Showing codes L5648 (Addition to lower extremity, above knee, air, fluid, gel or equal, cushion socket) — L5690 (Addition to lower extremity, below knee, waist belt, padded and lined)

L5648 - Above knee cushion socket
Long description: Addition to lower extremity, above knee, air, fluid, gel or equal, cushion socket
Code added date: 19860101.
Code effective date: 20040101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L5649 - Isch containmt/narrow m-l so
Long description: Addition to lower extremity, ischial containment/narrow m-l socket
Code added date: 19880101.
Code effective date: 19880101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L5650 - Tot contact ak/knee disart s
Long description: Additions to lower extremity, total contact, above knee or knee disarticulation socket
Code added date: 19860101.
Code effective date: 19960101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L5651 - Ak flex inner socket ext fra
Long description: Addition to lower extremity, above knee, flexible inner socket, external frame
Code added date: 19880101.
Code effective date: 19880101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L5652 - Suction susp ak/knee disart
Long description: Addition to lower extremity, suction suspension, above knee or knee disarticulation socket
Code added date: 19860101.
Code effective date: 19860101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L5653 - Knee disart expand wall sock
Long description: Addition to lower extremity, knee disarticulation, expandable wall socket
Code added date: 19860101.
Code effective date: 19860101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L5654 - Socket insert symes
Long description: Addition to lower extremity, socket insert, symes, (kemblo, pelite, aliplast, plastazote or equal)
Code added date: 19860101.
Code effective date: 19860101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L5655 - Socket insert below knee
Long description: Addition to lower extremity, socket insert, below knee (kemblo, pelite, aliplast, plastazote or equal)
Code added date: 19860101.
Code effective date: 19860101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L5656 - Socket insert knee articulat
Long description: Addition to lower extremity, socket insert, knee disarticulation (kemblo, pelite, aliplast, plastazote or equal)
Code added date: 19860101.
Code effective date: 19860101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L5658 - Socket insert above knee
Long description: Addition to lower extremity, socket insert, above knee (kemblo, pelite, aliplast, plastazote or equal)
Code added date: 19860101.
Code effective date: 19860101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L5661 - Multi-durometer symes
Long description: Addition to lower extremity, socket insert, multi-durometer symes
Code added date: 19880101.
Code effective date: 19960101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L5665 - Multi-durometer below knee
Long description: Addition to lower extremity, socket insert, multi-durometer, below knee
Code added date: 19880101.
Code effective date: 19960101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L5666 - Below knee cuff suspension
Long description: Addition to lower extremity, below knee, cuff suspension
Code added date: 19860101.
Code effective date: 19960101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L5668 - Bk molded distal cushion
Long description: Addition to lower extremity, below knee, molded distal cushion
Code added date: 19860101.
Code effective date: 20140101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L5670 - Bk molded supracondylar susp
Long description: Addition to lower extremity, below knee, molded supracondylar suspension ('pts' or similar)
Code added date: 19860101.
Code effective date: 19860101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L5671 - Bk/ak locking mechanism
Long description: Addition to lower extremity, below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert
Code added date: 20020101.
Code effective date: 20020101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L5672 - Bk removable medial brim sus
Long description: Addition to lower extremity, below knee, removable medial brim suspension
Code added date: 19860101.
Code effective date: 19860101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L5673 - Socket insert w lock mech
Long description: Addition 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
Code added date: 20040101.
Code effective date: 20040101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L5676 - Bk knee joints single axis p
Long description: Additions to lower extremity, below knee, knee joints, single axis, pair
Code added date: 19860101.
Code effective date: 19960101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L5677 - Bk knee joints polycentric p
Long description: Additions to lower extremity, below knee, knee joints, polycentric, pair
Code added date: 19880101.
Code effective date: 19960101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L5678 - Bk joint covers pair
Long description: Additions to lower extremity, below knee, joint covers, pair
Code added date: 19840101.
Code effective date: 19960101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L5679 - Socket insert w/o lock mech
Long description: Addition 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
Code added date: 20040101.
Code effective date: 20040101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L5680 - Bk thigh lacer non-molded
Long description: Addition to lower extremity, below knee, thigh lacer, nonmolded
Code added date: 19860101.
Code effective date: 19860101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L5681 - Intl custm cong/latyp insert
Long description: Addition 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)
Code added date: 20040101.
Code effective date: 20040101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L5682 - Bk thigh lacer glut/ischia m
Long description: Addition to lower extremity, below knee, thigh lacer, gluteal/ischial, molded
Code added date: 19860101.
Code effective date: 19860101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L5683 - Initial custom socket insert
Long description: Addition 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)
Code added date: 20040101.
Code effective date: 20040101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L5684 - Bk fork strap
Long description: Addition to lower extremity, below knee, fork strap
Code added date: 19860101.
Code effective date: 19860101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L5685 - Below knee sus/seal sleeve
Long description: Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or without valve, any material, each
Code added date: 20050101.
Code effective date: 20050101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L5686 - Bk back check
Long description: Addition to lower extremity, below knee, back check (extension control)
Code added date: 19860101.
Code effective date: 19860101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L5688 - Bk waist belt webbing
Long description: Addition to lower extremity, below knee, waist belt, webbing
Code added date: 19860101.
Code effective date: 19860101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L5690 - Bk waist belt padded and lin
Long description: Addition to lower extremity, below knee, waist belt, padded and lined
Code added date: 19860101.
Code effective date: 19860101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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