HCPCS L5703 Code. Symes ankle w/o (sach) foot


Table of content for "Pt hospice during perf pd" (HCPCS M1025)

General information on the “L5703” code

HCPCS Code: L5703
Long Description: Ankle, symes, molded to patient model, socket without solid ankle cushion heel (sach) foot, replacement only
Short Description: Symes ankle w/o (sach) foot

Original information is taken from L5703 page

Pricing indicators

Pricing Indicator Code 1: 38 – Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings) . Durable Medical Equipment, Prosthetics, Orthotics, Supplies And Surgical Dressings
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology

Certification and additional reference information

Coverage

Coverage: C – Carrier judgment

Type of service


Berenson-Eggers Type of Service (BETOS): D1F – Prosthetic/Orthotic devices
Type Of Service 1: P – Lump sum purchase of DME, prosthetics, orthotics

Misc information

Anesthesia Base Unit Quantity: 0
Code Added Date: 20060101
Code Effective Date: 20060101
Action Code: N – No maintenance for this code