HCPCS 2018

L5654Addition to lower extremity, socket insert, symes, (kemblo, pelite, aliplast, plastazote or equal)
L5655Addition to lower extremity, socket insert, below knee (kemblo, pelite, aliplast, plastazote or equal)
L5656Addition to lower extremity, socket insert, knee disarticulation (kemblo, pelite, aliplast, plastazote or equal)
L5658Addition to lower extremity, socket insert, above knee (kemblo, pelite, aliplast, plastazote or equal)
L5661Addition to lower extremity, socket insert, multi-durometer symes
L5665Addition to lower extremity, socket insert, multi-durometer, below knee
L5666Addition to lower extremity, below knee, cuff suspension
L5668Addition to lower extremity, below knee, molded distal cushion
L5670Addition to lower extremity, below knee, molded supracondylar suspension ('pts' or similar)
L5671Addition to lower extremity, below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert
L5672Addition to lower extremity, below knee, removable medial brim suspension
L5673Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanism
L5676Additions to lower extremity, below knee, knee joints, single axis, pair
L5677Additions to lower extremity, below knee, knee joints, polycentric, pair
L5678Additions to lower extremity, below knee, joint covers, pair
L5679Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mechanism
L5680Addition to lower extremity, below knee, thigh lacer, nonmolded
L5681Addition 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)
L5682Addition to lower extremity, below knee, thigh lacer, gluteal/ischial, molded
L5683Addition 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)
L5684Addition to lower extremity, below knee, fork strap
L5685Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or without valve, any material, each
L5686Addition to lower extremity, below knee, back check (extension control)
L5688Addition to lower extremity, below knee, waist belt, webbing
L5690Addition to lower extremity, below knee, waist belt, padded and lined
L5692Addition to lower extremity, above knee, pelvic control belt, light
L5694Addition to lower extremity, above knee, pelvic control belt, padded and lined
L5695Addition to lower extremity, above knee, pelvic control, sleeve suspension, neoprene or equal, each
L5696Addition to lower extremity, above knee or knee disarticulation, pelvic joint
L5697Addition to lower extremity, above knee or knee disarticulation, pelvic band
L5698Addition to lower extremity, above knee or knee disarticulation, silesian bandage
L5699All lower extremity prostheses, shoulder harness