Showing codes L5978 (All lower extremity prostheses, foot, multiaxial ankle/foot) — L6350 (Interscapular thoracic, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm)
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).
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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).
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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).
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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).
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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).
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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).
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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).
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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).
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L5987 - Shank ft w vert load pylon
Long description: All lower extremity prosthesis, shank foot system with vertical loading pylon
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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L5988 - Vertical shock reducing pylo
Long description: Addition to lower limb prosthesis, vertical shock reducing pylon 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).
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L5990 - User adjustable heel height
Long description: Addition to lower extremity prosthesis, user adjustable heel height
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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L5991 - Low pros ext osseo connector
Long description: Addition to lower extremity prostheses, osseointegrated external prosthetic connector
Code added date: 20231001.
Code effective date: 20231001.
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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L5999 - Lowr extremity prosthes nos
Long description: Lower extremity prosthesis, not otherwise specified
Code added date: 19820101.
Code effective date: 19980101.
Pricing Indicator Code(s):
46
; (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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L6000 - Part hand thumb rem
Long description: Partial hand, thumb remaining
Code added date: 19820101.
Code effective date: 20120101.
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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L6010 - Part hand little/ring
Long description: Partial hand, little and/or ring finger remaining
Code added date: 19820101.
Code effective date: 20120101.
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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L6020 - Part hand no fingers
Long description: Partial hand, no finger remaining
Code added date: 19820101.
Code effective date: 20120101.
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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L6025 - Part hand disart myoelectric
Long description: Transcarpal/metacarpal or partial hand disarticulation prosthesis, external power, self-suspended, inner socket with removable forearm section, electrodes and cables, two batteries, charger, myoelectric control of terminal device
Code added date: 20030101.
Code effective date: 20150101.
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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L6026 - Part hand myo exclu term dev
Long description: Transcarpal/metacarpal or partial hand disarticulation prosthesis, external power, self-suspended, inner socket with removable forearm section, electrodes and cables, two batteries, charger, myoelectric control of terminal device, excludes terminal device(s)
Code added date: 20150101.
Code effective date: 20150101.
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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L6050 - Wrst mld sck flx hng tri pad
Long description: Wrist disarticulation, molded socket, flexible elbow hinges, triceps pad
Code added date: 19820101.
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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L6055 - Wrst mold sock w/exp interfa
Long description: Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad
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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L6100 - Elb mold sock flex hinge pad
Long description: Below elbow, molded socket, flexible elbow hinge, triceps pad
Code added date: 19820101.
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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L6110 - Elbow mold sock suspension t
Long description: Below elbow, molded socket, (muenster or northwestern suspension types)
Code added date: 19820101.
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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L6120 - Elbow mold doub splt soc ste
Long description: Below elbow, molded double wall split socket, step-up hinges, half cuff
Code added date: 19820101.
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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L6130 - Elbow stump activated lock h
Long description: Below elbow, molded double wall split socket, stump activated locking hinge, half cuff
Code added date: 19820101.
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
L6200 - Elbow mold outsid lock hinge
Long description: Elbow disarticulation, molded socket, outside locking hinge, forearm
Code added date: 19820101.
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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L6205 - Elbow molded w/ expand inter
Long description: Elbow disarticulation, molded socket with expandable interface, outside locking hinges, forearm
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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L6250 - Elbow inter loc elbow forarm
Long description: Above elbow, molded double wall socket, internal locking elbow, forearm
Code added date: 19820101.
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
L6300 - Shlder disart int lock elbow
Long description: Shoulder disarticulation, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm
Code added date: 19820101.
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
L6310 - Shoulder passive restor comp
Long description: Shoulder disarticulation, passive restoration (complete prosthesis)
Code added date: 19820101.
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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L6320 - Shoulder passive restor cap
Long description: Shoulder disarticulation, passive restoration (shoulder cap only)
Code added date: 19820101.
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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L6350 - Thoracic intern lock elbow
Long description: Interscapular thoracic, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm
Code added date: 19840101.
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