L56 — HCPCS Level II Codes

• L5600 Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot, laminated socket, molded to patient model billable
• L5610 Addition to lower extremity, endoskeletal system, above knee, hydracadence system billable
• L5611 Addition to lower extremity, endoskeletal system, above knee - knee disarticulation, 4 bar linkage, with friction swing phase control billable
• L5613 Addition to lower extremity, endoskeletal system, above knee-knee disarticulation, 4 bar linkage, with hydraulic swing phase control billable
• L5614 Addition to lower extremity, exoskeletal system, above knee-knee disarticulation, 4 bar linkage, with pneumatic swing phase control billable
• L5615 Addition, endoskeletal knee-shin system, 4 bar linkage or multiaxial, fluid swing and stance phase control billable
• L5616 Addition to lower extremity, endoskeletal system, above knee, universal multiplex system, friction swing phase control billable
• L5617 Addition to lower extremity, quick change self-aligning unit, above knee or below knee, each billable
• L5618 Addition to lower extremity, test socket, symes billable
• L5620 Addition to lower extremity, test socket, below knee billable
• L5622 Addition to lower extremity, test socket, knee disarticulation billable
• L5624 Addition to lower extremity, test socket, above knee billable
• L5626 Addition to lower extremity, test socket, hip disarticulation billable
• L5628 Addition to lower extremity, test socket, hemipelvectomy billable
• L5629 Addition to lower extremity, below knee, acrylic socket billable
• L5630 Addition to lower extremity, symes type, expandable wall socket billable
• L5631 Addition to lower extremity, above knee or knee disarticulation, acrylic socket billable
• L5632 Addition to lower extremity, symes type, 'ptb' brim design socket billable
• L5634 Addition to lower extremity, symes type, posterior opening (canadian) socket billable
• L5636 Addition to lower extremity, symes type, medial opening socket billable
• L5637 Addition to lower extremity, below knee, total contact billable
• L5638 Addition to lower extremity, below knee, leather socket billable
• L5639 Addition to lower extremity, below knee, wood socket billable
• L5640 Addition to lower extremity, knee disarticulation, leather socket billable
• L5642 Addition to lower extremity, above knee, leather socket billable
• L5643 Addition to lower extremity, hip disarticulation, flexible inner socket, external frame billable
• L5644 Addition to lower extremity, above knee, wood socket billable
• L5645 Addition to lower extremity, below knee, flexible inner socket, external frame billable
• L5646 Addition to lower extremity, below knee, air, fluid, gel or equal, cushion socket billable
• L5647 Addition to lower extremity, below knee suction socket billable
• L5648 Addition to lower extremity, above knee, air, fluid, gel or equal, cushion socket billable
• L5649 Addition to lower extremity, ischial containment/narrow m-l socket billable
• L5650 Additions to lower extremity, total contact, above knee or knee disarticulation socket billable
• L5651 Addition to lower extremity, above knee, flexible inner socket, external frame billable
• L5652 Addition to lower extremity, suction suspension, above knee or knee disarticulation socket billable
• L5653 Addition to lower extremity, knee disarticulation, expandable wall socket billable
• L5654 Addition to lower extremity, socket insert, symes, (kemblo, pelite, aliplast, plastazote or equal) billable
• L5655 Addition to lower extremity, socket insert, below knee (kemblo, pelite, aliplast, plastazote or equal) billable
• L5656 Addition to lower extremity, socket insert, knee disarticulation (kemblo, pelite, aliplast, plastazote or equal) billable
• L5657 Addition to lower extremity prosthesis, manual/automated adjustable air, fluid, gel or equal socket insert for limb volume management, any materials billable
• L5658 Addition to lower extremity, socket insert, above knee (kemblo, pelite, aliplast, plastazote or equal) billable
• L5661 Addition to lower extremity, socket insert, multi-durometer symes billable
• L5665 Addition to lower extremity, socket insert, multi-durometer, below knee billable
• L5666 Addition to lower extremity, below knee, cuff suspension billable
• L5668 Addition to lower extremity, below knee, molded distal cushion billable
• L5670 Addition to lower extremity, below knee, molded supracondylar suspension ('pts' or similar) billable
• L5671 Addition to lower extremity, below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert billable
• L5672 Addition to lower extremity, below knee, removable medial brim suspension billable
• L5673 Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric, or equal, with or without perforations, with or without breathable material, for use with locking mechanism billable
• L5676 Additions to lower extremity, below knee, knee joints, single axis, pair billable
• L5677 Additions to lower extremity, below knee, knee joints, polycentric, pair billable
• L5678 Additions to lower extremity, below knee, joint covers, pair billable
• L5679 Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric, or equal, with or without perforations, with or without breathable material, not for use with locking mechanism billable
• L5680 Addition to lower extremity, below knee, thigh lacer, nonmolded billable
• L5681 Addition to lower extremity, below knee/above knee, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code l5673 or l5679) billable
• L5682 Addition to lower extremity, below knee, thigh lacer, gluteal/ischial, molded billable
• L5683 Addition to lower extremity, below knee/above knee, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code l5673 or l5679) billable
• L5684 Addition to lower extremity, below knee, fork strap billable
• L5685 Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or without valve, any material, each billable
• L5686 Addition to lower extremity, below knee, back check (extension control) billable
• L5688 Addition to lower extremity, below knee, waist belt, webbing billable
• L5690 Addition to lower extremity, below knee, waist belt, padded and lined billable
• L5692 Addition to lower extremity, above knee, pelvic control belt, light billable
• L5694 Addition to lower extremity, above knee, pelvic control belt, padded and lined billable
• L5695 Addition to lower extremity, above knee, pelvic control, sleeve suspension, neoprene or equal, each billable
• L5696 Addition to lower extremity, above knee or knee disarticulation, pelvic joint billable
• L5697 Addition to lower extremity, above knee or knee disarticulation, pelvic band billable
• L5698 Addition to lower extremity, above knee or knee disarticulation, silesian bandage billable
• L5699 All lower extremity prostheses, shoulder harness billable