Showing codes L5636 (Addition to lower extremity, symes type, medial opening socket) — L5677 (Additions to lower extremity, below knee, knee joints, polycentric, pair)

L5636 - Symes type medial opening so
Long description: Addition to lower extremity, symes type, medial opening 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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L5637 - Below knee total contact
Long description: Addition to lower extremity, below knee, total contact
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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L5638 - Below knee leather socket
Long description: Addition to lower extremity, below knee, leather 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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L5639 - Below knee wood socket
Long description: Addition to lower extremity, below knee, wood socket
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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L5640 - Knee disarticulat leather so
Long description: Addition to lower extremity, knee disarticulation, leather 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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L5642 - Above knee leather socket
Long description: Addition to lower extremity, above knee, leather 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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L5643 - Hip flex inner socket ext fr
Long description: Addition to lower extremity, hip disarticulation, 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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L5644 - Above knee wood socket
Long description: Addition to lower extremity, above knee, wood 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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L5645 - Bk flex inner socket ext fra
Long description: Addition to lower extremity, below knee, flexible inner socket, external frame
Code added date: 19880101.
Code effective date: 20001213.
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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L5646 - Below knee cushion socket
Long description: Addition to lower extremity, below 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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L5647 - Below knee suction socket
Long description: Addition to lower extremity, below knee suction 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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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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