L5613
Addition to lower extremity, endoskeletal system, above knee-knee disarticulation, 4 bar linkage, with hydraulic swing phase control
- Effective Date: 1989-01-01
- Medicare Coverage Status: Carrier Judgement
- BETOS Classification: Prosthestic/Orthotic devices
Medicare Fees (ceiling): $3231.91
L5611
L5614 