Table of content for "Low prosth foot shell repl" (HCPCS L5992)
General information on the “L5992” code
HCPCS Code: L5992
Long Description: All lower extremity prosthesis, foot shell for modular foot/non-solid ankle cushion heel (sach) replacement only
Short Description: Low prosth foot shell repl
Original information is taken from L5992 page
Pricing indicators
Pricing Indicator Code 1: 38 – Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings) . Durable Medical Equipment, Prosthetics, Orthotics, Supplies And Surgical Dressings
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology
Certification and additional reference information
Coverage
Coverage: C – Carrier judgment
Type of service
Berenson-Eggers Type of Service (BETOS): D1F – Prosthetic/Orthotic devices
Type Of Service 1: P – Lump sum purchase of DME, prosthetics, orthotics
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20260401
Code Effective Date: 20260401
Action Code: A – Add procedure or modifier code