Showing codes L5795 (Addition, exoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal)) — L5961 (Addition, endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control)

L5795 - Exoskel hip ultra-light mate
Long description: Addition, exoskeletal system, hip disarticulation, 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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L5810 - Endoskel knee-shin mnl lock
Long description: Addition, endoskeletal knee-shin system, single axis, manual lock
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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L5811 - Endo knee-shin mnl lck ultra
Long description: Addition, endoskeletal 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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L5812 - Endo knee-shin frct swg & st
Long description: Addition, endoskeletal knee-shin system, single axis, friction swing and stance phase control (safety 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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L5814 - Endo knee-shin hydral swg ph
Long description: Addition, endoskeletal knee-shin system, polycentric, hydraulic swing phase control, mechanical stance phase lock
Code added date: 19970101.
Code effective date: 19970101.
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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L5816 - Endo knee-shin polyc mch sta
Long description: Addition, endoskeletal knee-shin system, polycentric, mechanical stance phase lock
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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L5818 - Endo knee-shin frct swg & st
Long description: Addition, endoskeletal knee-shin system, polycentric, friction swing, and stance phase control
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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L5822 - Endo knee-shin pneum swg frc
Long description: Addition, endoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control
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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L5824 - Endo knee-shin fluid swing p
Long description: Addition, endoskeletal knee-shin system, single axis, fluid swing phase control
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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L5826 - Miniature knee joint
Long description: Addition, endoskeletal knee-shin system, single axis, hydraulic swing phase control, with miniature high activity frame
Code added date: 19980101.
Code effective date: 19990101.
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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L5828 - Endo knee-shin fluid swg/sta
Long description: Addition, endoskeletal knee-shin system, single axis, fluid swing and stance phase control
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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L5830 - Endo knee-shin pneum/swg pha
Long description: Addition, endoskeletal knee-shin system, single axis, pneumatic/ swing phase control
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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L5840 - Multi-axial knee/shin system
Long description: Addition, endoskeletal knee/shin system, 4-bar linkage or multiaxial, pneumatic swing phase control
Code added date: 19940101.
Code effective date: 19990101.
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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L5841 - Addition endoskletl knee-shi
Long description: Addition, endoskeletal knee-shin system, polycentric, pneumatic swing, and stance phase control
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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L5845 - Knee-shin sys stance flexion
Long description: Addition, endoskeletal, knee-shin system, stance flexion feature, adjustable
Code added date: 19960101.
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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L5848 - Knee-shin sys hydraul stance
Long description: Addition to endoskeletal knee-shin system, fluid stance extension, dampening feature, with or without adjustability
Code added date: 20030101.
Code effective date: 20070101.
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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L5850 - Endo ak/hip knee extens assi
Long description: Addition, endoskeletal system, above knee or hip disarticulation, knee extension assist
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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L5855 - Mech hip extension assist
Long description: Addition, endoskeletal system, hip disarticulation, mechanical hip extension assist
Code added date: 19940101.
Code effective date: 19950101.
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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L5856 - Elec knee-shin swing/stance
Long description: Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type
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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L5857 - Elec knee-shin swing only
Long description: Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing phase only, includes electronic sensor(s), any type
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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L5858 - Stance phase only
Long description: Addition to lower extremity prosthesis, endoskeletal knee shin system, microprocessor control feature, stance phase only, includes electronic sensor(s), any type
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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L5859 - Knee-shin pro flex/ext cont
Long description: Addition to lower extremity prosthesis, endoskeletal knee-shin system, powered and programmable flexion/extension assist control, includes any type motor(s)
Code added date: 20130101.
Code effective date: 20130101.
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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L5910 - Endo below knee alignable sy
Long description: Addition, endoskeletal system, below knee, alignable system
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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L5920 - Endo ak/hip alignable system
Long description: Addition, endoskeletal system, above knee or hip disarticulation, alignable system
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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L5925 - Above knee manual lock
Long description: Addition, endoskeletal system, above knee, knee disarticulation or hip disarticulation, manual lock
Code added date: 19940101.
Code effective date: 20000101.
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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L5926 - Endoskel posit rotat unit
Long description: Addition to lower extremity prosthesis, endoskeletal, knee disarticulation, above knee, hip disarticulation, positional rotation unit, any type
Code added date: 20240101.
Code effective date: 20240101.
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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L5930 - High activity knee frame
Long description: Addition, endoskeletal system, high activity knee control frame
Code added date: 19960101.
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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L5940 - Endo bk ultra-light material
Long description: Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal)
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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L5950 - Endo ak ultra-light material
Long description: Addition, endoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal)
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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L5960 - Endo hip ultra-light materia
Long description: Addition, endoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal)
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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L5961 - Endo poly hip, pneu/hyd/rot
Long description: Addition, endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control
Code added date: 20110101.
Code effective date: 20110101.
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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