Showing codes L5705 (Custom shaped protective cover, above knee) — L5830 (Addition, endoskeletal knee-shin system, single axis, pneumatic/ swing phase control)

L5705 - Custom shape cover ak
Long description: Custom shaped protective cover, above knee
Code added date: 19940101.
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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L5706 - Custom shape cvr knee disart
Long description: Custom shaped protective cover, knee disarticulation
Code added date: 19940101.
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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L5707 - Custom shape cvr hip disart
Long description: Custom shaped protective cover, hip disarticulation
Code added date: 19940101.
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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L5710 - Kne-shin exo sng axi mnl loc
Long description: Addition, exoskeletal knee-shin system, single axis, manual lock
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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L5711 - Knee-shin exo mnl lock ultra
Long description: Additions exoskeletal 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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L5712 - Knee-shin exo frict swg & st
Long description: Addition, exoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee)
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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L5714 - Knee-shin exo variable frict
Long description: Addition, exoskeletal knee-shin system, single axis, variable friction swing phase control
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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L5716 - Knee-shin exo mech stance ph
Long description: Addition, exoskeletal knee-shin system, polycentric, mechanical stance phase lock
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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L5718 - Knee-shin exo frct swg & sta
Long description: Addition, exoskeletal knee-shin system, polycentric, friction swing and stance phase control
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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L5722 - Knee-shin pneum swg frct exo
Long description: Addition, exoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control
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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L5724 - Knee-shin exo fluid swing ph
Long description: Addition, exoskeletal knee-shin system, single axis, fluid swing phase control
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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L5726 - Knee-shin ext jnts fld swg e
Long description: Addition, exoskeletal knee-shin system, single axis, external joints fluid swing phase control
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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L5728 - Knee-shin fluid swg & stance
Long description: Addition, exoskeletal knee-shin system, single axis, fluid swing and stance phase control
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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L5780 - Knee-shin pneum/hydra pneum
Long description: Addition, exoskeletal knee-shin system, single axis, pneumatic/hydra pneumatic swing phase control
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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L5781 - Lower limb pros vacuum pump
Long description: Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system
Code added date: 20030101.
Code effective date: 20030101.
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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L5782 - Hd low limb pros vacuum pump
Long description: Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system, heavy duty
Code added date: 20030101.
Code effective date: 20030101.
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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L5783 - Add low ext mec limb vol sys
Long description: Addition to lower extremity, user adjustable, mechanical, residual limb volume management system
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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L5785 - Exoskeletal bk ultralt mater
Long description: Addition, exoskeletal system, below knee, 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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L5790 - Exoskeletal ak ultra-light m
Long description: Addition, exoskeletal system, above knee, 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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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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