2017 HCPCS Codes > L Codes

Select a code to see the full description.

  • 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
  • L0430 – Dewall posture protector
  • 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
  • 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
  • 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
  • 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
  • L1660 – Ho abduction static plastic
  • L1680 – Pelvic & hip control thigh c
  • 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
  • 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 prefab tcf/=
  • L1940 – Afo molded to patient plasti
  • L1945 – Afo molded plas rig ant tib
  • L1950 – Afo spiral molded to pt plas
  • L1951 – Afo spiral prefabricated
  • 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
  • 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
  • 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 withjoint, prefabricated
  • 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
  • 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
  • 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
  • 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
  • L5828 – Endo knee-shin fluid swg/sta
  • L5830 – Endo knee-shin pneum/swg pha
  • L5840 – Multi-axial knee/shin system
  • 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
  • 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
  • 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
  • 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 – Silicone gel insert or equal
  • 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 – Below/above elbow lock mech
  • 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
  • L7499 – Upper extremity prosthes nos
  • L7510 – Prosthetic device repair rep
  • L7520 – Repair prosthesis per 15 min
  • L7600 – Prosthetic donning sleeve
  • 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
  • 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
  • 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
  • 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
  • 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 – Osseointegrated snd proc rpl
  • L8692 – Non-osseointegrated snd proc
  • L8693 – Aud osseo dev, abutment
  • L8695 – External recharg sys extern
  • L8696 – Ext antenna phren nerve stim
  • L8699 – Prosthetic implant nos
  • L9900 – O&p supply/accessory/service