Prosthetic Procedures

472 HCPCS codes in Category L

L5000Sho insert w arch toe filler L5010Mold socket ank hgt w/ toe f L5020Tibial tubercle hgt w/ toe f L5050Ank symes mold sckt sach ft L5060Symes met fr leath socket ar L5100Molded socket shin sach foot L5105Plast socket jts/thgh lacer L5150Mold sckt ext knee shin sach L5160Mold socket bent knee shin s L5200Kne sing axis fric shin sach L5210No knee/ankle joints w/ ft b L5220No knee joint with artic ali L5230Fem focal defic constant fri L5250Hip canad sing axi cons fric L5270Tilt table locking hip sing L5280Hemipelvect canad sing axis L5301Bk mold socket sach ft endo L5312Knee disart, sach ft, endo L5321Ak open end sach L5331Hip disart canadian sach ft L5341Hemipelvectomy canadian sach L5400Postop dress & 1 cast chg bk L5410Postop dsg bk ea add cast ch L5420Postop dsg & 1 cast chg ak/d L5430Postop dsg ak ea add cast ch L5450Postop app non-wgt bear dsg L5460Postop app non-wgt bear dsg L5500Init bk ptb plaster direct L5505Init ak ischal plstr direct L5510Prep bk ptb plaster molded L5520Perp bk ptb thermopls direct L5530Prep bk ptb thermopls molded L5535Prep bk ptb open end socket L5540Prep bk ptb laminated socket L5560Prep ak ischial plast molded L5570Prep ak ischial direct form L5580Prep ak ischial thermo mold L5585Prep ak ischial open end L5590Prep ak ischial laminated L5595Hip disartic sach thermopls L5600Hip disart sach laminat mold L5610Above knee hydracadence L5611Ak 4 bar link w/fric swing L5613Ak 4 bar ling w/hydraul swig L56144-bar link above knee w/swng L5615Ak 4 bar link hydl swg/stanc L5616Ak univ multiplex sys frict L5617Ak/bk self-aligning unit ea L5618Test socket symes L5620Test socket below knee L5622Test socket knee disarticula L5624Test socket above knee L5626Test socket hip disarticulat L5628Test socket hemipelvectomy L5629Below knee acrylic socket L5630Syme typ expandabl wall sckt L5631Ak/knee disartic acrylic soc L5632Symes type ptb brim design s L5634Symes type poster opening so L5636Symes type medial opening so L5637Below knee total contact L5638Below knee leather socket L5639Below knee wood socket L5640Knee disarticulat leather so L5642Above knee leather socket L5643Hip flex inner socket ext fr L5644Above knee wood socket L5645Bk flex inner socket ext fra L5646Below knee cushion socket L5647Below knee suction socket L5648Above knee cushion socket L5649Isch containmt/narrow m-l so L5650Tot contact ak/knee disart s L5651Ak flex inner socket ext fra L5652Suction susp ak/knee disart L5653Knee disart expand wall sock L5654Socket insert symes L5655Socket insert below knee L5656Socket insert knee articulat L5657Add low ext man aut vol any L5658Socket insert above knee L5661Multi-durometer symes L5665Multi-durometer below knee L5666Below knee cuff suspension L5668Bk molded distal cushion L5670Bk molded supracondylar susp L5671Bk/ak locking mechanism L5672Bk removable medial brim sus L5673Socket insert w lock mech L5676Bk knee joints single axis p L5677Bk knee joints polycentric p L5678Bk joint covers pair L5679Socket insert w/o lock mech L5680Bk thigh lacer non-molded L5681Intl custm cong/latyp insert L5682Bk thigh lacer glut/ischia m L5683Initial custom socket insert L5684Bk fork strap L5685Below knee sus/seal sleeve L5686Bk back check L5688Bk waist belt webbing L5690Bk waist belt padded and lin L5692Ak pelvic control belt light L5694Ak pelvic control belt pad/l L5695Ak sleeve susp neoprene/equa L5696Ak/knee disartic pelvic join L5697Ak/knee disartic pelvic band L5698Ak/knee disartic silesian ba L5699Shoulder harness L5700Replace socket below knee L5701Replace socket above knee L5702Replace socket hip L5703Symes ankle w/o (sach) foot L5704Custom shape cover bk L5705Custom shape cover ak L5706Custom shape cvr knee disart L5707Custom shape cvr hip disart L5710Kne-shin exo sng axi mnl loc L5711Knee-shin exo mnl lock ultra L5712Knee-shin exo frict swg & st L5714Knee-shin exo variable frict L5716Knee-shin exo mech stance ph L5718Knee-shin exo frct swg & sta L5722Knee-shin pneum swg frct exo L5724Knee-shin exo fluid swing ph L5726Knee-shin ext jnts fld swg e L5728Knee-shin fluid swg & stance L5780Knee-shin pneum/hydra pneum L5781Lower limb pros vacuum pump L5782Hd low limb pros vacuum pump L5783Add low ext mec limb vol lam L5785Exoskeletal bk ultralt mater L5790Exoskeletal ak ultra-light m L5795Exoskel hip ultra-light mate L5810Endoskel knee-shin mnl lock L5811Endo knee-shin mnl lck ultra L5812Endo knee-shin frct swg & st L5814Endo knee-shin hydral swg ph L5816Endo knee-shin polyc mch sta L5818Endo knee-shin frct swg & st L5822Endo knee-shin pneum swg frc L5824Endo knee-shin fluid swing p L5826Miniature knee joint L5827Endo knee shin single axis L5828Endo knee-shin fluid swg/sta L5830Endo knee-shin pneum/swg pha L5840Multi-axial knee/shin system L5841Addition endoskletl knee-shi L5845Knee-shin sys stance flexion L5848Knee-shin sys hydraul stance L5850Endo ak/hip knee extens assi L5855Mech hip extension assist L5856Elec knee-shin swing/stance L5857Elec knee-shin swing only L5858Stance phase only L5859Knee-shin pro flex/ext cont L5910Endo below knee alignable sy L5920Endo ak/hip alignable system L5925Above knee manual lock L5926Endoskel posit rotat unit L5930High activity knee frame L5940Endo bk ultra-light material L5950Endo ak ultra-light material L5960Endo hip ultra-light materia L5961Endo poly hip, pneu/hyd/rot L5962Below knee flex cover system L5964Above knee flex cover system L5966Hip flexible cover system L5968Multiaxial ankle w dorsiflex L5969Ak/ft power asst incl motors L5970Foot external keel sach foot L5971Sach foot, replacement L5972Flexible keel foot L5973Ank-foot sys dors-plant flex L5974Foot single axis ankle/foot L5975Combo ankle/foot prosthesis L5976Energy storing foot L5978Ft prosth multiaxial ankl/ft L5979Multi-axial ankle/ft prosth L5980Flex foot system L5981Flex-walk sys low ext prosth L5982Exoskeletal axial rotation u L5984Endoskeletal axial rotation L5985Lwr ext dynamic prosth pylon L5986Multi-axial rotation unit L5987Shank ft w vert load pylon L5988Vertical shock reducing pylo L5990User adjustable heel height L5991Low pros ext osseo connector L5999Lowr extremity prosthes nos L6000Part hand thumb rem L6010Part hand little/ring L6020Part hand no fingers L6025Part hand disart myoelectric L6026Part hand myo exclu term dev L6028Part hand finger metacar amp L6029Test interface part handfing L6030External frame part handfing L6031Rep interface handfng molded L6032Part handfng ultralite tcf/=L6033Part handfing acrylic L6034Part hand finger distal amp L6035Prosthetic digit mechanical L6036Prosthetic thumb mechanical L6037Postop dsg cast chg handfing L6038Multiax rotation attachment L6039Passive custom digit/thumb L6050Wrst mld sck flx hng tri pad L6055Wrst mold sock w/exp interfa L6100Elb mold sock flex hinge pad L6110Elbow mold sock suspension t L6120Elbow mold doub splt soc ste L6130Elbow stump activated lock h L6200Elbow mold outsid lock hinge L6205Elbow molded w/ expand inter L6250Elbow inter loc elbow forarm L6300Shlder disart int lock elbow L6310Shoulder passive restor comp L6320Shoulder passive restor cap L6350Thoracic intern lock elbow L6360Thoracic passive restor comp L6370Thoracic passive restor cap L6380Postop dsg cast chg wrst/elb L6382Postop dsg cast chg elb dis/L6384Postop dsg cast chg shlder/t L6386Postop ea cast chg & realign L6388Postop applicat rigid dsg on L6400Below elbow prosth tiss shap L6450Elb disart prosth tiss shap L6500Above elbow prosth tiss shap L6550Shldr disar prosth tiss shap L6570Scap thorac prosth tiss shap L6580Wrist/elbow bowden cable mol L6582Wrist/elbow bowden cbl dir f L6584Elbow fair lead cable molded L6586Elbow fair lead cable dir fo L6588Shdr fair lead cable molded L6590Shdr fair lead cable direct L6600Polycentric hinge pair L6605Single pivot hinge pair L6610Flexible metal hinge pair L6611Additional switch, ext power L6615Disconnect locking wrist uni L6616Disconnect insert locking wr L6620Flexion/extension wrist unit L6621Flex/ext wrist w/wo friction L6623Spring-ass rot wrst w/ latch L6624Flex/ext/rotation wrist unit L6625Rotation wrst w/ cable lock L6628Quick disconn hook adapter o L6629Lamination collar w/ couplin L6630Stainless steel any wrist L6632Latex suspension sleeve each L6635Lift assist for elbow L6637Nudge control elbow lock L6638Elec lock on manual pw elbow L6640Shoulder abduction joint pai L6641Excursion amplifier pulley t L6642Excursion amplifier lever ty L6645Shoulder flexion-abduction j L6646Multipo locking shoulder jnt L6647Shoulder lock actuator L6648Ext pwrd shlder lock/unlock L6650Shoulder universal joint L6655Standard control cable extra L6660Heavy duty control cable L6665Teflon or equal cable lining L6670Hook to hand cable adapter L6672Harness chest/shlder saddle L6675Harness figure of 8 sing con L6676Harness figure of 8 dual con L6677Ue triple control harness L6680Test sock wrist disart/bel e L6682Test sock elbw disart/above L6684Test socket shldr disart/tho L6686Suction socket L6687Frame typ socket bel elbow/w L6688Frame typ sock above elb/dis L6689Frame typ socket shoulder di L6690Frame typ sock interscap-tho L6691Removable insert each L6692Silicon gel insert w/wo lock L6693Lockingelbow forearm cntrbal L6694Elbow socket ins use w/lock L6695Elbow socket ins use w/o lck L6696Cus elbo skt in for con/atyp L6697Cus elbo skt in not con/atyp L6698Add up-ex prosthes lock mech L6700Ue add ext power myoel L6703Term dev, passive hand mitt L6704Term dev, sport/rec/work att L6706Term dev mech hook vol open L6707Term dev mech hook vol close L6708Term dev mech hand vol open L6709Term dev mech hand vol close L6711Ped term dev, hook, vol open L6712Ped term dev, hook, vol clos L6713Ped term dev, hand, vol open L6714Ped term dev, hand, vol clos L6715Term device, multi art digit L6721Hook/hand, hvy dty, vol open L6722Hook/hand, hvy dty, vol clos L6805Term dev modifier wrist unit L6810Term dev precision pinch dev L6880Elec hand ind art digits L6881Term dev auto grasp feature L6882Microprocessor control uplmb L6883Replc sockt below e/w disa L6884Replc sockt above elbow disa L6885Replc sockt shldr dis/interc L6890Prefab glove for term device L6895Custom glove for term device L6900Hand restorat thumb/1 finger L6905Hand restoration multiple fi L6910Hand restoration no fingers L6915Hand restoration replacmnt g L6920Wrist disarticul switch ctrl L6925Wrist disart myoelectronic c L6930Below elbow switch control L6935Below elbow myoelectronic ct L6940Elbow disarticulation switch L6945Elbow disart myoelectronic c L6950Above elbow switch control L6955Above elbow myoelectronic ct L6960Shldr disartic switch contro L6965Shldr disartic myoelectronic L6970Interscapular-thor switch ct L6975Interscap-thor myoelectronic L7007Adult electric hand L7008Pediatric electric hand L7009Adult electric hook L7040Prehensile actuator L7045Pediatric electric hook L7170Electronic elbow hosmer swit L7180Electronic elbow sequential L7181Electronic elbo simultaneous L7185Electron elbow adolescent sw L7186Electron elbow child switch L7190Elbow adolescent myoelectron L7191Elbow child myoelectronic ct L7259Electronic wrist rotator any L7260Electron wrist rotator otto L7261Electron wrist rotator utah L7360Six volt bat otto bock/eq ea L7362Battery chrgr six volt otto L7364Twelve volt battery utah/equ L7366Battery chrgr 12 volt utah/e L7367Replacemnt lithium ionbatter L7368Lithium ion battery charger L7400Add ue prost be/wd, ultlite L7401Add ue prost a/e ultlite mat L7402Add ue prost s/d ultlite mat L7403Add ue prost b/e acrylic L7404Add ue prost a/e acrylic L7405Add ue prost s/d acrylic L7406Add upp ext mec limb vol lam L7499Upper extremity prosthes nos L7510Prosthetic device repair rep L7520Repair prosthesis per 15 min L7600Prosthetic donning sleeve L7700Pros soc insert gasket/seal L7900Male vacuum erection system L7902Tension ring, vac erect dev L8000Mastectomy bra L8001Breast prosthesis bra & form L8002Brst prsth bra & bilat form L8010Mastectomy sleeve L8015Ext breastprosthesis garment L8020Mastectomy form L8030Breast prosthes w/o adhesive L8031Breast prosthesis w adhesive L8032Reusable nipple prosthesis L8033Nipple prosthesis custom, ea L8035Custom breast prosthesis L8039Breast prosthesis nos L8040Nasal prosthesis L8041Midfacial prosthesis L8042Orbital prosthesis L8043Upper facial prosthesis L8044Hemi-facial prosthesis L8045Auricular prosthesis L8046Partial facial prosthesis L8047Nasal septal prosthesis L8048Unspec maxillofacial prosth L8049Repair maxillofacial prosth L8300Truss single w/ standard pad L8310Truss double w/ standard pad L8320Truss addition to std pad wa L8330Truss add to std pad scrotal L8400Sheath below knee L8410Sheath above knee L8415Sheath upper limb L8417Pros sheath/sock w gel cushn L8420Prosthetic sock multi ply bk L8430Prosthetic sock multi ply ak L8435Pros sock multi ply upper lm L8440Shrinker below knee L8460Shrinker above knee L8465Shrinker upper limb L8470Pros sock single ply bk L8480Pros sock single ply ak L8485Pros sock single ply upper l L8499Unlisted misc prosthetic ser L8500Artificial larynx L8501Tracheostomy speaking valve L8505Artificial larynx, accessory L8507Trach-esoph voice pros pt in L8509Trach-esoph voice pros md in L8510Voice amplifier L8511Indwelling trach insert L8512Gel cap for trach voice pros L8513Trach pros cleaning device L8514Repl trach puncture dilator L8515Gel cap app device for trach L8600Implant breast silicone/eq L8603Collagen imp urinary 2.5 ml L8604Dextranomer/hyaluronic acid L8605Inj bulking agent anal canal L8606Synthetic implnt urinary 1ml L8607Inj vocal cord bulking agent L8608Arg ii ext com/sup/acc misc L8609Artificial cornea L8610Ocular implant L8612Aqueous shunt prosthesis L8613Ossicular implant L8614Cochlear device L8615Coch implant headset replace L8616Coch implant microphone repl L8617Coch implant trans coil repl L8618Coch implant tran cable repl L8619Coch imp ext proc/contr rplc L8621Repl zinc air battery L8622Repl alkaline battery L8623Lith ion batt cid,non-earlvl L8624Lith ion batt cid, ear level L8625Charger coch impl/aoi battry L8627Cid ext speech process repl L8628Cid ext controller repl L8629Cid transmit coil and cable L8630Metacarpophalangeal implant L8631Mcp joint repl 2 pc or more L8641Metatarsal joint implant L8642Hallux implant L8658Interphalangeal joint spacer L8659Interphalangeal joint repl L8670Vascular graft, synthetic L8678Ext sply implt neurostim L8679Imp neurosti pls gn any type L8680Implt neurostim elctr each L8681Pt prgrm for implt neurostim L8682Implt neurostim radiofq rec L8683Radiofq trsmtr for implt neu L8684Radiof trsmtr implt scrl neu L8685Implt nrostm pls gen sng rec L8686Implt nrostm pls gen sng non L8687Implt nrostm pls gen dua rec L8688Implt nrostm pls gen dua non L8689External recharg sys intern L8690Aud osseo dev, int/ext comp L8691Aoi snd proc repl excl actua L8692Non-osseointegrated snd proc L8693Aud osseo dev, abutment L8694Aoi transducer/actuator repl L8695External recharg sys extern L8696Ext antenna phren nerve stim L8698Misc used with tot art heart L8699Prosthetic implant nos L8701Ewh s/d uprt micro sensor L8702Ewhf s/d uprt micro sensor L8720Ext low ext sens prosthe mec L8721Receptor sole l8720 replace L9900O&p supply/accessory/service

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