Showing codes L5858 (Addition to lower extremity prosthesis, endoskeletal knee shin system, microprocessor control feature, stance phase only, includes electronic sensor(s), any type) — L5986 (All lower extremity prostheses, multi-axial rotation unit ('mcp' or equal))

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).
HTML    PDF

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).
HTML    PDF

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).
HTML    PDF

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).
HTML    PDF

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).
HTML    PDF

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).
HTML    PDF

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).
HTML    PDF

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).
HTML    PDF

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).
HTML    PDF

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).
HTML    PDF

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).
HTML    PDF

L5962 - Below knee flex cover system
Long description: Addition, endoskeletal system, below knee, flexible protective outer surface covering system
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).
HTML    PDF

L5964 - Above knee flex cover system
Long description: Addition, endoskeletal system, above knee, flexible protective outer surface covering system
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).
HTML    PDF

L5966 - Hip flexible cover system
Long description: Addition, endoskeletal system, hip disarticulation, flexible protective outer surface covering system
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).
HTML    PDF

L5968 - Multiaxial ankle w dorsiflex
Long description: Addition to lower limb prosthesis, multiaxial ankle with swing phase active dorsiflexion feature
Code added date: 19990101.
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).
HTML    PDF

L5969 - Ak/ft power asst incl motors
Long description: Addition, endoskeletal ankle-foot or ankle system, power assist, includes any type motor(s)
Code added date: 20140101.
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).
HTML    PDF

L5970 - Foot external keel sach foot
Long description: All lower extremity prostheses, foot, external keel, sach foot
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).
HTML    PDF

L5971 - Sach foot, replacement
Long description: All lower extremity prosthesis, 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).
HTML    PDF

L5972 - Flexible keel foot
Long description: All lower extremity prostheses, foot, flexible keel
Code added date: 19890101.
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).
HTML    PDF

L5973 - Ank-foot sys dors-plant flex
Long description: Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source
Code added date: 20100101.
Code effective date: 20100101.
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).
HTML    PDF

L5974 - Foot single axis ankle/foot
Long description: All lower extremity prostheses, foot, single axis ankle/foot
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).
HTML    PDF

L5975 - Combo ankle/foot prosthesis
Long description: All lower extremity prosthesis, combination single axis ankle and flexible keel foot
Code added date: 19990101.
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).
HTML    PDF

L5976 - Energy storing foot
Long description: All lower extremity prostheses, energy storing foot (seattle carbon copy ii or equal)
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).
HTML    PDF

L5978 - Ft prosth multiaxial ankl/ft
Long description: All lower extremity prostheses, foot, multiaxial ankle/foot
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).
HTML    PDF

L5979 - Multi-axial ankle/ft prosth
Long description: All lower extremity prosthesis, multi-axial ankle, dynamic response foot, one piece system
Code added date: 19940101.
Code effective date: 20010101.
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).
HTML    PDF

L5980 - Flex foot system
Long description: All lower extremity prostheses, flex foot system
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).
HTML    PDF

L5981 - Flex-walk sys low ext prosth
Long description: All lower extremity prostheses, flex-walk system or equal
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).
HTML    PDF

L5982 - Exoskeletal axial rotation u
Long description: All exoskeletal lower extremity prostheses, axial rotation unit
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).
HTML    PDF

L5984 - Endoskeletal axial rotation
Long description: All endoskeletal lower extremity prosthesis, axial rotation unit, with or without adjustability
Code added date: 19890101.
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).
HTML    PDF

L5985 - Lwr ext dynamic prosth pylon
Long description: All endoskeletal lower extremity prostheses, dynamic prosthetic pylon
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).
HTML    PDF

L5986 - Multi-axial rotation unit
Long description: All lower extremity prostheses, multi-axial rotation unit ('mcp' or equal)
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).
HTML    PDF