   Addition to lower extremity, socket insert, below knee (kemblo, pelite, aliplast...
L5656   Addition to lower extremity, socket insert, knee disarticulation (kemblo, pelite...
L5658   Addition to lower extremity, socket insert, above knee (kemblo, pelite, aliplast...
L5661   Addition to lower extremity, socket insert, multi-durometer symes
L5665   Addition to lower extremity, socket insert, multi-durometer, below knee
L5666   Addition to lower extremity, below knee, cuff suspension
L5668   Addition to lower extremity, below knee, molded distal cushion
L5670   Addition to lower extremity, below knee, molded supracondylar suspension ('pts' ...
L5671   Addition to lower extremity, below knee / above knee suspension locking mechanis...
L5672   Addition to lower extremity, below knee, removable medial brim suspension
L5673   Addition to lower extremity, below knee/above knee, custom fabricated from exist...
L5676   Additions to lower extremity, below knee, knee joints, single axis, pair
L5677   Additions to lower extremity, below knee, knee joints, polycentric, pair
L5678   Additions to lower extremity, below knee, joint covers, pair
L5679   Addition to lower extremity, below knee/above knee, custom fabricated from exist...
L5680   Addition to lower extremity, below knee, thigh lacer, nonmolded
L5681   Addition to lower extremity, below knee/above knee, custom fabricated socket ins...
L5682   Addition to lower extremity, below knee, thigh lacer, gluteal/ischial, molded
L5683   Addition to lower extremity, below knee/above knee, custom fabricated socket ins...
L5684   Addition to lower extremity, below knee, fork strap
L5685   Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, w...
L5686   Addition to lower extremity, below knee, back check (extension control)
L5688   Addition to lower extremity, below knee, waist belt, webbing
L5690   Addition to lower extremity, below knee, waist belt, padded and lined
L5692   Addition to lower extremity, above knee, pelvic control belt, light
L5694   Addition to lower extremity, above knee, pelvic control belt, padded and lined
L5695   Addition to lower extremity, above knee, pelvic control, sleeve suspension, neop...
L5696   Addition to lower extremity, above knee or knee disarticulation, pelvic joint
L5697   Addition to lower extremity, above knee or knee disarticulation, pelvic band
L5698   Addition to lower extremity, above knee or knee disarticulation, silesian bandage
L5699   All lower extremity prostheses, shoulder harness
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