Showing codes L5692 (Addition to lower extremity, above knee, pelvic control belt, light) — L5790 (Addition, exoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal))

L5692 - Ak pelvic control belt light
Long description: Addition to lower extremity, above knee, pelvic control belt, light
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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L5694 - Ak pelvic control belt pad/l
Long description: Addition to lower extremity, above knee, pelvic control 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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L5695 - Ak sleeve susp neoprene/equa
Long description: Addition to lower extremity, above knee, pelvic control, sleeve suspension, neoprene or equal, each
Code added date: 19890101.
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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L5696 - Ak/knee disartic pelvic join
Long description: Addition to lower extremity, above knee or knee disarticulation, pelvic joint
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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L5697 - Ak/knee disartic pelvic band
Long description: Addition to lower extremity, above knee or knee disarticulation, pelvic band
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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L5698 - Ak/knee disartic silesian ba
Long description: Addition to lower extremity, above knee or knee disarticulation, silesian bandage
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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L5699 - Shoulder harness
Long description: All lower extremity prostheses, shoulder harness
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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L5700 - Replace socket below knee
Long description: Replacement, socket, below knee, molded to patient model
Code added date: 19940101.
Code effective date: 19940101.
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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L5701 - Replace socket above knee
Long description: Replacement, socket, above knee/knee disarticulation, including attachment plate, molded to patient model
Code added date: 19940101.
Code effective date: 19940101.
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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L5702 - Replace socket hip
Long description: Replacement, socket, hip disarticulation, including hip joint, molded to patient model
Code added date: 19940101.
Code effective date: 19940101.
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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L5703 - Symes ankle w/o (sach) foot
Long description: Ankle, symes, molded to patient model, socket without solid ankle cushion heel (sach) foot, replacement only
Code added date: 20060101.
Code effective date: 20060101.
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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L5704 - Custom shape cover bk
Long description: Custom shaped protective cover, below knee
Code added date: 19940101.
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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L5705 - Custom shape cover ak
Long description: Custom shaped protective cover, above knee
Code added date: 19940101.
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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L5706 - Custom shape cvr knee disart
Long description: Custom shaped protective cover, knee disarticulation
Code added date: 19940101.
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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L5707 - Custom shape cvr hip disart
Long description: Custom shaped protective cover, hip disarticulation
Code added date: 19940101.
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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L5710 - Kne-shin exo sng axi mnl loc
Long description: Addition, exoskeletal knee-shin system, single axis, manual lock
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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L5711 - Knee-shin exo mnl lock ultra
Long description: Additions exoskeletal knee-shin system, single axis, manual lock, ultra-light material
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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L5712 - Knee-shin exo frict swg & st
Long description: Addition, exoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee)
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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L5714 - Knee-shin exo variable frict
Long description: Addition, exoskeletal knee-shin system, single axis, variable friction swing phase 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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L5716 - Knee-shin exo mech stance ph
Long description: Addition, exoskeletal knee-shin system, polycentric, mechanical stance phase lock
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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L5718 - Knee-shin exo frct swg & sta
Long description: Addition, exoskeletal knee-shin system, polycentric, friction swing and stance phase 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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L5722 - Knee-shin pneum swg frct exo
Long description: Addition, exoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase 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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L5724 - Knee-shin exo fluid swing ph
Long description: Addition, exoskeletal knee-shin system, single axis, fluid swing phase 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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L5726 - Knee-shin ext jnts fld swg e
Long description: Addition, exoskeletal knee-shin system, single axis, external joints fluid swing phase 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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L5728 - Knee-shin fluid swg & stance
Long description: Addition, exoskeletal knee-shin system, single axis, fluid swing and stance phase 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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L5780 - Knee-shin pneum/hydra pneum
Long description: Addition, exoskeletal knee-shin system, single axis, pneumatic/hydra pneumatic swing phase 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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L5781 - Lower limb pros vacuum pump
Long description: Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system
Code added date: 20030101.
Code effective date: 20030101.
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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L5782 - Hd low limb pros vacuum pump
Long description: Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system, heavy duty
Code added date: 20030101.
Code effective date: 20030101.
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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L5783 - Add low ext mec limb vol sys
Long description: Addition to lower extremity, user adjustable, mechanical, residual limb volume management system
Code added date: 20240401.
Code effective date: 20240401.
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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L5785 - Exoskeletal bk ultralt mater
Long description: Addition, exoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal)
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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L5790 - Exoskeletal ak ultra-light m
Long description: Addition, exoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal)
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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