HCPCS Section L: Orthotic & Prosthetic Procedures

L0112 Cranial cervical orthosis

L0113 Cranial cervical torticollis

L0120 Cerv flex n/adj foam pre ots

L0130 Flex thermoplastic collar mo

L0140 Cervical semi-rigid adjustab

L0150 Cerv semi-rig adj molded chn

L0160 Cerv sr wire occ/man pre ots

L0170 Cervical collar molded to pt

L0172 Cerv col sr foam 2pc pre ots

L0174 Cerv sr 2pc thor ext pre ots

L0180 Cer post col occ/man sup adj

L0190 Cerv collar supp adj cerv ba

L0200 Cerv col supp adj bar & thor

L0220 Thor rib belt custom fabrica

L0450 Tlso flex trunk/thor pre ots

L0452 Tlso flex custom fab thoraci

L0454 Tlso trnk sj-t9 pre cst

L0455 Tlso flex trnk sj-t9 pre ots

L0456 Tlso flex trnk sj-ss pre cst

L0457 Tlso flex trnk sj-ss pre ots

L0458 Tlso 2mod symphis-xipho pre

L0460 Tlso 2 shl symphys-stern cst

L0462 Tlso 3mod sacro-scap pre

L0464 Tlso 4mod sacro-scap pre

L0466 Tlso r fram soft ant pre cst

L0467 Tlso r fram soft pre ots

L0468 Tlso rig fram pelvic pre cst

L0469 Tlso rig fram pelvic pre ots

L0470 Tlso rigid frame pre subclav

L0472 Tlso rigid frame hyperex pre

L0480 Tlso rigid plastic custom fa

L0482 Tlso rigid lined custom fab

L0484 Tlso rigid plastic cust fab

L0486 Tlso rigidlined cust fab two

L0488 Tlso rigid lined pre one pie

L0490 Tlso rigid plastic pre one

L0491 Tlso 2 piece rigid shell

L0492 Tlso 3 piece rigid shell

L0621 Sio flex pelvic/sacr pre ots

L0622 Sio flex pelvisacral custom

L0623 Sio rig pnl pelv/sac pre ots

L0624 Sio panel custom

L0625 Lo flex l1-below l5 pre ots

L0626 Lo sag rig pnl stays pre cst

L0627 Lo sag ri an/pos pnl pre cst

L0628 Lso flex no ri stays pre ots

L0629 Lso flex w/rigid stays cust

L0630 Lso r post pnl sj-t9 pre cst

L0631 Lso sag r an/pos pnl pre cst

L0632 Lso sag rigid frame cust

L0633 Lso sc r pos/lat pnl pre cst

L0634 Lso flexion control custom

L0635 Lso sagit rigid panel prefab

L0636 Lso sagittal rigid panel cus

L0637 Lso sc r ant/pos pnl pre cst

L0638 Lso sag-coronal panel custom

L0639 Lso s/c shell/panel prefab

L0640 Lso s/c shell/panel custom

L0641 Lo rig pos pnl l1-l5 pre ots

L0642 Lo sag ri an/pos pnl pre ots

L0643 Lso sag ctr rigi pos pre ots

L0648 Lso sag r an/pos pnl pre ots

L0649 Lso sc r pos/lat pnl pre ots

L0650 Lso sc r ant/pos pnl pre ots

L0651 Lso sag-co shell pnl pre ots

L0700 Ctlso a-p-l control molded

L0710 Ctlso a-p-l control w/ inter

L0720 Ctlso a-p-l control custom

L0810 Halo cervical into jckt vest

L0820 Halo cervical into body jack

L0830 Halo cerv into milwaukee typ

L0859 Mri compatible system

L0861 Halo repl liner/interface

L0970 Tlso corset front

L0972 Lso corset front

L0974 Tlso full corset

L0976 Lso full corset

L0978 Axillary crutch extension

L0980 Peroneal straps pair pre ots

L0982 Stocking sup grips 4 pre ots

L0984 Protect body sock ea pre ots

L0999 Add to spinal orthosis nos

L1000 Ctlso milwauke initial model

L1001 Ctlso infant immobilizer

L1005 Tension based scoliosis orth

L1006 Scoliosis orth sag/ cor

L1007 Scoliosis orth s-c custom

L1010 Ctlso axilla sling

L1020 Kyphosis pad

L1025 Kyphosis pad floating

L1030 Lumbar bolster pad

L1040 Lumbar or lumbar rib pad

L1050 Sternal pad

L1060 Thoracic pad

L1070 Trapezius sling

L1080 Outrigger

L1085 Outrigger bil w/ vert extens

L1090 Lumbar sling

L1100 Ring flange plastic/leather

L1110 Ring flange plas/leather mol

L1120 Covers for upright each

L1200 Furnsh initial orthosis only

L1210 Lateral thoracic extension

L1220 Anterior thoracic extension

L1230 Milwaukee type superstructur

L1240 Lumbar derotation pad

L1250 Anterior asis pad

L1260 Anterior thoracic derotation

L1270 Abdominal pad

L1280 Rib gusset (elastic) each

L1290 Lateral trochanteric pad

L1300 Body jacket mold to patient

L1310 Post-operative body jacket

L1320 Pectus carinatum ortho cust

L1499 Spinal orthosis nos

L1600 Ho flex frejka w/cov pre cst

L1610 Ho frejka cov only pre cst

L1620 Ho flex pavlik harns pre cst

L1630 Abduct control hip semi-flex

L1640 Pelv band/spread bar thigh c

L1650 Ho abduction hip adjustable

L1652 Ho bi thighcuffs w sprdr bar

L1653 Ho abduction static ots

L1660 Ho abduction static plastic

L1680 Pelvic & hip control thigh c

L1681 Ho bilateral hip abduction

L1685 Post-op hip abduct custom fa

L1686 Ho post-op hip abduction

L1690 Combination bilateral ho

L1700 Leg perthes orth toronto typ

L1710 Legg perthes orth newington

L1720 Legg perthes orthosis trilat

L1730 Legg perthes orth scottish r

L1755 Legg perthes patten bottom t

L1810 Ko elastic with joints

L1812 Ko elastic w/joints pre ots

L1820 Ko elas w/ condyle pads & jo

L1821 Ko elas w/ condyle pads otf

L1830 Ko immob canvas long pre ots

L1831 Knee orth pos locking joint

L1832 Ko adj jnt pos r sup pre cst

L1833 Ko adj jnt pos r sup pre ots

L1834 Ko w/0 joint rigid molded to

L1836 Ko rigid w/o joints pre ots

L1840 Ko derot ant cruciate custom

L1843 Ko single upright pre cst

L1844 Ko w/adj jt rot cntrl molded

L1845 Ko double upright pre cst

L1846 Ko w adj flex/ext rotat mold

L1847 Ko dbl upright w/air pre cst

L1848 Ko dbl upright w/air pre ots

L1850 Ko swedish type pre ots

L1851 Ko single upright prefab ots

L1852 Ko double upright prefab ots

L1860 Ko supracondylar socket mold

L1900 Afo sprng wir drsflx calf bd

L1902 Afo ankle gauntlet pre ots

L1904 Afo molded ankle gauntlet

L1906 Afo multilig ank sup pre ots

L1907 Afo supramalleolar custom

L1910 Afo sing bar clasp attach sh

L1920 Afo sing upright w/ adjust s

L1930 Afo plastic

L1932 Afo rig ant tib tcf/= custom

L1933 Afo rig ant tib tcf/= ots

L1940 Afo molded to patient plasti

L1945 Afo molded plas rig ant tib

L1950 Afo spiral molded to pt plas

L1951 Afo spiral prefab custom

L1952 Afo spiral prefab ots

L1960 Afo pos solid ank plastic mo

L1970 Afo plastic molded w/ankle j

L1971 Afo w/ankle joint, prefab

L1980 Afo sing solid stirrup calf

L1990 Afo doub solid stirrup calf

L2000 Kafo sing fre stirr thi/calf

L2005 Kafo sng/dbl mechanical act

L2006 Kaf sng/dbl swg/stn mcpr cus

L2010 Kafo sng solid stirrup w/o j

L2020 Kafo dbl solid stirrup band/

L2030 Kafo dbl solid stirrup w/o j

L2034 Kafo pla sin up w/wo k/a cus

L2035 Kafo plastic pediatric size

L2036 Kafo plas doub free knee mol

L2037 Kafo plas sing free knee mol

L2038 Kafo w/o joint multi-axis an

L2040 Hkafo torsion bil rot straps

L2050 Hkafo torsion cable hip pelv

L2060 Hkafo torsion ball bearing j

L2070 Hkafo torsion unilat rot str

L2080 Hkafo unilat torsion cable

L2090 Hkafo unilat torsion ball br

L2106 Afo tib fx cast plaster mold

L2108 Afo tib fx cast molded to pt

L2112 Afo tibial fracture soft

L2114 Afo tib fx semi-rigid

L2116 Afo tibial fracture rigid

L2126 Kafo fem fx cast thermoplas

L2128 Kafo fem fx cast molded to p

L2132 Kafo femoral fx cast soft

L2134 Kafo fem fx cast semi-rigid

L2136 Kafo femoral fx cast rigid

L2180 Plas shoe insert w ank joint

L2182 Drop lock knee

L2184 Limited motion knee joint

L2186 Adj motion knee jnt lerman t

L2188 Quadrilateral brim

L2190 Waist belt

L2192 Pelvic band & belt thigh fla

L2200 Limited ankle motion ea jnt

L2210 Dorsiflexion assist each joi

L2220 Dorsi & plantar flex ass/res

L2230 Split flat caliper stirr & p

L2232 Rocker bottom, contact afo

L2240 Round caliper and plate atta

L2250 Foot plate molded stirrup at

L2260 Reinforced solid stirrup

L2265 Long tongue stirrup

L2270 Varus/valgus strap padded/li

L2275 Plastic mod low ext pad/line

L2280 Molded inner boot

L2300 Abduction bar jointed adjust

L2310 Abduction bar-straight

L2320 Non-molded lacer

L2330 Lacer molded to patient mode

L2335 Anterior swing band

L2340 Pre-tibial shell molded to p

L2350 Prosthetic type socket molde

L2360 Extended steel shank

L2370 Patten bottom

L2375 Torsion ank & half solid sti

L2380 Torsion straight knee joint

L2385 Straight knee joint heavy du

L2387 Add le poly knee custom kafo

L2390 Offset knee joint each

L2395 Offset knee joint heavy duty

L2397 Suspension sleeve lower ext

L2405 Knee joint drop lock ea jnt

L2415 Knee joint cam lock each joi

L2425 Knee disc/dial lock/adj flex

L2430 Knee jnt ratchet lock ea jnt

L2492 Knee lift loop drop lock rin

L2500 Thi/glut/ischia wgt bearing

L2510 Th/wght bear quad-lat brim m

L2520 Th/wght bear quad-lat brim c

L2525 Th/wght bear nar m-l brim mo

L2526 Th/wght bear nar m-l brim cu

L2530 Thigh/wght bear lacer non-mo

L2540 Thigh/wght bear lacer molded

L2550 Thigh/wght bear high roll cu

L2570 Hip clevis type 2 posit jnt

L2580 Pelvic control pelvic sling

L2600 Hip clevis/thrust bearing fr

L2610 Hip clevis/thrust bearing lo

L2620 Pelvic control hip heavy dut

L2622 Hip joint adjustable flexion

L2624 Hip adj flex ext abduct cont

L2627 Plastic mold recipro hip & c

L2628 Metal frame recipro hip & ca

L2630 Pelvic control band & belt u

L2640 Pelvic control band & belt b

L2650 Pelv & thor control gluteal

L2660 Thoracic control thoracic ba

L2670 Thorac cont paraspinal uprig

L2680 Thorac cont lat support upri

L2750 Plating chrome/nickel pr bar

L2755 Carbon graphite lamination

L2760 Extension per extension per

L2768 Ortho sidebar disconnect

L2780 Non-corrosive finish

L2785 Drop lock retainer each

L2795 Knee control full kneecap

L2800 Knee cap medial or lateral p

L2810 Knee control condylar pad

L2820 Soft interface below knee se

L2830 Soft interface above knee se

L2840 Tibial length sock fx or equ

L2850 Femoral lgth sock fx or equa

L2861 Torsion mechanism knee/ankle

L2999 Lower extremity orthosis nos

L3000 Ft insert ucb berkeley shell

L3001 Foot insert remov molded spe

L3002 Foot insert plastazote or eq

L3003 Foot insert silicone gel eac

L3010 Foot longitudinal arch suppo

L3020 Foot longitud/metatarsal sup

L3030 Foot arch support remov prem

L3031 Foot lamin/prepreg composite

L3040 Ft arch suprt premold longit

L3050 Foot arch supp premold metat

L3060 Foot arch supp longitud/meta

L3070 Arch suprt att to sho longit

L3080 Arch supp att to shoe metata

L3090 Arch supp att to shoe long/m

L3100 Hallus-valgus nt dyn pre ots

L3140 Abduction rotation bar shoe

L3150 Abduct rotation bar w/o shoe

L3160 Shoe styled positioning dev

L3161 Foot, adductus position, adj

L3170 Foot plas heel stabi pre ots

L3201 Oxford w supinat/pronat inf

L3202 Oxford w/ supinat/pronator c

L3203 Oxford w/ supinator/pronator

L3204 Hightop w/ supp/pronator inf

L3206 Hightop w/ supp/pronator chi

L3207 Hightop w/ supp/pronator jun

L3208 Surgical boot each infant

L3209 Surgical boot each child

L3211 Surgical boot each junior

L3212 Benesch boot pair infant

L3213 Benesch boot pair child

L3214 Benesch boot pair junior

L3215 Orthopedic ftwear ladies oxf

L3216 Orthoped ladies shoes dpth i

L3217 Ladies shoes hightop depth i

L3219 Orthopedic mens shoes oxford

L3221 Orthopedic mens shoes dpth i

L3222 Mens shoes hightop depth inl

L3224 Woman's shoe oxford brace

L3225 Man's shoe oxford brace

L3230 Custom shoes depth inlay

L3250 Custom mold shoe remov prost

L3251 Shoe molded to pt silicone s

L3252 Shoe molded plastazote cust

L3253 Shoe molded plastazote cust

L3254 Orth foot non-stndard size/w

L3255 Orth foot non-standard size/

L3257 Orth foot add charge split s

L3260 Ambulatory surgical boot eac

L3265 Plastazote sandal each

L3300 Sho lift taper to metatarsal

L3310 Shoe lift elev heel/sole neo

L3320 Shoe lift elev heel/sole cor

L3330 Lifts elevation metal extens

L3332 Shoe lifts tapered to one-ha

L3334 Shoe lifts elevation heel /i

L3340 Shoe wedge sach

L3350 Shoe heel wedge

L3360 Shoe sole wedge outside sole

L3370 Shoe sole wedge between sole

L3380 Shoe clubfoot wedge

L3390 Shoe outflare wedge

L3400 Shoe metatarsal bar wedge ro

L3410 Shoe metatarsal bar between

L3420 Full sole/heel wedge btween

L3430 Sho heel count plast reinfor

L3440 Heel leather reinforced

L3450 Shoe heel sach cushion type

L3455 Shoe heel new leather standa

L3460 Shoe heel new rubber standar

L3465 Shoe heel thomas with wedge

L3470 Shoe heel thomas extend to b

L3480 Shoe heel pad & depress for

L3485 Shoe heel pad removable for

L3500 Ortho shoe add leather insol

L3510 Orthopedic shoe add rub insl

L3520 O shoe add felt w leath insl

L3530 Ortho shoe add half sole

L3540 Ortho shoe add full sole

L3550 O shoe add standard toe tap

L3560 O shoe add horseshoe toe tap

L3570 O shoe add instep extension

L3580 O shoe add instep velcro clo

L3590 O shoe convert to sof counte

L3595 Ortho shoe add march bar

L3600 Trans shoe calip plate exist

L3610 Trans shoe caliper plate new

L3620 Trans shoe solid stirrup exi

L3630 Trans shoe solid stirrup new

L3640 Shoe dennis browne splint bo

L3649 Orthopedic shoe modifica nos

L3650 So 8 abd restraint pre ots

L3660 So 8 ab rstr can/web pre ots

L3670 So acro/clav can web pre ots

L3671 So cap design w/o jnts cf

L3674 So airplane w/wo joint cf

L3675 So vest canvas/web pre ots

L3677 So hard plas stabili pre cst

L3678 So hard plas stabili pre ots

L3702 Eo w/o joints cf

L3710 Eo elas w/metal jnts pre ots

L3720 Forearm/arm cuffs free motio

L3730 Forearm/arm cuffs ext/flex a

L3740 Cuffs adj lock w/ active con

L3760 Eo adj jt prefab custom fit

L3761 Eo, adj lock joint prefab ot

L3762 Eo rigid w/o joints pre ots

L3763 Ewho rigid w/o jnts cf

L3764 Ewho w/joint(s) cf

L3765 Ewhfo rigid w/o jnts cf

L3766 Ewhfo w/joint(s) cf

L3806 Whfo w/joint(s) custom fab

L3807 Whfo w/o joints pre cst

L3808 Whfo, rigid w/o joints

L3809 Whfo w/o joints pre ots

L3891 Torsion mechanism wrist/elbo

L3900 Hinge extension/flex wrist/f

L3901 Hinge ext/flex wrist finger

L3904 Whfo electric custom fitted

L3905 Who w/nontorsion jnt(s) cf

L3906 Who w/o joints cf

L3908 Who cock-up nonmolde pre ots

L3912 Hfo flexion glove pre ots

L3913 Hfo w/o joints cf

L3915 Who nontorsion jnts pre cst

L3916 Who nontorsion jnts pre ots

L3917 Metacarp fx orthosis pre cst

L3918 Metacarp fx orthosis pre ots

L3919 Ho w/o joints cf

L3921 Hfo w/joint(s) cf

L3923 Hfo without joints pre cst

L3924 Hfo without joints pre ots

L3925 Fo pip dip jnt/sprng pre ots

L3927 Fo pip dip no jt spr pre ots

L3929 Hfo nontorsion jnts pre cst

L3930 Hfo nontorsion jnts pre ots

L3931 Whfo nontorsion joint prefab

L3933 Fo w/o joints cf

L3935 Fo nontorsion joint cf

L3956 Add joint upper ext orthosis

L3960 Sewho airplan desig abdu pos

L3961 Sewho cap design w/o jnts cf

L3962 Sewho erbs palsey design abd

L3967 Sewho airplane w/o jnts cf

L3971 Sewho cap design w/jnt(s) cf

L3973 Sewho airplane w/jnt(s) cf

L3975 Sewhfo cap design w/o jnt cf

L3976 Sewhfo airplane w/o jnts cf

L3977 Sewhfo cap desgn w/jnt(s) cf

L3978 Sewhfo airplane w/jnt(s) cf

L3980 Up ext fx orthos humeral nos

L3981 Ue fx orth shoul cap forearm

L3982 Upper ext fx orthosis rad/ul

L3984 Upper ext fx orthosis wrist

L3995 Sock fracture or equal each

L3999 Upper limb orthosis nos

L4000 Repl girdle milwaukee orth

L4002 Replace strap, any orthosis

L4010 Replace trilateral socket br

L4020 Replace quadlat socket brim

L4030 Replace socket brim cust fit

L4040 Replace molded thigh lacer

L4045 Replace non-molded thigh lac

L4050 Replace molded calf lacer

L4055 Replace non-molded calf lace

L4060 Replace high roll cuff

L4070 Replace prox & dist upright

L4080 Repl met band kafo-afo prox

L4090 Repl met band kafo-afo calf/

L4100 Repl leath cuff kafo prox th

L4110 Repl leath cuff kafo-afo cal

L4130 Replace pretibial shell

L4205 Ortho dvc repair per 15 min

L4210 Orth dev repair/repl minor p

L4350 Ankle control ortho pre ots

L4360 Pneumat walking boot pre cst

L4361 Pneuma/vac walk boot pre ots

L4370 Pneum full leg splnt pre ots

L4386 Non-pneum walk boot pre cst

L4387 Non-pneum walk boot pre ots

L4392 Replace afo soft interface

L4394 Replace foot drop spint

L4396 Static or dynami afo pre cst

L4397 Static or dynami afo pre ots

L4398 Foot drop splint pre ots

L4631 Afo, walk boot type, cus fab

L5000 Sho insert w arch toe filler

L5010 Mold socket ank hgt w/ toe f

L5020 Tibial tubercle hgt w/ toe f

L5050 Ank symes mold sckt sach ft

L5060 Symes met fr leath socket ar

L5100 Molded socket shin sach foot

L5105 Plast socket jts/thgh lacer

L5150 Mold sckt ext knee shin sach

L5160 Mold socket bent knee shin s

L5200 Kne sing axis fric shin sach

L5210 No knee/ankle joints w/ ft b

L5220 No knee joint with artic ali

L5230 Fem focal defic constant fri

L5250 Hip canad sing axi cons fric

L5270 Tilt table locking hip sing

L5280 Hemipelvect canad sing axis

L5301 Bk mold socket sach ft endo

L5312 Knee disart, sach ft, endo

L5321 Ak open end sach

L5331 Hip disart canadian sach ft

L5341 Hemipelvectomy canadian sach

L5400 Postop dress & 1 cast chg bk

L5410 Postop dsg bk ea add cast ch

L5420 Postop dsg & 1 cast chg ak/d

L5430 Postop dsg ak ea add cast ch

L5450 Postop app non-wgt bear dsg

L5460 Postop app non-wgt bear dsg

L5500 Init bk ptb plaster direct

L5505 Init ak ischal plstr direct

L5510 Prep bk ptb plaster molded

L5520 Perp bk ptb thermopls direct

L5530 Prep bk ptb thermopls molded

L5535 Prep bk ptb open end socket

L5540 Prep bk ptb laminated socket

L5560 Prep ak ischial plast molded

L5570 Prep ak ischial direct form

L5580 Prep ak ischial thermo mold

L5585 Prep ak ischial open end

L5590 Prep ak ischial laminated

L5595 Hip disartic sach thermopls

L5600 Hip disart sach laminat mold

L5610 Above knee hydracadence

L5611 Ak 4 bar link w/fric swing

L5613 Ak 4 bar ling w/hydraul swig

L5614 4-bar link above knee w/swng

L5615 Ak 4 bar link hydl swg/stanc

L5616 Ak univ multiplex sys frict

L5617 Ak/bk self-aligning unit ea

L5618 Test socket symes

L5620 Test socket below knee

L5622 Test socket knee disarticula

L5624 Test socket above knee

L5626 Test socket hip disarticulat

L5628 Test socket hemipelvectomy

L5629 Below knee acrylic socket

L5630 Syme typ expandabl wall sckt

L5631 Ak/knee disartic acrylic soc

L5632 Symes type ptb brim design s

L5634 Symes type poster opening so

L5636 Symes type medial opening so

L5637 Below knee total contact

L5638 Below knee leather socket

L5639 Below knee wood socket

L5640 Knee disarticulat leather so

L5642 Above knee leather socket

L5643 Hip flex inner socket ext fr

L5644 Above knee wood socket

L5645 Bk flex inner socket ext fra

L5646 Below knee cushion socket

L5647 Below knee suction socket

L5648 Above knee cushion socket

L5649 Isch containmt/narrow m-l so

L5650 Tot contact ak/knee disart s

L5651 Ak flex inner socket ext fra

L5652 Suction susp ak/knee disart

L5653 Knee disart expand wall sock

L5654 Socket insert symes

L5655 Socket insert below knee

L5656 Socket insert knee articulat

L5657 Add low ext man aut vol any

L5658 Socket insert above knee

L5661 Multi-durometer symes

L5665 Multi-durometer below knee

L5666 Below knee cuff suspension

L5668 Bk molded distal cushion

L5670 Bk molded supracondylar susp

L5671 Bk/ak locking mechanism

L5672 Bk removable medial brim sus

L5673 Socket insert w lock mech

L5676 Bk knee joints single axis p

L5677 Bk knee joints polycentric p

L5678 Bk joint covers pair

L5679 Socket insert w/o lock mech

L5680 Bk thigh lacer non-molded

L5681 Intl custm cong/latyp insert

L5682 Bk thigh lacer glut/ischia m

L5683 Initial custom socket insert

L5684 Bk fork strap

L5685 Below knee sus/seal sleeve

L5686 Bk back check

L5688 Bk waist belt webbing

L5690 Bk waist belt padded and lin

L5692 Ak pelvic control belt light

L5694 Ak pelvic control belt pad/l

L5695 Ak sleeve susp neoprene/equa

L5696 Ak/knee disartic pelvic join

L5697 Ak/knee disartic pelvic band

L5698 Ak/knee disartic silesian ba

L5699 Shoulder harness

L5700 Replace socket below knee

L5701 Replace socket above knee

L5702 Replace socket hip

L5703 Symes ankle w/o (sach) foot

L5704 Custom shape cover bk

L5705 Custom shape cover ak

L5706 Custom shape cvr knee disart

L5707 Custom shape cvr hip disart

L5710 Kne-shin exo sng axi mnl loc

L5711 Knee-shin exo mnl lock ultra

L5712 Knee-shin exo frict swg & st

L5714 Knee-shin exo variable frict

L5716 Knee-shin exo mech stance ph

L5718 Knee-shin exo frct swg & sta

L5722 Knee-shin pneum swg frct exo

L5724 Knee-shin exo fluid swing ph

L5726 Knee-shin ext jnts fld swg e

L5728 Knee-shin fluid swg & stance

L5780 Knee-shin pneum/hydra pneum

L5781 Lower limb pros vacuum pump

L5782 Hd low limb pros vacuum pump

L5783 Add low ext mec limb vol lam

L5785 Exoskeletal bk ultralt mater

L5790 Exoskeletal ak ultra-light m

L5795 Exoskel hip ultra-light mate

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

L5827 Endo knee shin single axis

L5828 Endo knee-shin fluid swg/sta

L5830 Endo knee-shin pneum/swg pha

L5840 Multi-axial knee/shin system

L5841 Addition endoskletl knee-shi

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

L5991 Low pros ext osseo connector

L5999 Lowr extremity prosthes nos

L6000 Part hand thumb rem

L6010 Part hand little/ring

L6020 Part hand no fingers

L6025 Part hand disart myoelectric

L6026 Part hand myo exclu term dev

L6028 Part hand finger metacar amp

L6029 Test interface part handfing

L6030 External frame part handfing

L6031 Rep interface handfng molded

L6032 Part handfng ultralite tcf/=

L6033 Part handfing acrylic

L6034 Part hand finger distal amp

L6035 Prosthetic digit mechanical

L6036 Prosthetic thumb mechanical

L6037 Postop dsg cast chg handfing

L6038 Multiax rotation attachment

L6039 Passive custom digit/thumb

L6050 Wrst mld sck flx hng tri pad

L6055 Wrst mold sock w/exp interfa

L6100 Elb mold sock flex hinge pad

L6110 Elbow mold sock suspension t

L6120 Elbow mold doub splt soc ste

L6130 Elbow stump activated lock h

L6200 Elbow mold outsid lock hinge

L6205 Elbow molded w/ expand inter

L6250 Elbow inter loc elbow forarm

L6300 Shlder disart int lock elbow

L6310 Shoulder passive restor comp

L6320 Shoulder passive restor cap

L6350 Thoracic intern lock elbow

L6360 Thoracic passive restor comp

L6370 Thoracic passive restor cap

L6380 Postop dsg cast chg wrst/elb

L6382 Postop dsg cast chg elb dis/

L6384 Postop dsg cast chg shlder/t

L6386 Postop ea cast chg & realign

L6388 Postop applicat rigid dsg on

L6400 Below elbow prosth tiss shap

L6450 Elb disart prosth tiss shap

L6500 Above elbow prosth tiss shap

L6550 Shldr disar prosth tiss shap

L6570 Scap thorac prosth tiss shap

L6580 Wrist/elbow bowden cable mol

L6582 Wrist/elbow bowden cbl dir f

L6584 Elbow fair lead cable molded

L6586 Elbow fair lead cable dir fo

L6588 Shdr fair lead cable molded

L6590 Shdr fair lead cable direct

L6600 Polycentric hinge pair

L6605 Single pivot hinge pair

L6610 Flexible metal hinge pair

L6611 Additional switch, ext power

L6615 Disconnect locking wrist uni

L6616 Disconnect insert locking wr

L6620 Flexion/extension wrist unit

L6621 Flex/ext wrist w/wo friction

L6623 Spring-ass rot wrst w/ latch

L6624 Flex/ext/rotation wrist unit

L6625 Rotation wrst w/ cable lock

L6628 Quick disconn hook adapter o

L6629 Lamination collar w/ couplin

L6630 Stainless steel any wrist

L6632 Latex suspension sleeve each

L6635 Lift assist for elbow

L6637 Nudge control elbow lock

L6638 Elec lock on manual pw elbow

L6640 Shoulder abduction joint pai

L6641 Excursion amplifier pulley t

L6642 Excursion amplifier lever ty

L6645 Shoulder flexion-abduction j

L6646 Multipo locking shoulder jnt

L6647 Shoulder lock actuator

L6648 Ext pwrd shlder lock/unlock

L6650 Shoulder universal joint

L6655 Standard control cable extra

L6660 Heavy duty control cable

L6665 Teflon or equal cable lining

L6670 Hook to hand cable adapter

L6672 Harness chest/shlder saddle

L6675 Harness figure of 8 sing con

L6676 Harness figure of 8 dual con

L6677 Ue triple control harness

L6680 Test sock wrist disart/bel e

L6682 Test sock elbw disart/above

L6684 Test socket shldr disart/tho

L6686 Suction socket

L6687 Frame typ socket bel elbow/w

L6688 Frame typ sock above elb/dis

L6689 Frame typ socket shoulder di

L6690 Frame typ sock interscap-tho

L6691 Removable insert each

L6692 Silicon gel insert w/wo lock

L6693 Lockingelbow forearm cntrbal

L6694 Elbow socket ins use w/lock

L6695 Elbow socket ins use w/o lck

L6696 Cus elbo skt in for con/atyp

L6697 Cus elbo skt in not con/atyp

L6698 Add up-ex prosthes lock mech

L6700 Ue add ext power myoel

L6703 Term dev, passive hand mitt

L6704 Term dev, sport/rec/work att

L6706 Term dev mech hook vol open

L6707 Term dev mech hook vol close

L6708 Term dev mech hand vol open

L6709 Term dev mech hand vol close

L6711 Ped term dev, hook, vol open

L6712 Ped term dev, hook, vol clos

L6713 Ped term dev, hand, vol open

L6714 Ped term dev, hand, vol clos

L6715 Term device, multi art digit

L6721 Hook/hand, hvy dty, vol open

L6722 Hook/hand, hvy dty, vol clos

L6805 Term dev modifier wrist unit

L6810 Term dev precision pinch dev

L6880 Elec hand ind art digits

L6881 Term dev auto grasp feature

L6882 Microprocessor control uplmb

L6883 Replc sockt below e/w disa

L6884 Replc sockt above elbow disa

L6885 Replc sockt shldr dis/interc

L6890 Prefab glove for term device

L6895 Custom glove for term device

L6900 Hand restorat thumb/1 finger

L6905 Hand restoration multiple fi

L6910 Hand restoration no fingers

L6915 Hand restoration replacmnt g

L6920 Wrist disarticul switch ctrl

L6925 Wrist disart myoelectronic c

L6930 Below elbow switch control

L6935 Below elbow myoelectronic ct

L6940 Elbow disarticulation switch

L6945 Elbow disart myoelectronic c

L6950 Above elbow switch control

L6955 Above elbow myoelectronic ct

L6960 Shldr disartic switch contro

L6965 Shldr disartic myoelectronic

L6970 Interscapular-thor switch ct

L6975 Interscap-thor myoelectronic

L7007 Adult electric hand

L7008 Pediatric electric hand

L7009 Adult electric hook

L7040 Prehensile actuator

L7045 Pediatric electric hook

L7170 Electronic elbow hosmer swit

L7180 Electronic elbow sequential

L7181 Electronic elbo simultaneous

L7185 Electron elbow adolescent sw

L7186 Electron elbow child switch

L7190 Elbow adolescent myoelectron

L7191 Elbow child myoelectronic ct

L7259 Electronic wrist rotator any

L7260 Electron wrist rotator otto

L7261 Electron wrist rotator utah

L7360 Six volt bat otto bock/eq ea

L7362 Battery chrgr six volt otto

L7364 Twelve volt battery utah/equ

L7366 Battery chrgr 12 volt utah/e

L7367 Replacemnt lithium ionbatter

L7368 Lithium ion battery charger

L7400 Add ue prost be/wd, ultlite

L7401 Add ue prost a/e ultlite mat

L7402 Add ue prost s/d ultlite mat

L7403 Add ue prost b/e acrylic

L7404 Add ue prost a/e acrylic

L7405 Add ue prost s/d acrylic

L7406 Add upp ext mec limb vol lam

L7499 Upper extremity prosthes nos

L7510 Prosthetic device repair rep

L7520 Repair prosthesis per 15 min

L7600 Prosthetic donning sleeve

L7700 Pros soc insert gasket/seal

L7900 Male vacuum erection system

L7902 Tension ring, vac erect dev

L8000 Mastectomy bra

L8001 Breast prosthesis bra & form

L8002 Brst prsth bra & bilat form

L8010 Mastectomy sleeve

L8015 Ext breastprosthesis garment

L8020 Mastectomy form

L8030 Breast prosthes w/o adhesive

L8031 Breast prosthesis w adhesive

L8032 Reusable nipple prosthesis

L8033 Nipple prosthesis custom, ea

L8035 Custom breast prosthesis

L8039 Breast prosthesis nos

L8040 Nasal prosthesis

L8041 Midfacial prosthesis

L8042 Orbital prosthesis

L8043 Upper facial prosthesis

L8044 Hemi-facial prosthesis

L8045 Auricular prosthesis

L8046 Partial facial prosthesis

L8047 Nasal septal prosthesis

L8048 Unspec maxillofacial prosth

L8049 Repair maxillofacial prosth

L8300 Truss single w/ standard pad

L8310 Truss double w/ standard pad

L8320 Truss addition to std pad wa

L8330 Truss add to std pad scrotal

L8400 Sheath below knee

L8410 Sheath above knee

L8415 Sheath upper limb

L8417 Pros sheath/sock w gel cushn

L8420 Prosthetic sock multi ply bk

L8430 Prosthetic sock multi ply ak

L8435 Pros sock multi ply upper lm

L8440 Shrinker below knee

L8460 Shrinker above knee

L8465 Shrinker upper limb

L8470 Pros sock single ply bk

L8480 Pros sock single ply ak

L8485 Pros sock single ply upper l

L8499 Unlisted misc prosthetic ser

L8500 Artificial larynx

L8501 Tracheostomy speaking valve

L8505 Artificial larynx, accessory

L8507 Trach-esoph voice pros pt in

L8509 Trach-esoph voice pros md in

L8510 Voice amplifier

L8511 Indwelling trach insert

L8512 Gel cap for trach voice pros

L8513 Trach pros cleaning device

L8514 Repl trach puncture dilator

L8515 Gel cap app device for trach

L8600 Implant breast silicone/eq

L8603 Collagen imp urinary 2.5 ml

L8604 Dextranomer/hyaluronic acid

L8605 Inj bulking agent anal canal

L8606 Synthetic implnt urinary 1ml

L8607 Inj vocal cord bulking agent

L8608 Arg ii ext com/sup/acc misc

L8609 Artificial cornea

L8610 Ocular implant

L8612 Aqueous shunt prosthesis

L8613 Ossicular implant

L8614 Cochlear device

L8615 Coch implant headset replace

L8616 Coch implant microphone repl

L8617 Coch implant trans coil repl

L8618 Coch implant tran cable repl

L8619 Coch imp ext proc/contr rplc

L8621 Repl zinc air battery

L8622 Repl alkaline battery

L8623 Lith ion batt cid,non-earlvl

L8624 Lith ion batt cid, ear level

L8625 Charger coch impl/aoi battry

L8627 Cid ext speech process repl

L8628 Cid ext controller repl

L8629 Cid transmit coil and cable

L8630 Metacarpophalangeal implant

L8631 Mcp joint repl 2 pc or more

L8641 Metatarsal joint implant

L8642 Hallux implant

L8658 Interphalangeal joint spacer

L8659 Interphalangeal joint repl

L8670 Vascular graft, synthetic

L8678 Ext sply implt neurostim

L8679 Imp neurosti pls gn any type

L8680 Implt neurostim elctr each

L8681 Pt prgrm for implt neurostim

L8682 Implt neurostim radiofq rec

L8683 Radiofq trsmtr for implt neu

L8684 Radiof trsmtr implt scrl neu

L8685 Implt nrostm pls gen sng rec

L8686 Implt nrostm pls gen sng non

L8687 Implt nrostm pls gen dua rec

L8688 Implt nrostm pls gen dua non

L8689 External recharg sys intern

L8690 Aud osseo dev, int/ext comp

L8691 Aoi snd proc repl excl actua

L8692 Non-osseointegrated snd proc

L8693 Aud osseo dev, abutment

L8694 Aoi transducer/actuator repl

L8695 External recharg sys extern

L8696 Ext antenna phren nerve stim

L8698 Misc used with tot art heart

L8699 Prosthetic implant nos

L8701 Ewh s/d uprt micro sensor

L8702 Ewhf s/d uprt micro sensor

L8720 Ext low ext sens prosthe mec

L8721 Receptor sole l8720 replace

L9900 O&p supply/accessory/service

Section L: Orthotic & Prosthetic Procedures

Get HCC Mappings, Clinical Summaries, and More