Showing codes L5624 (Addition to lower extremity, test socket, above knee) — L5665 (Addition to lower extremity, socket insert, multi-durometer, below knee)
L5624 - Test socket above knee
Long description: Addition to lower extremity, test socket, above knee
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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L5626 - Test socket hip disarticulat
Long description: Addition to lower extremity, test socket, hip disarticulation
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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L5628 - Test socket hemipelvectomy
Long description: Addition to lower extremity, test socket, hemipelvectomy
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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L5629 - Below knee acrylic socket
Long description: Addition to lower extremity, below knee, acrylic 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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PDF
L5630 - Syme typ expandabl wall sckt
Long description: Addition to lower extremity, symes type, expandable wall 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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L5631 - Ak/knee disartic acrylic soc
Long description: Addition to lower extremity, above knee or knee disarticulation, acrylic 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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PDF
L5632 - Symes type ptb brim design s
Long description: Addition to lower extremity, symes type, 'ptb' brim design 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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PDF
L5634 - Symes type poster opening so
Long description: Addition to lower extremity, symes type, posterior opening (canadian) 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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PDF
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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PDF
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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PDF
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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PDF
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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PDF
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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PDF
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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PDF
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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PDF
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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PDF
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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PDF
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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PDF
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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PDF
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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PDF
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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PDF
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).
HTML
PDF
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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PDF
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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PDF
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).
HTML
PDF
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).
HTML
PDF
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).
HTML
PDF
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).
HTML
PDF
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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PDF
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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PDF
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).
HTML
PDF