L5580
Preparatory, above knee - knee disarticulation ischial level socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, molded to model
- Effective Date: 1986-01-01
- Medicare Coverage Status: Carrier Judgement
- BETOS Classification: Prosthestic/Orthotic devices
Medicare Fees (ceiling): $3040.98
L5570
L5585 