Free 2012 HCPCS L Codes

• L0112 Cranial cervical orthosis, congenital torticollis type, with or without sof...
• L0113 Cranial cervical orthosis, torticollis type, with or without joint, with or...
• 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 bars, and thoracic extension cervical, multiple post collar, occip...
• L0220 Thoracic, rib belt, custom fabricated
• L0430 Spinal orthosis, anterior-posterior-lateral control, with interface materia...
• 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 Plastic and stabilizing closures, includes straps and closures, prefabricat...
• 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 Pubic and one sternal), posterior and lateral pads with straps and closures...
• 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...
• L0491 Tlso, sagittal-coronal control, modular segmented spinal system, two rigid ...
• L0492 Plastic and stabilizing closures, includes straps and closures, prefabricat...
• L0621 Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces moti...
• L0622 Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces moti...
• L0623 Sacroiliac orthosis, provides pelvic-sacral support, with rigid or semi-rig...
• L0624 Sacroiliac orthosis, provides pelvic-sacral support, with rigid or semi-rig...
• L0625 Lumbar orthosis, flexible, provides lumbar support, posterior extends from ...
• L0626 Lumbar orthosis, sagittal control, with rigid posterior panel(s), posterior...
• L0627 Lumbar orthosis, sagittal control, with rigid anterior and posterior panels...
• L0628 Lumbar-sacral orthosis, flexible, provides lumbo-sacral support, posterior ...
• L0629 Lumbar-sacral orthosis, flexible, provides lumbo-sacral support, posterior ...
• L0630 Lumbar-sacral orthosis, sagittal control, with rigid posterior panel(s), po...
• L0631 Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior...
• L0632 Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior...
• L0633 Lumbar-sacral orthosis, sagittal-coronal control, with rigid posterior fram...
• L0634 Lumbar-sacral orthosis, sagittal-coronal control, with rigid posterior fram...
• L0635 Lumbar-sacral orthosis, sagittal-coronal control, lumbar flexion, rigid pos...
• L0636 Lumbar sacral orthosis, sagittal-coronal control, lumbar flexion, rigid pos...
• L0637 Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and p...
• L0638 Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and p...
• L0639 Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), ...
• L0640 Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), ...
• 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
• L0859 Addition to halo procedure, magnetic resonance image compatible systems, ri...
• L0861 Addition to halo procedure, replacement liner/interface material
• 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
• L0999 Addition to spinal orthosis, not otherwise specified
• L1000 Furnishing initial orthosis, including model cervical-thoracic-lumbar-sacra...
• L1001 Cervical thoracic lumbar sacral orthosis, immobilizer, infant size, prefabr...
• 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
• 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
• L1755 Legg perthes orthosis, (patten bottom type), custom-fabricated
• L1810 Knee orthosis, elastic with joints, prefabricated, includes fitting and adj...
• L1820 Knee orthosis, elastic with condylar pads and joints, with or without patel...
• 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 (unicentric or polycentric), position...
• 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
• L1860 Knee orthosis, modification of supracondylar prosthetic socket, custom-fabr...
• L1900 Ankle foot orthosis, spring wire, dorsiflexion assist calf band, custom-fab...
• 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 ...
• L2034 Knee ankle foot orthosis, full plastic, single upright, with or without fre...
• L2035 Motion ankle, prefabricated, includes fitting and adjustment knee ankle foo...
• L2036 Knee ankle foot orthosis, full plastic, double upright, with or without fre...
• L2037 Knee ankle foot orthosis, full plastic, single upright, with or without fre...
• L2038 Knee ankle foot orthosis, full plastic, with or without free motion knee, 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...
• 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...
• 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
• L2387 Addition to lower extremity, polycentric knee joint, for custom fabricated ...
• 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, drop lock, each
• 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...
• 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
• 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...
• L2861 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, silicone or equal, heel stabilizer, each
• 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 shoe, oxford, each
• L3216 Orthopedic footwear, ladies shoe, depth inlay, each
• L3217 Orthopedic footwear, ladies shoe, hightop, depth inlay, each
• L3219 Orthopedic footwear, mens shoe, oxford, each
• L3221 Orthopedic footwear, mens shoe, depth inlay, each
• L3222 Orthopedic footwear, mens shoe, hightop, depth inlay, 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 shoe, depth inlay, each
• 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...
• L3660 Shoulder orthosis, figure of eight design abduction restrainer, canvas and ...
• L3670 Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabrica...
• L3671 Shoulder orthosis, shoulder joint design, without joints, may include soft ...
• L3674 Shoulder orthosis, abduction positioning (airplane design), thoracic compon...
• L3675 Shoulder orthosis, vest type abduction restrainer, canvas webbing type or e...
• L3677 Shoulder orthosis, shoulder joint design, without joints, may include soft ...
• L3702 Elbow orthosis, without joints, may include soft interface, straps, custom ...
• 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...
• L3763 Elbow wrist hand orthosis, rigid, without joints, may include soft interfac...
• L3764 Elbow wrist hand orthosis, includes one or more nontorsion joints, elastic ...
• L3765 Elbow wrist hand finger orthosis, rigid, without joints, may include soft i...
• L3766 Elbow wrist hand finger orthosis, includes one or more nontorsion joints, e...
• L3806 Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnb...
• L3807 Wrist hand finger orthosis, without joint(s), prefabricated, includes fitti...
• L3808 Wrist hand finger orthosis, rigid without joints, may include soft interfac...
• L3891 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...
• L3904 Wrist hand finger orthosis, external powered, electric, custom-fabricated
• L3905 Wrist hand orthosis, includes one or more nontorsion joints, elastic bands,...
• L3906 Wrist hand orthosis, without joints, may include soft interface, straps, cu...
• L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabric...
• L3909 Neoprene, lycra) wrist orthosis, elastic, prefabricated, includes fitting a...
• L3912 Hand finger orthosis, flexion glove with elastic finger control, prefabrica...
• L3913 Hand finger orthosis, without joints, may include soft interface, straps, c...
• L3915 Wrist hand orthosis, includes one or more nontorsion joint(s), elastic band...
• L3917 Hand orthosis, metacarpal fracture orthosis, prefabricated, includes fittin...
• L3919 Hand orthosis, without joints, may include soft interface, straps, custom f...
• L3921 Hand finger orthosis, includes one or more nontorsion joints, elastic bands...
• L3923 Hand finger orthosis, without joints, may include soft interface, straps, p...
• L3925 Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip...
• L3927 Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip...
• L3929 Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles...
• L3931 Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnb...
• L3933 Finger orthosis, without joints, may include soft interface, custom fabrica...
• L3935 Finger orthosis, nontorsion joint, may include soft interface, custom fabri...
• L3956 Addition of joint to upper extremity orthosis, any material; per joint
• L3960 Shoulder elbow wrist hand orthosis, abduction positioning, airplane design,...
• L3961 Shoulder elbow wrist hand orthosis, shoulder cap design, without joints, ma...
• L3962 Shoulder elbow wrist hand orthosis, abduction positioning, erbs palsey desi...
• L3967 Shoulder elbow wrist hand orthosis, abduction positioning (airplane design)...
• L3971 Shoulder elbow wrist hand orthosis, shoulder cap design, includes one or mo...
• L3973 Shoulder elbow wrist hand orthosis, abduction positioning (airplane design)...
• L3975 Shoulder elbow wrist hand finger orthosis, shoulder cap design, without joi...
• L3976 Shoulder elbow wrist hand finger orthosis, abduction positioning (airplane ...
• L3977 Shoulder elbow wrist hand finger orthosis, shoulder cap design, includes on...
• L3978 Shoulder elbow wrist hand finger orthosis, abduction positioning (airplane ...
• 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...
• 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 and/or vacuum, with or without joints, with or with...
• L4370 Pneumatic full leg 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 or dynamic ankle foot orthosis, including soft interface material, a...
• L4398 Foot drop splint, recumbent positioning device, prefabricated, includes fit...
• L4631 Anterior tibial shell, soft interface, custom arch support, plastic or othe...
• 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...
• L5301 Below knee, molded socket, shin, sach foot, endoskeletal system
• L5312 Knee disarticulation (or through knee), molded socket, single axis knee, py...
• L5321 Above knee, molded socket, open end, sach foot, endoskeletal system, single...
• L5331 Hip disarticulation, canadian type, molded socket, endoskeletal system, hip...
• 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...
• L5661 Addition to lower extremity, socket insert, multi-durometer symes
• L5665 Addition to lower extremity, socket insert, multi-durometer, below knee
• L5666 Addition to lower extremity, below knee, cuff suspension
• L5668 Addition to lower extremity, below knee, molded distal cushion
• 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 ...
• 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...
• L5703 Ankle, symes, molded to patient model, socket without solid ankle cushion h...
• 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...
• L5848 Addition to endoskeletal knee-shin system, fluid stance extension, dampenin...
• 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...
• L5858 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 (...
• L5961 Addition, endoskeletal system, polycentric hip joint, pneumatic or hydrauli...
• 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
• L5971 All lower extremity prosthesis, solid ankle cushion heel (sach) foot, repla...
• L5972 All lower extremity prostheses, flexible keel foot (safe, sten, bock dynami...
• L5973 Endoskeletal ankle foot system, microprocessor controlled feature, dorsifle...
• 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 prostheses, 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
• L5990 Addition to lower extremity prosthesis, user adjustable heel height
• L5999 Lower extremity prosthesis, not otherwise specified
• L6000 Partial hand, thumb remaining
• L6010 Partial hand, little and/or ring finger remaining
• L6020 Partial hand, no finger remaining
• 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 Internal locking elbow, forearm interscapular thoracic, molded socket, shou...
• 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 Friction wrist, flexible elbow hinges, figure of eight harness, humeral cuf...
• 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
• L6611 Addition to upper extremity prosthesis, external powered, additional switch...
• 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...
• L6621 Upper extremity prosthesis addition, flexion/extension wrist with or withou...
• L6623 Upper extremity addition, spring assisted rotational wrist unit with latch...
• L6624 Upper extremity addition, flexion/extension and rotation wrist unit
• 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 ...
• L6677 Upper extremity addition, harness, triple control, simultaneous operation o...
• 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...
• L6703 Terminal device, passive hand/mitt, any material, any size
• L6704 Terminal device, sport/recreational/work attachment, any material, any size
• L6706 Terminal device, hook, mechanical, voluntary opening, any material, any siz...
• L6707 Terminal device, hook, mechanical, voluntary closing, any material, any siz...
• L6708 Terminal device, hand, mechanical, voluntary opening, any material, any siz...
• L6709 Terminal device, hand, mechanical, voluntary closing, any material, any siz...
• L6711 Terminal device, hook, mechanical, voluntary opening, any material, any siz...
• L6712 Terminal device, hook, mechanical, voluntary closing, any material, any siz...
• L6713 Terminal device, hand, mechanical, voluntary opening, any material, any siz...
• L6714 Terminal device, hand, mechanical, voluntary closing, any material, any siz...
• L6715 Terminal device, multiple articulating digit, includes motor(s), initial is...
• L6721 Terminal device, hook or hand, heavy duty, mechanical, voluntary opening, a...
• L6722 Terminal device, hook or hand, heavy duty, mechanical, voluntary closing, a...
• L6805 Addition to terminal device, modifier wrist unit
• L6810 Addition to terminal device, precision pinch device
• L6880 Electric hand, switch or myolelectric controlled, independently articulatin...
• L6881 Automatic grasp feature, addition to upper limb electric prosthetic termina...
• L6882 Microprocessor control feature, addition to upper limb prosthetic terminal ...
• L6883 Replacement socket, below elbow/wrist disarticulation, molded to patient mo...
• L6884 Replacement socket, above elbow/elbow disarticulation, molded to patient mo...
• L6885 Replacement socket, shoulder disarticulation/interscapular thoracic, molded...
• 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...
• L7007 Electric hand, switch or myoelectric controlled, adult
• L7008 Electric hand, switch or myoelectric, controlled, pediatric
• L7009 Electric hook, switch or myoelectric controlled, adult
• L7040 Prehensile actuator, switch controlled
• L7045 Electric hook, switch or myoelectric controlled, pediatric
• 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
• L7360 Six volt battery, each
• L7362 Battery charger, six volt, each
• L7364 Twelve volt battery, each
• L7366 Battery charger, twelve volt, each
• L7367 Lithium ion battery, replacement
• L7368 Lithium ion battery charger, replacement only
• L7400 Addition to upper extremity prosthesis, below elbow/wrist disarticulation, ...
• L7401 Addition to upper extremity prosthesis, above elbow disarticulation, ultral...
• L7402 Addition to upper extremity prosthesis, shoulder disarticulation/interscapu...
• L7403 Addition to upper extremity prosthesis, below elbow/wrist disarticulation, ...
• L7404 Addition to upper extremity prosthesis, above elbow disarticulation, acryli...
• L7405 Addition to upper extremity prosthesis, shoulder disarticulation/interscapu...
• L7499 Upper extremity prosthesis, not otherwise specified
• L7510 Repair of prosthetic device, repair or replace minor parts
• L7520 Repair prosthetic device, labor component, per 15 minutes
• L7600 Prosthetic donning sleeve, any material, each
• 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, without integral adhesive
• L8031 Breast prosthesis, silicone or equal, with integral adhesive
• L8032 Nipple prosthesis, reusable, any type, each
• 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...
• 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
• 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, ...
• L8604 Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, ur...
• L8606 Injectable bulking agent, synthetic implant, urinary tract, 1 ml syringe, i...
• L8609 Artificial cornea
• L8610 Ocular implant
• L8612 Aqueous shunt
• L8613 Ossicula implant
• L8614 Cochlear device, includes all internal and external components
• 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 and controller, integrated syst...
• L8621 Zinc air battery for use with cochlear implant device, replacement, each
• L8622 Alkaline battery for use with cochlear implant device, any size, replacemen...
• L8623 Lithium ion battery for use with cochlear implant device speech processor, ...
• L8624 Lithium ion battery for use with cochlear implant device speech processor, ...
• L8627 Cochlear implant, external speech processor, component, replacement
• L8628 Cochlear implant, external controller component, replacement
• L8629 Transmitting coil and cable, integrated, for use with cochlear implant devi...
• 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 Stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon)...
• L8670 Vascular graft material, synthetic, implant
• L8680 Implantable neurostimulator electrode, each
• L8681 Patient programmer (external) for use with implantable programmable neurost...
• L8682 Implantable neurostimulator radiofrequency receiver
• L8683 Radiofrequency transmitter (external) for use with implantable neurostimula...
• L8684 Radiofrequency transmitter (external) for use with implantable sacral root ...
• L8685 Implantable neurostimulator pulse generator, single array, rechargeable, in...
• L8686 Implantable neurostimulator pulse generator, single array, non-rechargeable...
• L8687 Implantable neurostimulator pulse generator, dual array, rechargeable, incl...
• L8688 Implantable neurostimulator pulse generator, dual array, non-rechargeable, ...
• L8689 External recharging system for battery (internal) for use with implantable ...
• L8690 Auditory osseointegrated device, includes all internal and external compone...
• L8691 Auditory osseointegrated device, external sound processor, replacement
• L8692 Auditory osseointegrated device, external sound processor, used without oss...
• L8693 Auditory osseointegrated device abutment, any length, replacement only
• L8695 External recharging system for battery (external) for use with implantable ...
• L8699 Prosthetic implant, not otherwise specified
• L9900 Orthotic and prosthetic supply, accessory, and/or service component of anot...