2005 HCPCS L Codes

Free 2005 HCPCS L Codes: L0100 Cranial orthosis (helmet), with or without soft interface, molded to patie...; L0110 Cranial orthosis (helmet), with or without soft-interface, non-molded; L0112 Cranial cervical orthosis, congenital torticollis type, with or without sof...; L0120 Cervical, flexible, non-adjustable (foam collar); L0130 Cervical, flexible, thermoplastic collar, molded to patient; L0140 Cervical, semi-rigid, adjustable (plastic collar); L0150 Cervical, semi-rigid, adjustable molded chin cup (plastic collar with mandi...; L0160 Cervical, semi-rigid, wire frame occipital/mandibular support; L0170 Cervical, collar, molded to patient model; L0172 Cervical, collar, semi-rigid thermoplastic foam, two piece; L0174 Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic e...; L0180 Cervical, multiple post collar, occipital/mandibular supports, adjustable; L0190 Cervical, multiple post collar, occipital/mandibular supports, adjustable c...; L0200 Cervical, multiple post collar, occipital/mandibular supports, adjustable c...; L0210 Thoracic, rib belt; L0220 Thoracic, rib belt, custom fabricated; L0300 Thoracic-lumbar-sacral-orthosis (tlso), flexible (dorso-lumbar surgical sup...; L0310 Tlso, flexible, (dorso-lumbar surgical support), custom fabricated; L0315 Tlso, flexible dorso-lumbar surgical support, elastic type, with rigid post...; L0317 Tlso, flexible dorso-lumbar surgical support, hyperextension, elastic type,...; L0320 Tlso, anterior-posterior control (taylor type), with apron front; L0321 Tlso, anterior-posterior control, with rigid or semi-rigid posterior panel,...; L0330 Tlso, anterior-posterior-lateral control (knight-taylor type), with apron f...; L0331 Tlso, anterior-posterior-lateral control, with rigid or semi-rigid posterio...; L0340 Tlso, anterior-posterior-lateral-rotary control (arnold, magnuson, steindle...; L0350 Tlso, anterior-posterior-lateral-rotary control, flexion compression jacket...; L0360 Tlso, anterior-posterior-lateral-rotary control, flexion compression jacket...; L0370 Tlso, anterior-posterior-lateral-rotary control, hyperextension (jewett, le...; L0380 Tlso, anterior-posterior-lateral-rotary control, with extensions; L0390 Tlso, anterior-posterior-lateral control molded to patient model; L0391 Tlso, anterior-posterior-lateral-rotary control, with rigid or semi-rigid p...; L0400 Tlso, anterior-posterior-lateral control molded to patient model, with inte...; L0410 Tlso, anterior-posterior-lateral control, two-piece construction ...; L0420 Tlso, anterior-posterior-lateral control, two piece construction ...; L0430 Spinal orthosis, anterior-posterior-lateral control, with interface materia...; L0440 Tlso, anterior-posterior-lateral control, with overlapping front section, s...; L0450 Tlso, flexible, provides trunk support, upper thoracic region, produces int...; L0452 Tlso, flexible, provides trunk support, upper thoracic region, produces int...; L0454 Tlso flexible, provides trunk support, extends from sacrococcygeal junction...; L0456 Tlso, flexible, provides trunk support, thoracic region, rigid posterior pa...; L0458 Tlso, triplanar control, modular segmented spinal system, two rigid plastic...; L0460 Tlso, triplanar control, modular segmented spinal system, two rigid plastic...; L0462 Tlso, triplanar control, modular segmented spinal system, three rigid plast...; L0464 Tlso, triplanar control, modular segmented spinal system, four rigid plasti...; L0466 Tlso, sagittal control, rigid posterior frame and flexible soft anterior ap...; L0468 Tlso, sagittal-coronal control, rigid posterior frame and flexible soft ant...; L0470 Tlso, triplanar control, rigid posterior frame and flexible soft anterior a...; L0472 Tlso, triplanar control, hyperextension, rigid anterior and lateral frame e...; L0476 Tlso, sagittal-coronal control, flexion compression jacket, two rigid plast...; L0478 Tlso, sagittal-coronal control, flexion compression jacket, two rigid plast...; L0480 Tlso, triplanar control, one piece rigid plastic shell without interface li...; L0482 Tlso, triplanar control, one piece rigid plastic shell with interface liner...; L0484 Tlso, triplanar control, two piece rigid plastic shell without interface li...; L0486 Tlso, triplanar control, two piece rigid plastic shell with interface liner...; L0488 Tlso, triplanar control, one piece rigid plastic shell with interface liner...; L0490 Tlso, sagittal-coronal control, one piece rigid plastic shell, with overlap...; L0500 Lumbar-sacral-orthosis (lso), flexible, (lumbo-sacral support); L0510 Lso, flexible (lumbo-sacral support), custom fabricated; L0515 Lso, anterior-posterior control, with rigid or semi-rigid posterior panel, ...; L0520 Lso, anterior-posterior-lateral control (knight, wilcox types), with apron ...; L0530 Lso, anterior-posterior control (macausland type), with apron front; L0540 Lso, lumbar flexion (williams flexion type); L0550 Lso, anterior-posterior-lateral control, molded to patient model; L0560 Lso, anterior-posterior-lateral control, molded to patient model, with inte...; L0561 Lso, anterior-posterior-lateral control, with rigid or semi-rigid posterior...; L0565 Lso, anterior-posterior-lateral control, custom fitted; L0600 Sacroiliac, flexible (sacroiliac surgical support),; L0610 Sacroiliac, flexible (sacroiliac surgical support), custom fabricated; L0620 Sacroiliac, semi-rigid (goldthwaite, osgood types), with apron front; L0700 Cervical-thoracic-lumbar-sacral-orthoses (ctlso), anterior-posterior-latera...; L0710 Ctlso, anterior-posterior-lateral-control, molded to patient model, with in...; L0810 Halo procedure, cervical halo incorporated into jacket vest; L0820 Halo procedure, cervical halo incorporated into plaster body jacket; L0830 Halo procedure, cervical halo incorporated into milwaukee type orthosis; L0860 Addition to halo procedures, magnetic reasonance image compatible system; L0861 Addition to halo procedure, replacement liner/interface material; L0900 Torso support, ptosis support; L0910 Torso support, ptosis support, custom fabricated; L0920 Torso support, pendulous abdomen support; L0930 Torso support, pendulous abdomen support, custom fabricated; L0940 Torso support, postsurgical support; L0950 Torso support, post surgical support, custom fabricated; L0960 Torso support, post surgical support, pads for post surgical support; L0970 Tlso, corset front; L0972 Lso, corset front; L0974 Tlso, full corset; L0976 Lso, full corset; L0978 Axillary crutch extension; L0980 Peroneal straps, pair; L0982 Stocking supporter grips, set of four (4); L0984 Protective body sock, each; L0986 Addition to spinal orthosis, rigid or semi-rigid abdominal panel, prefabric...; L0999 Addition to spinal orthosis, not otherwise specified; L1000 Cervical-thoracic-lumbar-sacral orthosis (ctlso) (milwaukee), inclusive of ...; L1005 Tension based scoliosis orthosis and accessory pads, includes fitting and a...; L1010 Addition to cervical-thoracic-lumbar-sacral orthosis (ctlso) or scoliosis o...; L1020 Addition to ctlso or scoliosis orthosis, kyphosis pad; L1025 Addition to ctlso or scoliosis orthosis, kyphosis pad, floating; L1030 Addition to ctlso or scoliosis orthosis, lumbar bolster pad; L1040 Addition to ctlso or scoliosis orthosis, lumbar or lumbar rib pad; L1050 Addition to ctlso or scoliosis orthosis, sternal pad; L1060 Addition to ctlso or scoliosis orthosis, thoracic pad; L1070 Addition to ctlso or scoliosis orthosis, trapezius sling; L1080 Addition to ctlso or scoliosis orthosis, outrigger; L1085 Addition to ctlso or scoliosis orthosis, outrigger, bilateral with vertical...; L1090 Addition to ctlso or scoliosis orthosis, lumbar sling; L1100 Addition to ctlso or scoliosis orthosis, ring flange, plastic or leather; L1110 Addition to ctlso or scoliosis orthosis, ring flange, plastic or leather, m...; L1120 Addition to ctlso, scoliosis orthosis, cover for upright, each; L1200 Thoracic-lumbar-sacral-orthosis (tlso), inclusive of furnishing initial ort...; L1210 Addition to tlso, (low profile), lateral thoracic extension; L1220 Addition to tlso, (low profile), anterior thoracic extension; L1230 Addition to tlso, (low profile), milwaukee type superstructure; L1240 Addition to tlso, (low profile), lumbar derotation pad; L1250 Addition to tlso, (low profile), anterior asis pad; L1260 Addition to tlso, (low profile), anterior thoracic derotation pad; L1270 Addition to tlso, (low profile), abdominal pad; L1280 Addition to tlso, (low profile), rib gusset (elastic), each; L1290 Addition to tlso, (low profile), lateral trochanteric pad; L1300 Other scoliosis procedure, body jacket molded to patient model; L1310 Other scoliosis procedure, post-operative body jacket; L1499 Spinal orthosis, not otherwise specified; L1500 Thoracic-hip-knee-ankle orthosis (thkao), mobility frame (newington, parapo...; L1510 Thkao, standing frame, with or without tray and accessories; L1520 Thkao, swivel walker; L1600 Hip orthosis, abduction control of hip joints, flexible, frejka type with c...; L1610 Hip orthosis, abduction control of hip joints, flexible, (frejka cover only...; L1620 Hip orthosis, abduction control of hip joints, flexible, (pavlik harness), ...; L1630 Hip orthosis, abduction control of hip joints, semi-flexible (von rosen typ...; L1640 Hip orthosis, abduction control of hip joints, static, pelvic band or sprea...; L1650 Hip orthosis, abduction control of hip joints, static, adjustable, (ilfled ...; L1652 Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar, ...; L1660 Hip orthosis, abduction control of hip joints, static, plastic, prefabricat...; L1680 Hip orthosis, abduction control of hip joints, dynamic, pelvic control, adj...; L1685 Hip orthosis, abduction control of hip joint, postoperative hip abduction t...; L1686 Hip orthosis, abduction control of hip joint, postoperative hip abduction t...; L1690 Combination, bilateral, lumbo-sacral, hip, femur orthosis providing adducti...; L1700 Legg perthes orthosis, (toronto type), custom-fabricated; L1710 Legg perthes orthosis, (newington type), custom fabricated; L1720 Legg perthes orthosis, trilateral, (tachdijan type), custom-fabricated; L1730 Legg perthes orthosis, (scottish rite type), custom-fabricated; L1750 Legg perthes orthosis, legg perthes sling (sam brown type), prefabricated, ...; L1755 Legg perthes orthosis, (patten bottom type), custom-fabricated; L1800 Knee orthosis, elastic with stays, prefabricated, includes fitting and adju...; L1810 Knee orthosis, elastic with joints, prefabricated, includes fitting and adj...; L1815 Knee orthosis, elastic or other elastic type material with condylar pad(s),...; L1820 Knee orthosis, elastic with condylar pads and joints, with or without patel...; L1825 Knee orthosis, elastic knee cap, prefabricated, includes fitting and adjust...; L1830 Knee orthosis, immobilizer, canvas longitudinal, prefabricated, includes fi...; L1831 Knee orthosis, locking knee joint(s), positional orthosis, prefabricated, i...; L1832 Knee orthosis, adjustable knee joints, positional orthosis, rigid support, ...; L1834 Knee orthosis, without knee joint, rigid, custom-fabricated; L1836 Knee orthosis, rigid, without joint(s), includes soft interface material, p...; L1840 Knee orthosis, derotation, medial-lateral, anterior cruciate ligament, cust...; L1843 Knee orthosis, single upright, thigh and calf, with adjustable flexion and ...; L1844 Knee orthosis, single upright, thigh and calf, with adjustable flexion and ...; L1845 Knee orthosis, double upright, thigh and calf, with adjustable flexion and ...; L1846 Knee orthosis, double upright, thigh and calf, with adjustable flexion and ...; L1847 Knee orthosis, double upright with adjustable joint, with inflatable air su...; L1850 Knee orthosis, swedish type, prefabricated, includes fitting and adjustment; L1855 Knee orthosis, molded plastic, thigh and calf sections, with double upright...; L1858 Knee orthosis, molded plastic, polycentric knee joints, pneumatic knee pads...; L1860 Knee orthosis, modification of supracondylar prosthetic socket, custom-fabr...; L1870 Knee orthosis, double upright, thigh and calf lacers with knee joints, cust...; L1880 Knee orthosis, double upright, non-molded thigh and calf cuffs/lacers with ...; L1885 Knee orthosis, single or double upright, thigh and calf, with functional ac...; L1900 Ankle foot orthosis, spring wire, dorsiflexion assist calf band, custom-fab...; L1901 Ankle orthosis, elastic, prefabricated, includes fitting and adjustment (e....; L1902 Ankle foot orthosis, ankle gauntlet, prefabricated, includes fitting and ad...; L1904 Ankle foot orthosis, molded ankle gauntlet, custom-fabricated; L1906 Ankle foot orthosis, multiligamentus ankle support, prefabricated, includes...; L1907 Afo, supramalleolar with straps, with or without interface/pads, custom fab...; L1910 Ankle foot orthosis, posterior, single bar, clasp attachment to shoe counte...; L1920 Ankle foot orthosis, single upright with static or adjustable stop (phelps ...; L1930 Ankle foot orthosis, plastic or other material, prefabricated, includes fit...; L1932 Afo, rigid anterior tibial section, total carbon fiber or equal material, p...; L1940 Ankle foot orthosis, plastic or other material, custom-fabricated; L1945 Ankle foot orthosis, plastic, rigid anterior tibial section (floor reaction...; L1950 Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), p...; L1951 Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), p...; L1960 Ankle foot orthosis, posterior solid ankle, plastic, custom-fabricated; L1970 Ankle foot orthosis, plastic with ankle joint, custom-fabricated; L1971 Ankle foot orthosis, plastic or other material with ankle joint, prefabrica...; L1980 Ankle foot orthosis, single upright free plantar dorsiflexion, solid stirru...; L1990 Ankle foot orthosis, double upright free plantar dorsiflexion, solid stirru...; L2000 Knee ankle foot orthosis, single upright, free knee, free ankle, solid stir...; L2005 Knee ankle foot orthosis, any material, single or double upright, stance co...; L2010 Knee ankle foot orthosis, single upright, free ankle, solid stirrup, thigh ...; L2020 Knee ankle foot orthosis, double upright, free ankle, solid stirrup, thigh ...; L2030 Knee ankle foot orthosis, double upright, free ankle, solid stirrup, thigh ...; L2035 Knee ankle foot orthosis, full plastic, static (pediatric size), without fr...; L2036 Knee ankle foot orthosis, full plastic, double upright, free knee, with or ...; L2037 Knee ankle foot orthosis, full plastic, single upright, free knee, with or ...; L2038 Knee ankle foot orthosis, full plastic, without knee joint, multi-axis ankl...; L2039 Knee ankle foot orthosis, full plastic, single upright, poly-axial hinge, m...; L2040 Hip knee ankle foot orthosis, torsion control, bilateral rotation straps, p...; L2050 Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, hi...; L2060 Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, ba...; L2070 Hip knee ankle foot orthosis, torsion control, unilateral rotation straps, ...; L2080 Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, hi...; L2090 Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, ba...; L2102 Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, plas...; L2104 Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, synt...; L2106 Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, ther...; L2108 Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, cust...; L2112 Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, soft, pre...; L2114 Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, semi-rigi...; L2116 Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, rigid, pr...; L2122 Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis...; L2124 Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis...; L2126 Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis...; L2128 Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis...; L2132 Kafo, fracture orthosis, femoral fracture cast orthosis, soft, prefabricate...; L2134 Kafo, fracture orthosis, femoral fracture cast orthosis, semi-rigid, prefab...; L2136 Kafo, fracture orthosis, femoral fracture cast orthosis, rigid, prefabricat...; L2180 Addition to lower extremity fracture orthosis, plastic shoe insert with ank...; L2182 Addition to lower extremity fracture orthosis, drop lock knee joint; L2184 Addition to lower extremity fracture orthosis, limited motion knee joint; L2186 Addition to lower extremity fracture orthosis, adjustable motion knee joint...; L2188 Addition to lower extremity fracture orthosis, quadrilateral brim; L2190 Addition to lower extremity fracture orthosis, waist belt; L2192 Addition to lower extremity fracture orthosis, hip joint, pelvic band, thig...; L2200 Addition to lower extremity, limited ankle motion, each joint; L2210 Addition to lower extremity, dorsiflexion assist (plantar flexion resist), ...; L2220 Addition to lower extremity, dorsiflexion and plantar flexion assist/resist...; L2230 Addition to lower extremity, split flat caliper stirrups and plate attachme...; L2232 Addition to lower extremity orthosis, rocker bottom for total contact ankle...; L2240 Addition to lower extremity, round caliper and plate attachment; L2250 Addition to lower extremity, foot plate, molded to patient model, stirrup ...; L2260 Addition to lower extremity, reinforced solid stirrup (scott-craig type); L2265 Addition to lower extremity, long tongue stirrup; L2270 Addition to lower extremity, varus/valgus correction ('t') strap, padded/l...; L2275 Addition to lower extremity, varus/valgus correction, plastic modification,...; L2280 Addition to lower extremity, molded inner boot; L2300 Addition to lower extremity, abduction bar (bilateral hip involvement), jo...; L2310 Addition to lower extremity, abduction bar-straight; L2320 Addition to lower extremity, non-molded lacer, for custom fabricated orthos...; L2330 Addition to lower extremity, lacer molded to patient model, for custom fabr...; L2335 Addition to lower extremity, anterior swing band; L2340 Addition to lower extremity, pre-tibial shell, molded to patient model; L2350 Addition to lower extremity, prosthetic type, (bk) socket, molded to patie...; L2360 Addition to lower extremity, extended steel shank; L2370 Addition to lower extremity, patten bottom; L2375 Addition to lower extremity, torsion control, ankle joint and half solid s...; L2380 Addition to lower extremity, torsion control, straight knee joint, each jo...; L2385 Addition to lower extremity, straight knee joint, heavy duty, each joint; L2390 Addition to lower extremity, offset knee joint, each joint; L2395 Addition to lower extremity, offset knee joint, heavy duty, each joint; L2397 Addition to lower extremity orthosis, suspension sleeve; L2405 Addition to knee joint, lock; drop, stance or swing phase, each joint; L2415 Addition to knee lock with integrated release mechanism ( bail, cable, or e...; L2425 Addition to knee joint, disc or dial lock for adjustable knee flexion, each...; L2430 Addition to knee joint, ratchet lock for active and progressive knee extens...; L2435 Addition to knee joint, polycentric joint, each joint; L2492 Addition to knee joint, lift loop for drop lock ring; L2500 Addition to lower extremity, thigh/weight bearing, gluteal/ ischial weight ...; L2510 Addition to lower extremity, thigh/weight bearing, quadri- lateral brim, mo...; L2520 Addition to lower extremity, thigh/weight bearing, quadri- lateral brim, c...; L2525 Addition to lower extremity, thigh/weight bearing, ischial containment/narr...; L2526 Addition to lower extremity, thigh/weight bearing, ischial containment/narr...; L2530 Addition to lower extremity, thigh-weight bearing, lacer, non-molded; L2540 Addition to lower extremity, thigh/weight bearing, lacer, molded to patien...; L2550 Addition to lower extremity, thigh/weight bearing, high roll cuff; L2570 Addition to lower extremity, pelvic control, hip joint, clevis type two pos...; L2580 Addition to lower extremity, pelvic control, pelvic sling; L2600 Addition to lower extremity, pelvic control, hip joint, clevis type, or thr...; L2610 Addition to lower extremity, pelvic control, hip joint, clevis or thrust be...; L2620 Addition to lower extremity, pelvic control, hip joint, heavy duty, each; L2622 Addition to lower extremity, pelvic control, hip joint, adjustable flexion,...; L2624 Addition to lower extremity, pelvic control, hip joint, adjustable flexion,...; L2627 Addition to lower extremity, pelvic control, plastic, molded to patient mod...; L2628 Addition to lower extremity, pelvic control, metal frame, reciprocating hip...; L2630 Addition to lower extremity, pelvic control, band and belt, unilateral; L2640 Addition to lower extremity, pelvic control, band and belt, bilateral; L2650 Addition to lower extremity, pelvic and thoracic control, gluteal pad, each; L2660 Addition to lower extremity, thoracic control, thoracic band; L2670 Addition to lower extremity, thoracic control, paraspinal uprights; L2680 Addition to lower extremity, thoracic control, lateral support uprights; L2750 Addition to lower extremity orthosis, plating chrome or nickel, per bar; L2755 Addition to lower extremity orthosis, high strength, lightweight material, ...; L2760 Addition to lower extremity orthosis, extension, per extension, per bar (fo...; L2768 Orthotic side bar disconnect device, per bar; L2770 Addition to lower extremity orthosis, any material - per bar or joint; L2780 Addition to lower extremity orthosis, non-corrosive finish, per bar; L2785 Addition to lower extremity orthosis, drop lock retainer, each; L2795 Addition to lower extremity orthosis, knee control, full kneecap; L2800 Addition to lower extremity orthosis, knee control, knee cap, medial or lat...; L2810 Addition to lower extremity orthosis, knee control, condylar pad; L2820 Addition to lower extremity orthosis, soft interface for molded plastic, be...; L2830 Addition to lower extremity orthosis, soft interface for molded plastic, ab...; L2840 Addition to lower extremity orthosis, tibial length sock, fracture or equal...; L2850 Addition to lower extremity orthosis, femoral length sock, fracture or equa...; L2860 Addition to lower extremity joint, knee or ankle, concentric adjustable tor...; L2999 Lower extremity orthoses, not otherwise specified; L3000 Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shel...; L3001 Foot, insert, removable, molded to patient model, spenco, each; L3002 Foot, insert, removable, molded to patient model, plastazote or equal, each; L3003 Foot, insert, removable, molded to patient model, silicone gel, each; L3010 Foot, insert, removable, molded to patient model, longitudinal arch support...; L3020 Foot, insert, removable, molded to patient model, longitudinal/ metatarsal ...; L3030 Foot, insert, removable, formed to patient foot, each; L3031 Foot, insert/plate, removable, addition to lower extremity orthosis, high s...; L3040 Foot, arch support, removable, premolded, longitudinal, each; L3050 Foot, arch support, removable, premolded, metatarsal, each; L3060 Foot, arch support, removable, premolded, longitudinal/ metatarsal, each; L3070 Foot, arch support, non-removable attached to shoe, longitudinal, each; L3080 Foot, arch support, non-removable attached to shoe, metatarsal, each; L3090 Foot, arch support, non-removable attached to shoe, longitudinal/metatarsal...; L3100 Hallus-valgus night dynamic splint; L3140 Foot, abduction rotation bar, including shoes; L3150 Foot, abduction rotatation bar, without shoes; L3160 Foot, adjustable shoe-styled positioning device; L3170 Foot, plastic heel stabilizer; L3201 Orthopedic shoe, oxford with supinator or pronator, infant; L3202 Orthopedic shoe, oxford with supinator or pronator, child; L3203 Orthopedic shoe, oxford with supinator or pronator, junior; L3204 Orthopedic shoe, hightop with supinator or pronator, infant; L3206 Orthopedic shoe, hightop with supinator or pronator, child; L3207 Orthopedic shoe, hightop with supinator or pronator, junior; L3208 Surgical boot, each, infant; L3209 Surgical boot, each, child; L3211 Surgical boot, each, junior; L3212 Benesch boot, pair, infant; L3213 Benesch boot, pair, child; L3214 Benesch boot, pair, junior; L3215 Orthopedic footwear, ladies shoes, oxford; L3216 Orthopedic footwear, ladies shoes, depth inlay; L3217 Orthopedic footwear, ladies shoes, hightop, depth inlay; L3218 Orthopedic footwear, ladies surgical boot, each; L3219 Orthopedic footwear, mens shoes, oxford; L3221 Orthopedic footwear, mens shoes, depth inlay; L3222 Orthopedic footwear, mens shoes, hightop, depth inlay; L3223 Orthopedic footwear, mens surgical boot, each; L3224 Orthopedic footwear, woman's shoe, oxford, used as an integral part of a br...; L3225 Orthopedic footwear, man's shoe, oxford, used as an integral part of a brac...; L3230 Orthopedic footwear, custom shoes, depth inlay; L3250 Orthopedic footwear, custom molded shoe, removable inner mold, prosthetic s...; L3251 Foot, shoe molded to patient model, silicone shoe, each; L3252 Foot, shoe molded to patient model, plastazote (or similar), custom fabrica...; L3253 Foot, molded shoe plastazote (or similar) custom fitted, each; L3254 Non-standard size or width; L3255 Non-standard size or length; L3257 Orthopedic footwear, additional charge for split size; L3260 Surgical boot/shoe, each; L3265 Plastazote sandal, each; L3300 Lift, elevation, heel, tapered to metatarsals, per inch; L3310 Lift, elevation, heel and sole, neoprene, per inch; L3320 Lift, elevation, heel and sole, cork, per inch; L3330 Lift, elevation, metal extension (skate); L3332 Lift, elevation, inside shoe, tapered, up to one-half inch; L3334 Lift, elevation, heel, per inch; L3340 Heel wedge, sach; L3350 Heel wedge; L3360 Sole wedge, outside sole; L3370 Sole wedge, between sole; L3380 Clubfoot wedge; L3390 Outflare wedge; L3400 Metatarsal bar wedge, rocker; L3410 Metatarsal bar wedge, between sole; L3420 Full sole and heel wedge, between sole; L3430 Heel, counter, plastic reinforced; L3440 Heel, counter, leather reinforced; L3450 Heel, sach cushion type; L3455 Heel, new leather, standard; L3460 Heel, new rubber, standard; L3465 Heel, thomas with wedge; L3470 Heel, thomas extended to ball; L3480 Heel, pad and depression for spur; L3485 Heel, pad, removable for spur; L3500 Orthopedic shoe addition, insole, leather; L3510 Orthopedic shoe addition, insole, rubber; L3520 Orthopedic shoe addition, insole, felt covered with leather; L3530 Orthopedic shoe addition, sole, half; L3540 Orthopedic shoe addition, sole, full; L3550 Orthopedic shoe addition, toe tap standard; L3560 Orthopedic shoe addition, toe tap, horseshoe; L3570 Orthopedic shoe addition, special extension to instep (leather with eyelets...; L3580 Orthopedic shoe addition, convert instep to velcro closure; L3590 Orthopedic shoe addition, convert firm shoe counter to soft counter; L3595 Orthopedic shoe addition, march bar; L3600 Transfer of an orthosis from one shoe to another, caliper plate, existing; L3610 Transfer of an orthosis from one shoe to another, caliper plate, new; L3620 Transfer of an orthosis from one shoe to another, solid stirrup, existing; L3630 Transfer of an orthosis from one shoe to another, solid stirrup, new; L3640 Transfer of an orthosis from one shoe to another, dennis browne splint (ri...; L3649 Orthopedic shoe, modification, addition or transfer, not otherwise specifie...; L3650 Shoulder orthosis, figure of eight design abduction restrainer, prefabricat...; L3651 Shoulder orthosis, single shoulder, elastic, prefabricated, includes fittin...; L3652 Shoulder orthosis, double shoulder, elastic, prefabricated, includes fittin...; L3660 Shoulder orthosis, figure of eight design abduction restrainer, canvas and ...; L3670 Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabrica...; L3675 Shoulder orthosis, vest type abduction restrainer, canvas webbing type or e...; L3677 Shoulder orthosis, hard plastic, shoulder stabilizer, pre-fabricated, inclu...; L3700 Elbow orthosis, elastic with stays, prefabricated, includes fitting and adj...; L3701 Elbow orthosis, elastic, prefabricated, includes fitting and adjustment (e....; L3710 Elbow orthosis, elastic with metal joints, prefabricated, includes fitting ...; L3720 Elbow orthosis, double upright with forearm/arm cuffs, free motion, custom-...; L3730 Elbow orthosis, double upright with forearm/arm cuffs, extension/ flexion a...; L3740 Elbow orthosis, double upright with forearm/arm cuffs, adjustable position ...; L3760 Elbow orthosis, with adjustable position locking joint(s), prefabricated, i...; L3762 Elbow orthosis, rigid, without joints, includes soft interface material, pr...; L3800 Wrist hand finger orthosis, short opponens, no attachments, custom-fabricat...; L3805 Wrist hand finger orthosis, long opponens, no attachment, custom-fabricated; L3807 Wrist hand finger orthosis, without joint(s), prefabricated, includes fitti...; L3810 Whfo, addition to short and long opponens, thumb abduction ('c') bar; L3815 Whfo, addition to short and long opponens, second m.p. abduction assist; L3820 Whfo, addition to short and long opponens, i.p. extension assist, with m.p....; L3825 Whfo, addition to short and long opponens, m.p. extension stop; L3830 Whfo, addition to short and long opponens, m.p. extension assist; L3835 Whfo, addition to short and long opponens, m.p. spring extension assist; L3840 Whfo, addition to short and long opponens, spring swivel thumb; L3845 Whfo, addition to short and long opponens, thumb i.p. extension assist, wi...; L3850 Who, addition to short and long opponens, action wrist, with dorsiflexion a...; L3855 Whfo, addition to short and long opponens, adjustable m.p. flexion control; L3860 Whfo, addition to short and long opponens, adjustable m.p. flexion control...; L3890 Addition to upper extremity joint, wrist or elbow, concentric adjustable to...; L3900 Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extensio...; L3901 Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extensio...; L3902 Wrist hand finger orthosis, external powered, compressed gas, custom-fabric...; L3904 Wrist hand finger orthosis, external powered, electric, custom-fabricated; L3906 Wrist hand orthosis, wrist gauntlet, custom-fabricated; L3907 Wrist hand finger orthosis, wrist gauntlet with thumb spica, custom-fabrica...; L3908 Wrst hand orthosis, wrist extension control cock-up, non molded, prefabrica...; L3909 Wrist orthosis, elastic, prefabricated, includes fitting and adjustment (e....; L3910 Wrist hand finger orthosis, swanson design, prefabricated, includes fitting...; L3911 Wrist hand finger orthosis, elastic, prefabricated, includes fitting and ad...; L3912 Hand finger orthosis, flexion glove with elastic finger control, prefabrica...; L3914 Wrist hand orthosis, wrist extension cock-up, prefabricated, includes fitti...; L3916 Wrist hand finger orthosis, wrist extension cock-up with outrigger, prefabr...; L3917 Hand orthosis, metacarpal fracture orthosis, prefabricated, includes fittin...; L3918 Hand finger orthosis, knuckle bender, prefabricated, includes fitting and a...; L3920 Hand finger orthosis, knuckle bender with outrigger, prefabricated, include...; L3922 Hand finger orthosis, knuckle bender, two segment to flex joints, prefabric...; L3923 Hand finger orthosis, without joint(s), prefabricated, includes fitting and...; L3924 Wrist hand finger orthosis, oppenheimer, prefabricated, includes fitting an...; L3926 Wrist hand finger orthosis, thomas suspension, prefabricated, includes fitt...; L3928 Hand finger orthosis, finger extension, with clock spring, prefabricated, i...; L3930 Wrist hand finger orthosis, finger extension, with wrist support, prefabric...; L3932 Finger orthosis, safety pin, spring wire, prefabricated, includes fitting a...; L3934 Finger orthosis, safety pin, modified, prefabricated, includes fitting and ...; L3936 Wrist hand finger orthosis, palmer, prefabricated, includes fitting and adj...; L3938 Wrist hand finger orthosis, dorsal wrist, prefabricated, includes fitting a...; L3940 Wrist hand finger orthosis, dorsal wrist, with outrigger attachment, prefab...; L3942 Hand finger orthosis, reverse knuckle bender, prefabricated, includes fitti...; L3944 Hand finger orthosis, reverse knuckle bender, with outrigger, prefabricated...; L3946 Hand finger orthosis, composite elastic, prefabricated, includes fitting an...; L3948 Finger orthosis, finger knuckle bender, prefabricated, includes fitting and...; L3950 Wrist hand finger orthosis, combination oppenheimer, with knuckle bender an...; L3952 Wrist hand finger orthosis, combination oppenheimer, with reverse knuckle a...; L3954 Hand finger orthosis, spreading hand, prefabricated, includes fitting and a...; L3956 Addition of joint to upper extremity orthosis, any material; per joint; L3960 Shoulder elbow wrist hand orthosis, abduction positioning, airplane design,...; L3962 Shoulder elbow wrist hand orthosis, abduction positioning, erbs palsey desi...; L3963 Shoulder elbow wrist hand orthosis, molded shoulder, arm, forearm and wrist...; L3964 Shoulder elbow orthosis, mobile arm support attached to wheelchair, balance...; L3965 Shoulder elbow orthosis, mobile arm support attached to wheelchair, balance...; L3966 Shoulder elbow orthosis, mobile arm support attached to wheelchair, balance...; L3968 Shoulder elbow orthosis, mobile arm support attached to wheelchair, balance...; L3969 Shoulder elbow orthosis, mobile arm support, monosuspension arm and hand su...; L3970 Seo, addition to mobile arm support, elevating proximal arm; L3972 Seo, addition to mobile arm support, offset or lateral rocker arm with elas...; L3974 Seo, addition to mobile arm support, supinator; L3980 Upper extremity fracture orthosis, humeral, prefabricated, includes fitting...; L3982 Upper extremity fracture orthosis, radius/ulnar, prefabricated, includes fi...; L3984 Upper extremity fracture orthosis, wrist, prefabricated, includes fitting a...; L3985 Upper extremity fracture orthosis, forearm, hand with wrist hinge, custom-f...; L3986 Upper extremity fracture orthosis, combination of humeral, radius/ulnar, wr...; L3995 Addition to upper extremity orthosis, sock, fracture or equal, each; L3999 Upper limb orthosis, not otherwise specified; L4000 Replace girdle for spinal orthosis (ctlso or so); L4002 Replacement strap, any orthosis, includes all components, any length, any t...; L4010 Replace trilateral socket brim; L4020 Replace quadrilateral socket brim, molded to patient model; L4030 Replace quadrilateral socket brim, custom fitted; L4040 Replace molded thigh lacer, for custom fabricated orthosis only; L4045 Replace non-molded thigh lacer, for custom fabricated orthosis only; L4050 Replace molded calf lacer, for custom fabricated orthosis only; L4055 Replace non-molded calf lacer, for custom fabricated orthosis only; L4060 Replace high roll cuff; L4070 Replace proximal and distal upright for kafo; L4080 Replace metal bands kafo, proximal thigh; L4090 Replace metal bands kafo-afo, calf or distal thigh; L4100 Replace leather cuff kafo, proximal thigh; L4110 Replace leather cuff kafo-afo, calf or distal thigh; L4130 Replace pretibial shell; L4205 Repair of orthotic device, labor component, per 15 minutes; L4210 Repair of orthotic device, repair or replace minor parts; L4350 Ankle control orthosis, stirrup style, rigid, includes any type interface (...; L4360 Walking boot, pneumatic, with or without joints, with or without interface ...; L4370 Pneumatic full leg splint, prefabricated, includes fitting and adjustment; L4380 Pneumatic knee splint, prefabricated, includes fitting and adjustment; L4386 Walking boot, non-pneumatic, with or without joints, with or without interf...; L4392 Replacement, soft interface material, static afo; L4394 Replace soft interface material, foot drop splint; L4396 Static ankle foot orthosis, including soft interface material, adjustable ...; L4398 Foot drop splint, recumbent positioning device, prefabricated, includes fit...; L5000 Partial foot, shoe insert with longitudinal arch, toe filler; L5010 Partial foot, molded socket, ankle height, with toe filler; L5020 Partial foot, molded socket, tibial tubercle height, with toe filler; L5050 Ankle, symes, molded socket, sach foot; L5060 Ankle, symes, metal frame, molded leather socket, articulated ankle/foot; L5100 Below knee, molded socket, shin, sach foot; L5105 Below knee, plastic socket, joints and thigh lacer, sach foot; L5150 Knee disarticulation (or through knee), molded socket, external knee joints...; L5160 Knee disarticulation (or through knee), molded socket, bent knee configurat...; L5200 Above knee, molded socket, single axis constant friction knee, shin, sach f...; L5210 Above knee, short prosthesis, no knee joint ('stubbies'), with foot blocks,...; L5220 Above knee, short prosthesis, no knee joint ('stubbies'), with articulated ...; L5230 Above knee, for proximal femoral focal deficiency, constant friction knee, ...; L5250 Hip disarticulation, canadian type; molded socket, hip joint, single axis c...; L5270 Hip disarticulation, tilt table type; molded socket, locking hip joint, sin...; L5280 Hemipelvectomy, canadian type; molded socket, hip joint, single axis consta...; L5300 Below knee, molded socket, sach foot, endoskeletal system, including soft c...; L5301 Below knee, molded socket, shin, sach foot, endoskeletal system; L5310 Knee disarticulation (or through knee), molded socket, sach foot endoskelet...; L5311 Knee disarticulation (or through knee), molded socket, external knee joints...; L5320 Above knee, molded socket, open end, sach foot, endoskeletal system, single...; L5321 Above knee, molded socket, open end, sach foot, endoskeletal system, single...; L5330 Hip disarticulation, canadian type; molded socket, endoskeletal system, hip...; L5331 Hip disarticulation, canadian type, molded socket, endoskeletal system, hip...; L5340 Hemipelvectomy, canadian type; molded socket, endoskeletal system, hip join...; L5341 Hemipelvectomy, canadian type, molded socket, endoskeletal system, hip join...; L5400 Immediate post surgical or early fitting, application of initial rigid dres...; L5410 Immediate post surgical or early fitting, application of initial rigid dres...; L5420 Immediate post surgical or early fitting, application of initial rigid dres...; L5430 Immediate post surgical or early fitting, application of initial rigid dres...; L5450 Immediate post surgical or early fitting, application of non-weight bearing...; L5460 Immediate post surgical or early fitting, application of non-weight bearing...; L5500 Initial, below knee 'ptb' type socket, non-alignable system, pylon, no cove...; L5505 Initial, above knee - knee disarticulation, ischial level socket, non-align...; L5510 Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, n...; L5520 Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no ...; L5530 Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no ...; L5535 Preparatory, below knee 'ptb' type socket, non-alignable system, no cover, ...; L5540 Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no ...; L5560 Preparatory, above knee- knee disarticulation, ischial level socket, non-al...; L5570 Preparatory, above knee - knee disarticulation, ischial level socket, non-a...; L5580 Preparatory, above knee - knee disarticulation ischial level socket, non-al...; L5585 Preparatory, above knee - knee disarticulation, ischial level socket, non-a...; L5590 Preparatory, above knee - knee disarticulation ischial level socket, non-al...; L5595 Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot...; L5600 Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot...; L5610 Addition to lower extremity, endoskeletal system, above knee, hydracadence ...; L5611 Addition to lower extremity, endoskeletal system, above knee - knee disarti...; L5613 Addition to lower extremity, endoskeletal system, above knee-knee disarticu...; L5614 Addition to lower extremity, exoskeletal system, above knee-knee disarticul...; L5616 Addition to lower extremity, endoskeletal system, above knee, universal mul...; L5617 Addition to lower extremity, quick change self-aligning unit, above knee or...; L5618 Addition to lower extremity, test socket, symes; L5620 Addition to lower extremity, test socket, below knee; L5622 Addition to lower extremity, test socket, knee disarticulation; L5624 Addition to lower extremity, test socket, above knee; L5626 Addition to lower extremity, test socket, hip disarticulation; L5628 Addition to lower extremity, test socket, hemipelvectomy; L5629 Addition to lower extremity, below knee, acrylic socket; L5630 Addition to lower extremity, symes type, expandable wall socket; L5631 Addition to lower extremity, above knee or knee disarticulation, acrylic so...; L5632 Addition to lower extremity, symes type, 'ptb' brim design socket; L5634 Addition to lower extremity, symes type, posterior opening (canadian) socke...; L5636 Addition to lower extremity, symes type, medial opening socket; L5637 Addition to lower extremity, below knee, total contact; L5638 Addition to lower extremity, below knee, leather socket; L5639 Addition to lower extremity, below knee, wood socket; L5640 Addition to lower extremity, knee disarticulation, leather socket; L5642 Addition to lower extremity, above knee, leather socket; L5643 Addition to lower extremity, hip disarticulation, flexible inner socket, e...; L5644 Addition to lower extremity, above knee, wood socket; L5645 Addition to lower extremity, below knee, flexible inner socket, external f...; L5646 Addition to lower extremity, below knee, air, fluid, gel or equal, cushion...; L5647 Addition to lower extremity, below knee suction socket; L5648 Addition to lower extremity, above knee, air, fluid, gel or equal, cushio...; L5649 Addition to lower extremity, ischial containment/narrow m-l socket; L5650 Additions to lower extremity, total contact, above knee or knee disarticula...; L5651 Addition to lower extremity, above knee, flexible inner socket, external f...; L5652 Addition to lower extremity, suction suspension, above knee or knee disart...; L5653 Addition to lower extremity, knee disarticulation, expandable wall socket; L5654 Addition to lower extremity, socket insert, symes, (kemblo, pelite, alipla...; L5655 Addition to lower extremity, socket insert, below knee (kemblo, pelite, al...; L5656 Addition to lower extremity, socket insert, knee disarticulation (kemblo, ...; L5658 Addition to lower extremity, socket insert, above knee (kemblo, pelite, al...; L5660 Addition to lower extremity, socket insert, symes, silicone gel or equal; L5661 Addition to lower extremity, socket insert, multi-durometer symes; L5662 Addition to lower extremity, socket insert, below knee, silicone gel or eq...; L5663 Addition to lower extremity, socket insert, knee disarticulation, silicone...; L5664 Addition to lower extremity, socket insert, above knee, silicone gel or eq...; L5665 Addition to lower extremity, socket insert, multi-durometer, below knee; L5666 Addition to lower extremity, below knee, cuff suspension; L5667 Addition to lower extremity, below knee/above knee, socket insert, suction ...; L5668 Addition to lower extremity, below knee, molded distal cushion; L5669 Addition to lower extremity, below knee/above knee, socket insert, suction ...; L5670 Addition to lower extremity, below knee, molded supracondylar suspension (...; L5671 Addition to lower extremity, below knee / above knee suspension locking mec...; L5672 Addition to lower extremity, below knee, removable medial brim suspension; L5673 Addition to lower extremity, below knee/above knee, custom fabricated from ...; L5674 Addition to lower extremity, below knee, suspension sleeve, any material, ...; L5675 Addition to lower extremity, below knee, suspension sleeve, heavy duty, an...; L5676 Additions to lower extremity, below knee, knee joints, single axis, pair; L5677 Additions to lower extremity, below knee, knee joints, polycentric, pair; L5678 Additions to lower extremity, below knee, joint covers, pair; L5679 Addition to lower extremity, below knee/above knee, custom fabricated from ...; L5680 Addition to lower extremity, below knee, thigh lacer, nonmolded; L5681 Addition to lower extremity, below knee/above knee, custom fabricated socke...; L5682 Addition to lower extremity, below knee, thigh lacer, gluteal/ischial, mol...; L5683 Addition to lower extremity, below knee/above knee, custom fabricated socke...; L5684 Addition to lower extremity, below knee, fork strap; L5685 Addition to lower extremity prosthesis, below knee, suspension/sealing slee...; L5686 Addition to lower extremity, below knee, back check (extension control); L5688 Addition to lower extremity, below knee, waist belt, webbing; L5690 Addition to lower extremity, below knee, waist belt, padded and lined; L5692 Addition to lower extremity, above knee, pelvic control belt, light; L5694 Addition to lower extremity, above knee, pelvic control belt, padded and l...; L5695 Addition to lower extremity, above knee, pelvic control, sleeve suspension,...; L5696 Addition to lower extremity, above knee or knee disarticulation, pelvic jo...; L5697 Addition to lower extremity, above knee or knee disarticulation, pelvic ba...; L5698 Addition to lower extremity, above knee or knee disarticulation, silesian ...; L5699 All lower extremity prostheses, shoulder harness; L5700 Replacement, socket, below knee, molded to patient model; L5701 Replacement, socket, above knee/knee disarticulation, including attachment ...; L5702 Replacement, socket, hip disarticulation, including hip joint, molded to pa...; L5704 Custom shaped protective cover, below knee; L5705 Custom shaped protective cover, above knee; L5706 Custom shaped protective cover, knee disarticulation; L5707 Custom shaped protective cover, hip disarticulation; L5710 Addition, exoskeletal knee-shin system, single axis, manual lock; L5711 Additions exoskeletal knee-shin system, single axis, manual lock, ultra-lig...; L5712 Addition, exoskeletal knee-shin system, single axis, friction swing and st...; L5714 Addition, exoskeletal knee-shin system, single axis, variable friction swi...; L5716 Addition, exoskeletal knee-shin system, polycentric, mechanical stance pha...; L5718 Addition, exoskeletal knee-shin system, polycentric, friction swing and s...; L5722 Addition, exoskeletal knee-shin system, single axis, pneumatic swing, fric...; L5724 Addition, exoskeletal knee-shin system, single axis, fluid swing phase con...; L5726 Addition, exoskeletal knee-shin system, single axis, external joints fluid...; L5728 Addition, exoskeletal knee-shin system, single axis, fluid swing and stanc...; L5780 Addition, exoskeletal knee-shin system, single axis, pneumatic/hydra pneum...; L5781 Addition to lower limb prosthesis, vacuum pump, residual limb volume manage...; L5782 Addition to lower limb prosthesis, vacuum pump, residual limb volume manage...; L5785 Addition, exoskeletal system, below knee, ultra-light material (titanium, c...; L5790 Addition, exoskeletal system, above knee, ultra-light material (titanium, c...; L5795 Addition, exoskeletal system, hip disarticulation, ultra-light material (ti...; L5810 Addition, endoskeletal knee-shin system, single axis, manual lock; L5811 Addition, endoskeletal knee-shin system, single axis, manual lock, ultra-li...; L5812 Addition, endoskeletal knee-shin system, single axis, friction swing and st...; L5814 Addition, endoskeletal knee-shin system, polycentric, hydraulic swing phase...; L5816 Addition, endoskeletal knee-shin system, polycentric, mechanical stance pha...; L5818 Addition, endoskeletal knee-shin system, polycentric, friction swing, and s...; L5822 Addition, endoskeletal knee-shin system, single axis, pneumatic swing, fric...; L5824 Addition, endoskeletal knee-shin system, single axis, fluid swing phase con...; L5826 Addition, endoskeletal knee-shin system, single axis, hydraulic swing phase...; L5828 Addition, endoskeletal knee-shin system, single axis, fluid swing and stanc...; L5830 Addition, endoskeletal knee-shin system, single axis, pneumatic/ swing phas...; L5840 Addition, endoskeletal knee/shin system, 4-bar linkage or multiaxial, pneum...; L5845 Addition, endoskeletal, knee-shin system, stance flexion feature, adjustabl...; L5846 Addition, endoskeletal, knee-shin system, microprocessor control feature, s...; L5847 Addition, endoskeletal knee-shin system, microprocessor control feature, st...; L5848 Addition to endoskeletal, knee-shin system, hydraulic stance extension, dam...; L5850 Addition, endoskeletal system, above knee or hip disarticulation, knee ext...; L5855 Addition, endoskeletal system, hip disarticulation, mechanical hip extensio...; L5856 Addition to lower extremity prosthesis, endoskeletal knee-shin system, micr...; L5857 Addition to lower extremity prosthesis, endoskeletal knee-shin system, micr...; L5910 Addition, endoskeletal system, below knee, alignable system; L5920 Addition, endoskeletal system, above knee or hip disarticulation, alignable...; L5925 Addition, endoskeletal system, above knee, knee disarticulation or hip disa...; L5930 Addition, endoskeletal system, high activity knee control frame; L5940 Addition, endoskeletal system, below knee, ultra-light material (titanium,...; L5950 Addition, endoskeletal system, above knee, ultra-light material (titanium,...; L5960 Addition, endoskeletal system, hip disarticulation, ultra-light material (...; L5962 Addition, endoskeletal system, below knee, flexible protective outer surfac...; L5964 Addition, endoskeletal system, above knee, flexible protective outer surfac...; L5966 Addition, endoskeletal system, hip disarticulation, flexible protective out...; L5968 Addition to lower limb prosthesis, multiaxial ankle with swing phase active...; L5970 All lower extremity prostheses, foot, external keel, sach foot; L5972 All lower extremity prostheses, flexible keel foot (safe, sten, bock dynami...; L5974 All lower extremity prostheses, foot, single axis ankle/foot; L5975 All lower extremity prosthesis, combination single axis ankle and flexible ...; L5976 All lower extremity prostheses, energy storing foot (seattle carbon copy ii...; L5978 All lower extremity prostheses, foot, multiaxial ankle/foot; L5979 All lower extremity prosthesis, multi-axial ankle, dynamic response foot, o...; L5980 All lower extremity prostheses, flex foot system; L5981 All lower extremity prostheses, flex-walk system or equal; L5982 All exoskeletal lower extremity prostheses, axial rotation unit; L5984 All endoskeletal lower extremity prosthesis, axial rotation unit, with or w...; L5985 All endoskeletal lower extremity protheses, dynamic prosthetic pylon; L5986 All lower extremity prostheses, multi-axial rotation unit ('mcp' or equal); L5987 All lower extremity prosthesis, shank foot system with vertical loading pyl...; L5988 Addition to lower limb prosthesis, vertical shock reducing pylon feature; L5989 Addition to lower extremity prosthesis, endoskeletal system, pylon with int...; L5990 Addition to lower extremity prosthesis, user adjustable heel height; L5995 Addition to lower extremity prosthesis, heavy duty feature (for patient wei...; L5999 Lower extremity prosthesis, not otherwise specified; L6000 Partial hand, robin-aids, thumb remaining (or equal); L6010 Partial hand, robin-aids, little and/or ring finger remaining (or equal); L6020 Partial hand, robin-aids, no finger remaining (or equal); L6025 Transcarpal/metacarpal or partial hand disarticulation prosthesis, external...; L6050 Wrist disarticulation, molded socket, flexible elbow hinges, triceps pad; L6055 Wrist disarticulation, molded socket with expandable interface, flexible el...; L6100 Below elbow, molded socket, flexible elbow hinge, triceps pad; L6110 Below elbow, molded socket, (muenster or northwestern suspension types); L6120 Below elbow, molded double wall split socket, step-up hinges, half cuff; L6130 Below elbow, molded double wall split socket, stump activated locking hinge...; L6200 Elbow disarticulation, molded socket, outside locking hinge, forearm; L6205 Elbow disarticulation, molded socket with expandable interface, outside loc...; L6250 Above elbow, molded double wall socket, internal locking elbow, forearm; L6300 Shoulder disarticulation, molded socket, shoulder bulkhead, humeral section...; L6310 Shoulder disarticulation, passive restoration (complete prosthesis); L6320 Shoulder disarticulation, passive restoration (shoulder cap only); L6350 Interscapular thoracic, molded socket, shoulder bulkhead, humeral section, ...; L6360 Interscapular thoracic, passive restoration (complete prosthesis); L6370 Interscapular thoracic, passive restoration (shoulder cap only); L6380 Immediate post surgical or early fitting, application of initial rigid dres...; L6382 Immediate post surgical or early fitting, application of initial rigid dres...; L6384 Immediate post surgical or early fitting, application of initial rigid dres...; L6386 Immediate post surgical or early fitting, each additional cast change and r...; L6388 Immediate post surgical or early fitting, application of rigid dressing onl...; L6400 Below elbow, molded socket, endoskeletal system, including soft prosthetic ...; L6450 Elbow disarticulation, molded socket, endoskeletal system, including soft p...; L6500 Above elbow, molded socket, endoskeletal system, including soft prosthetic ...; L6550 Shoulder disarticulation, molded socket, endoskeletal system, including sof...; L6570 Interscapular thoracic, molded socket, endoskeletal system, including soft ...; L6580 Preparatory, wrist disarticulation or below elbow, single wall plastic sock...; L6582 Preparatory, wrist disarticulation or below elbow, single wall socket, fric...; L6584 Preparatory, elbow disarticulation or above elbow, single wall plastic sock...; L6586 Preparatory, elbow disarticulation or above elbow, single wall socket, fric...; L6588 Preparatory, shoulder disarticulation or interscapular thoracic, single wal...; L6590 Preparatory, shoulder disarticulation or interscapular thoracic, single wal...; L6600 Upper extremity additions, polycentric hinge, pair; L6605 Upper extremity additions, single pivot hinge, pair; L6610 Upper extremity additions, flexible metal hinge, pair; L6615 Upper extremity addition, disconnect locking wrist unit; L6616 Upper extremity addition, additional disconnect insert for locking wrist un...; L6620 Upper extremity addition, flexion/extension wrist unit, with or without fr...; L6623 Upper extremity addition, spring assisted rotational wrist unit with latch...; L6625 Upper extremity addition, rotation wrist unit with cable lock; L6628 Upper extremity addition, quick disconnect hook adapter, otto bock or equa...; L6629 Upper extremity addition, quick disconnect lamination collar with coupling...; L6630 Upper extremity addition, stainless steel, any wrist; L6632 Upper extremity addition, latex suspension sleeve, each; L6635 Upper extremity addition, lift assist for elbow; L6637 Upper extremity addition, nudge control elbow lock; L6638 Upper extremity addition to prosthesis, electric locking feature, only for ...; L6640 Upper extremity additions, shoulder abduction joint, pair; L6641 Upper extremity addition, excursion amplifier, pulley type; L6642 Upper extremity addition, excursion amplifier, lever type; L6645 Upper extremity addition, shoulder flexion-abduction joint, each; L6646 Upper extremity addition, shoulder joint, multipositional locking, flexion,...; L6647 Upper extremity addition, shoulder lock mechanism, body powered actuator; L6648 Upper extremity addition, shoulder lock mechanism, external powered actuato...; L6650 Upper extremity addition, shoulder universal joint, each; L6655 Upper extremity addition, standard control cable, extra; L6660 Upper extremity addition, heavy duty control cable; L6665 Upper extremity addition, teflon, or equal, cable lining; L6670 Upper extremity addition, hook to hand, cable adapter; L6672 Upper extremity addition, harness, chest or shoulder, saddle type; L6675 Upper extremity addition, harness, (e.g. figure of eight type), single cabl...; L6676 Upper extremity addition, harness, (e.g. figure of eight type), dual cable ...; L6680 Upper extremity addition, test socket, wrist disarticulation or below elbo...; L6682 Upper extremity addition, test socket, elbow disarticulation or above elbo...; L6684 Upper extremity addition, test socket, shoulder disarticulation or intersc...; L6686 Upper extremity addition, suction socket; L6687 Upper extremity addition, frame type socket, below elbow or wrist disarticu...; L6688 Upper extremity addition, frame type socket, above elbow or elbow disarticu...; L6689 Upper extremity addition, frame type socket, shoulder disarticulation; L6690 Upper extremity addition, frame type socket, interscapular-thoracic; L6691 Upper extremity addition, removable insert, each; L6692 Upper extremity addition, silicone gel insert or equal, each; L6693 Upper extremity addition, locking elbow, forearm counterbalance; L6694 Addition to upper extremity prosthesis, below elbow/above elbow, custom fab...; L6695 Addition to upper extremity prosthesis, below elbow/above elbow, custom fab...; L6696 Addition to upper extremity prosthesis, below elbow/above elbow, custom fab...; L6697 Addition to upper extremity prosthesis, below elbow/above elbow, custom fab...; L6698 Addition to upper extremity prosthesis, below elbow/above elbow, lock mecha...; L6700 Terminal device, hook, dorrance, or equal, model #3; L6705 Terminal device, hook, dorrance, or equal, model #5; L6710 Terminal device, hook, dorrance, or equal, model #5x; L6715 Terminal device, hook, dorrance, or equal, model #5xa; L6720 Terminal device, hook, dorrance, or equal, model #6; L6725 Terminal device, hook, dorrance, or equal, model #7; L6730 Terminal device, hook, dorrance, or equal, model #7lo; L6735 Terminal device, hook, dorrance, or equal, model #8; L6740 Terminal device, hook, dorrance, or equal, model #8x; L6745 Terminal device, hook, dorrance, or equal, model #88x; L6750 Terminal device, hook, dorrance, or equal, model #10p; L6755 Terminal device, hook, dorrance, or equal, model #10x; L6765 Terminal device, hook, dorrance, or equal, model #12p; L6770 Terminal device, hook, dorrance, or equal, model #99x; L6775 Terminal device, hook, dorrance, or equal, model #555; L6780 Terminal device, hook, dorrance, or equal, model #ss555; L6790 Terminal device, hook-accu hook, or equal; L6795 Terminal device, hook-2 load, or equal; L6800 Terminal device, hook-aprl vc, or equal; L6805 Terminal device, modifier wrist flexion unit; L6806 Terminal device, hook, trs grip, grip iii, vc, or equal; L6807 Terminal device, hook, grip i, grip ii, vc, or equal; L6808 Terminal device, hook, trs adept, infant or child, vc, or equal; L6809 Terminal device, hook, trs super sport, passive; L6810 Terminal device, pincher tool, otto bock or equal; L6825 Terminal device, hand, dorrance, vo; L6830 Terminal device, hand, aprl, vc; L6835 Terminal device, hand, sierra, vo; L6840 Terminal device, hand, becker imperial; L6845 Terminal device, hand, becker lock grip; L6850 Terminal device, hand, becker plylite; L6855 Terminal device, hand, robin-aids, vo; L6860 Terminal device, hand, robin-aids, vo soft; L6865 Terminal device, hand, passive hand; L6867 Terminal device, hand, detroit infant hand (mechanical); L6868 Terminal device, hand, passive infant hand, (steeper, hosmer or equal); L6870 Terminal device, hand, child mitt; L6872 Terminal device, hand, nyu child hand; L6873 Terminal device, hand, mechanical infant hand, steeper or equal; L6875 Terminal device, hand, bock, vc; L6880 Terminal device, hand, bock, vo; L6881 Automatic grasp feature, addition to upper limb prosthetic terminal device; L6882 Microprocessor control feature, addition to upper limb prosthetic terminal ...; L6890 Addition to upper extremity prosthesis, glove for terminal device, any mate...; L6895 Addition to upper extremity prosthesis, glove for terminal device, any mate...; L6900 Hand restoration (casts, shading and measurements included), partial hand, ...; L6905 Hand restoration (casts, shading and measurements included), partial hand, ...; L6910 Hand restoration (casts, shading and measurements included), partial hand, ...; L6915 Hand restoration (shading, and measurements included), replacement glove fo...; L6920 Wrist disarticulation, external power, self-suspended inner socket, removab...; L6925 Wrist disarticulation, external power, self-suspended inner socket, removab...; L6930 Below elbow, external power, self-suspended inner socket, removable forearm...; L6935 Below elbow, external power, self-suspended inner socket, removable forearm...; L6940 Elbow disarticulation, external power, molded inner socket, removable humer...; L6945 Elbow disarticulation, external power, molded inner socket, removable humer...; L6950 Above elbow, external power, molded inner socket, removable humeral shell, ...; L6955 Above elbow, external power, molded inner socket, removable humeral shell, ...; L6960 Shoulder disarticulation, external power, molded inner socket, removable sh...; L6965 Shoulder disarticulation, external power, molded inner socket, removable sh...; L6970 Interscapular-thoracic, external power, molded inner socket, removable shou...; L6975 Interscapular-thoracic, external power, molded inner socket, removable shou...; L7010 Electronic hand, otto bock, steeper or equal, switch controlled; L7015 Electronic hand, system teknik, variety village or equal, switch controlled; L7020 Electronic greifer, otto bock or equal, switch controlled; L7025 Electronic hand, otto bock or equal, myoelectronically controlled; L7030 Electronic hand, system teknik, variety village or equal, myoelectronically...; L7035 Electronic greifer, otto bock or equal, myoelectronically controlled; L7040 Prehensile actuator, hosmer or equal, switch controlled; L7045 Electronic hook, child, michigan or equal, switch controlled; L7170 Electronic elbow, hosmer or equal, switch controlled; L7180 Electronic elbow, microprocessor sequential control of elbow and terminal d...; L7181 Electronic elbow, microprocessor simultaneous control of elbow and terminal...; L7185 Electronic elbow, adolescent, variety village or equal, switch controlled; L7186 Electronic elbow, child, variety village or equal, switch controlled; L7190 Electronic elbow, adolescent, variety village or equal, myoelectronically c...; L7191 Electronic elbow, child, variety village or equal, myoelectronically contro...; L7260 Electronic wrist rotator, otto bock or equal; L7261 Electronic wrist rotator, for utah arm; L7266 Servo control, steeper or equal; L7272 Analogue control, unb or equal; L7274 Proportional control, 6-12 volt, liberty, utah or equal; L7360 Six volt battery, otto bock or equal, each; L7362 Battery charger, six volt, otto bock or equal; L7364 Twelve volt battery, utah or equal, each; L7366 Battery charger, twelve volt, utah or equal; L7367 Lithium ion battery, replacement; L7368 Lithium ion battery charger; L7499 Upper extremity prosthesis, not otherwise specified; L7500 Repair of prosthetic device, hourly rate (excludes v5335 repair of oral or ...; L7510 Repair of prosthetic device, repair or replace minor parts; L7520 Repair prosthetic device, labor component, per 15 minutes; L7900 Male vacuum erection system; L8000 Breast prosthesis, mastectomy bra; L8001 Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, ...; L8002 Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, ...; L8010 Breast prosthesis, mastectomy sleeve; L8015 External breast prosthesis garment, with mastectomy form, post mastectomy; L8020 Breast prosthesis, mastectomy form; L8030 Breast prosthesis, silicone or equal; L8035 Custom breast prosthesis, post mastectomy, molded to patient model; L8039 Breast prosthesis, not otherwise specified; L8040 Nasal prosthesis, provided by a non-physician; L8041 Midfacial prosthesis, provided by a non-physician; L8042 Orbital prosthesis, provided by a non-physician; L8043 Upper facial prosthesis, provided by a non-physician; L8044 Hemi-facial prosthesis, provided by a non-physician; L8045 Auricular prosthesis, provided by a non-physician; L8046 Partial facial prosthesis, provided by a non-physician; L8047 Nasal septal prosthesis, provided by a non-physician; L8048 Unspecified maxillofacial prosthesis, by report, provided by a non-physicia...; L8049 Repair or modification of maxillofacial prosthesis, labor component, 15 min...; L8100 Gradient compression stocking, below knee, 18-30 mmhg, each; L8110 Gradient compression stocking, below knee, 30-40 mmhg, each; L8120 Gradient compression stocking, below knee, 40-50 mmhg, each; L8130 Gradient compression stocking, thigh length, 18-30 mmhg, each; L8140 Gradient compression stocking, thigh length, 30-40 mmhg, each; L8150 Gradient compression stocking, thigh length, 40-50 mmhg, each; L8160 Gradient compression stocking, full length/chap style, 18-30 mmhg, each; L8170 Gradient compression stocking, full length/chap style, 30-40 mmhg, each; L8180 Gradient compression stocking, full length/chap style, 40-50 mmhg, each; L8190 Gradient compression stocking, waist length, 18-30 mmhg, each; L8195 Gradient compression stocking, waist length, 30-40 mmhg, each; L8200 Gradient compression stocking, waist length, 40-50 mmhg, each; L8210 Gradient compression stocking, custom made; L8220 Gradient compression stocking, lymphedema; L8230 Gradient compression stocking, garter belt; L8239 Gradient compression stocking, not otherwise specified; L8300 Truss, single with standard pad; L8310 Truss, double with standard pads; L8320 Truss, addition to standard pad, water pad; L8330 Truss, addition to standard pad, scrotal pad; L8400 Prosthetic sheath, below knee, each; L8410 Prosthetic sheath, above knee, each; L8415 Prosthetic sheath, upper limb, each; L8417 Prosthetic sheath/sock, including a gel cushion layer, below knee or above ...; L8420 Prosthetic sock, multiple ply, below knee, each; L8430 Prosthetic sock, multiple ply, above knee, each; L8435 Prosthetic sock, multiple ply, upper limb, each; L8440 Prosthetic shrinker, below knee, each; L8460 Prosthetic shrinker, above knee, each; L8465 Prosthetic shrinker, upper limb, each; L8470 Prosthetic sock, single ply, fitting, below knee, each; L8480 Prosthetic sock, single ply, fitting, above knee, each; L8485 Prosthetic sock, single ply, fitting, upper limb, each; L8490 Addition to prosthetic sheath/sock, air seal suction retention system; L8499 Unlisted procedure for miscellaneous prosthetic services; L8500 Artificial larynx, any type; L8501 Tracheostomy speaking valve; L8505 Artificial larynx replacement battery / accessory, any type; L8507 Tracheo-esophageal voice prosthesis, patient inserted, any type, each; L8509 Tracheo-esophageal voice prosthesis, inserted by a licensed health care pro...; L8510 Voice amplifier; L8511 Insert for indwelling tracheoesophageal prosthesis, with or without valve, ...; L8512 Gelatin capsules or equivalent, for use with tracheoesophageal voice prosth...; L8513 Cleaning device used with tracheoesophageal voice prosthesis, pipet, brush,...; L8514 Tracheoesophageal puncture dilator, replacement only, each; L8515 Gelatin capsule, application device for use with tracheoesophageal voice pr...; L8600 Implantable breast prosthesis, silicone or equal; L8603 Injectable bulking agent, collagen implant, urinary tract, 2.5 ml syringe, ...; L8606 Injectable bulking agent, synthetic implant, urinary tract, 1 ml syringe, i...; L8610 Ocular implant; L8612 Aqueous shunt; L8613 Ossicula implant; L8614 Cochlear device/system; L8615 Headset/headpiece for use with cochlear implant device, replacement; L8616 Microphone for use with cochlear implant device, replacement; L8617 Transmitting coil for use with cochlear implant device, replacement; L8618 Transmitter cable for use with cochlear implant device, replacement; L8619 Cochlear implant external speech processor, replacement; L8620 Lithium ion battery for use with cochlear implant device, replacement, each; L8621 Zinc air battery for use with cochlear implant device, replacement, each; L8622 Alkaline battery for use with cochlear implant device, any size, replacemen...; L8630 Metacarpophalangeal joint implant; L8631 Metacarpal phalangeal joint replacement, two or more pieces, metal (e.g., s...; L8641 Metatarsal joint implant; L8642 Hallux implant; L8658 Interphalangeal joint spacer, silicone or equal, each; L8659 Interphalangeal finger joint replacement, 2 or more pieces, metal (e.g., st...; L8670 Vascular graft material, synthetic, implant; L8699 Prosthetic implant, not otherwise specified; L9900 Orthotic and prosthetic supply, accessory, and/or service component of anot...