L59 — HCPCS Level II Codes

• L5910 Addition, endoskeletal system, below knee, alignable system billable
• L5920 Addition, endoskeletal system, above knee or hip disarticulation, alignable system billable
• L5925 Addition, endoskeletal system, above knee, knee disarticulation or hip disarticulation, manual lock billable
• L5926 Addition to lower extremity prosthesis, endoskeletal, knee disarticulation, above knee, hip disarticulation, positional rotation unit, any type billable
• L5930 Addition, endoskeletal system, high activity knee control frame billable
• L5940 Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal) billable
• L5950 Addition, endoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal) billable
• L5960 Addition, endoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal) billable
• L5961 Addition, endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control billable
• L5962 Addition, endoskeletal system, below knee, flexible protective outer surface covering system billable
• L5964 Addition, endoskeletal system, above knee, flexible protective outer surface covering system billable
• L5966 Addition, endoskeletal system, hip disarticulation, flexible protective outer surface covering system billable
• L5968 Addition to lower limb prosthesis, multiaxial ankle with swing phase active dorsiflexion feature billable
• L5969 Addition, endoskeletal ankle-foot or ankle system, power assist, includes any type motor(s) billable
• L5970 All lower extremity prostheses, foot, external keel, sach foot billable
• L5971 All lower extremity prosthesis, solid ankle cushion heel (sach) foot, replacement only billable
• L5972 All lower extremity prostheses, foot, flexible keel billable
• L5973 Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source billable
• L5974 All lower extremity prostheses, foot, single axis ankle/foot billable
• L5975 All lower extremity prosthesis, combination single axis ankle and flexible keel foot billable
• L5976 All lower extremity prostheses, energy storing foot (seattle carbon copy ii or equal) billable
• L5978 All lower extremity prostheses, foot, multiaxial ankle/foot billable
• L5979 All lower extremity prosthesis, multi-axial ankle, dynamic response foot, one piece system billable
• L5980 All lower extremity prostheses, flex foot system billable
• L5981 All lower extremity prostheses, flex-walk system or equal billable
• L5982 All exoskeletal lower extremity prostheses, axial rotation unit billable
• L5984 All endoskeletal lower extremity prosthesis, axial rotation unit, with or without adjustability billable
• L5985 All endoskeletal lower extremity prostheses, dynamic prosthetic pylon billable
• L5986 All lower extremity prostheses, multi-axial rotation unit ('mcp' or equal) billable
• L5987 All lower extremity prosthesis, shank foot system with vertical loading pylon billable
• L5988 Addition to lower limb prosthesis, vertical shock reducing pylon feature billable
• L5990 Addition to lower extremity prosthesis, user adjustable heel height billable
• L5991 Addition to lower extremity prostheses, osseointegrated external prosthetic connector billable
• L5992 All lower extremity prosthesis, foot shell for modular foot/non-solid ankle cushion heel (sach) replacement only billable
• L5999 Lower extremity prosthesis, not otherwise specified billable