ICD9Data.com

Free 2009 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...
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, multiple post collar, occipital/mandibular supports, adjustable c...
L0210  Thoracic, rib belt
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  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...
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  Tlso, sagittal-coronal control, modular segmented spinal system, three rigi...
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...
L0860  Addition to halo procedures, magnetic reasonance image compatible system
L0861  Addition to halo procedure, replacement liner/interface material
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
L0999  Addition to spinal orthosis, not otherwise specified
L1000  Cervical-thoracic-lumbar-sacral orthosis (ctlso) (milwaukee), inclusive of ...
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
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 (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
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 ...
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 ...
L2034  Knee ankle foot orthosis, full plastic, single upright, with or without fre...
L2035  Knee ankle foot orthosis, full plastic, static (pediatric size), without fr...
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...
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...
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
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, 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...
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...
L3671  Shoulder orthosis, shoulder cap design, without joints, may include soft in...
L3672  Shoulder orthosis, abduction positioning (airplane design), thoracic compon...
L3673  Shoulder orthosis, abduction positioning (airplane design), thoracic compon...
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....
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...
L3800  Wrist hand finger orthosis, short opponens, no attachments, custom-fabricat...
L3805  Wrist hand finger orthosis, long opponens, no attachment, custom-fabricated
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...
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
L3905  Wrist hand orthosis, includes one or more nontorsion joints, elastic bands,...
L3906  Wrist hand orthosis, without joints, may include soft interface, straps, cu...
L3907  Wrist hand finger orthosis, wrist gauntlet with thumb spica, custom-fabrica...
L3908  Wrist hand orthosis, wrist extension control cock-up, non molded, prefabric...
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...
L3913  Hand finger orthosis, without joints, may include soft interface, straps, c...
L3914  Wrist hand orthosis, wrist extension cock-up, prefabricated, includes fitti...
L3915  Wrist hand orthosis, includes one or more nontorsion joint(s), elastic band...
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...
L3919  Hand orthosis, without joints, may include soft interface, straps, custom f...
L3920  Hand finger orthosis, knuckle bender with outrigger, prefabricated, include...
L3921  Hand finger orthosis, includes one or more nontorsion joints, elastic bands...
L3922  Hand finger orthosis, knuckle bender, two segment to flex joints, prefabric...
L3923  Hand finger orthosis, without joints, may include soft interface, straps, p...
L3924  Wrist hand finger orthosis, oppenheimer, prefabricated, includes fitting an...
L3925  Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip...
L3926  Wrist hand finger orthosis, thomas suspension, prefabricated, includes fitt...
L3927  Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip...
L3928  Hand finger orthosis, finger extension, with clock spring, prefabricated, i...
L3929  Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles...
L3930  Wrist hand finger orthosis, finger extension, with wrist support, prefabric...
L3931  Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnb...
L3932  Finger orthosis, safety pin, spring wire, prefabricated, includes fitting a...
L3933  Finger orthosis, without joints, may include soft interface, custom fabrica...
L3934  Finger orthosis, safety pin, modified, prefabricated, includes fitting and ...
L3935  Finger orthosis, nontorsion joint, may include soft interface, custom fabri...
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,...
L3961  Shoulder elbow wrist hand orthosis, shoulder cap design, without joints, ma...
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...
L3967  Shoulder elbow wrist hand orthosis, abduction positioning (airplane design)...
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
L3971  Shoulder elbow wrist hand orthosis, shoulder cap design, includes one or mo...
L3972  Seo, addition to mobile arm support, offset or lateral rocker arm with elas...
L3973  Shoulder elbow wrist hand orthosis, abduction positioning (airplane design)...
L3974  Seo, addition to mobile arm support, supinator
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...
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 and/or vacuum, with or without joints, with or with...
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...
L5301  Below knee, molded socket, shin, sach foot, endoskeletal system
L5311  Knee disarticulation (or through knee), molded socket, external knee joints...
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 (...
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...
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
L5993  Addition to lower extremity prosthesis, heavy duty feature, foot only, (for...
L5994  Addition to lower extremity prosthesis, heavy duty feature, knee only, (for...
L5995  Addition to lower extremity prosthesis, heavy duty feature, other than foot...
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
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 ...
L6639  Upper extremity addition, heavy duty feature, any elbow
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...
L6700  Terminal device, hook, dorrance, or equal, model #3
L6703  Terminal device, passive hand/mitt, any material, any size
L6704  Terminal device, sport/recreational/work attachment, any material, any size
L6705  Terminal device, hook, dorrance, or equal, model #5
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...
L6710  Terminal device, hook, dorrance, or equal, model #5x
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, hook, dorrance, or equal, model #5xa
L6720  Terminal device, hook, dorrance, or equal, model #6
L6721  Terminal device, hook or hand, heavy duty, mechanical, voluntary opening, a...
L6722  Terminal device, hook or hand, heavy duty, mechanical, voluntary closing, a...
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  Addition to terminal device, modifier wrist 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  Addition to terminal device, precision pinch device
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 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
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, 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
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, 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
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
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
L7600  Prosthetic donning sleeve, any material, each
L7611  Terminal device, hook, mechanical, voluntary opening, any material, any siz...
L7612  Terminal device, hook, mechanical, voluntary closing, any material, any siz...
L7613  Terminal device, hand, mechanical, voluntary opening, any material, any siz...
L7614  Terminal device, hand, mechanical, voluntary closing, any material, any siz...
L7621  Terminal device, hook or hand, heavy duty, mechanical, voluntary opening, a...
L7622  Terminal device, hook or hand, heavy duty, mechanical, voluntary closing, a...
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
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, 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...
L8623  Lithium ion battery for use with cochlear implant device speech processor, ...
L8624  Lithium ion battery for use with cochlear implant device speech processor, ...
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
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
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...