| L5000 |
Sho insert w arch toe filler |
Partial foot, shoe insert with longitudinal arch, toe filler |
| L5010 |
Mold socket ank hgt w/ toe f |
Partial foot, molded socket, ankle height, with toe filler |
| L5020 |
Tibial tubercle hgt w/ toe f |
Partial foot, molded socket, tibial tubercle height, with toe filler |
| L5050 |
Ank symes mold sckt sach ft |
Ankle, symes, molded socket, sach foot |
| L5060 |
Symes met fr leath socket ar |
Ankle, symes, metal frame, molded leather socket, articulated ankle/foot |
| L5100 |
Molded socket shin sach foot |
Below knee, molded socket, shin, sach foot |
| L5105 |
Plast socket jts/thgh lacer |
Below knee, plastic socket, joints and thigh lacer, sach foot |
| L5150 |
Mold sckt ext knee shin sach |
Knee disarticulation (or through knee), molded socket, external knee joints, shin, sach foot |
| L5160 |
Mold socket bent knee shin s |
Knee disarticulation (or through knee), molded socket, bent knee configuration, external knee joints, shin, sach foot |
| L5200 |
Kne sing axis fric shin sach |
Above knee, molded socket, single axis constant friction knee, shin, sach foot |
| L5210 |
No knee/ankle joints w/ ft b |
Above knee, short prosthesis, no knee joint ('stubbies'), with foot blocks, no ankle joints, each |
| L5220 |
No knee joint with artic ali |
Above knee, short prosthesis, no knee joint ('stubbies'), with articulated ankle/foot, dynamically aligned, each |
| L5230 |
Fem focal defic constant fri |
Above knee, for proximal femoral focal deficiency, constant friction knee, shin, sach foot |
| L5250 |
Hip canad sing axi cons fric |
Hip disarticulation, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach foot |
| L5270 |
Tilt table locking hip sing |
Hip disarticulation, tilt table type; molded socket, locking hip joint, single axis constant friction knee, shin, sach foot |
| L5280 |
Hemipelvect canad sing axis |
Hemipelvectomy, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach foot |
| L5301 |
Bk mold socket sach ft endo |
Below knee, molded socket, shin, sach foot, endoskeletal system |
| L5312 |
Knee disart, sach ft, endo |
Knee disarticulation (or through knee), molded socket, single axis knee, pylon, sach foot, endoskeletal system |
| L5321 |
Ak open end sach |
Above knee, molded socket, open end, sach foot, endoskeletal system, single axis knee |
| L5331 |
Hip disart canadian sach ft |
Hip disarticulation, canadian type, molded socket, endoskeletal system, hip joint, single axis knee, sach foot |
| L5341 |
Hemipelvectomy canadian sach |
Hemipelvectomy, canadian type, molded socket, endoskeletal system, hip joint, single axis knee, sach foot |
| L5400 |
Postop dress & 1 cast chg bk |
Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment, suspension, and one cast change, below knee |
| L5410 |
Postop dsg bk ea add cast ch |
Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension, below knee, each additional cast change and realignment |
| L5420 |
Postop dsg & 1 cast chg ak/d |
Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension and one cast change 'ak' or knee disarticulation |
| L5430 |
Postop dsg ak ea add cast ch |
Immediate post surgical or early fitting, application of initial rigid dressing, incl. fitting, alignment and supension, 'ak' or knee disarticulation, each additional cast change and realignment |
| L5450 |
Postop app non-wgt bear dsg |
Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, below knee |
| L5460 |
Postop app non-wgt bear dsg |
Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, above knee |
| L5500 |
Init bk ptb plaster direct |
Initial, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, plaster socket, direct formed |
| L5505 |
Init ak ischal plstr direct |
Initial, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, plaster socket, direct formed |
| L5510 |
Prep bk ptb plaster molded |
Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, plaster socket, molded to model |
| L5520 |
Perp bk ptb thermopls direct |
Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, direct formed |
| L5530 |
Prep bk ptb thermopls molded |
Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, molded to model |
| L5535 |
Prep bk ptb open end socket |
Preparatory, below knee 'ptb' type socket, non-alignable system, no cover, sach foot, prefabricated, adjustable open end socket |
| L5540 |
Prep bk ptb laminated socket |
Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, laminated socket, molded to model |
| L5560 |
Prep ak ischial plast molded |
Preparatory, above knee- knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, plaster socket, molded to model |
| L5570 |
Prep ak ischial direct form |
Preparatory, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, direct formed |
| L5580 |
Prep ak ischial thermo mold |
Preparatory, above knee - knee disarticulation ischial level socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, molded to model |
| L5585 |
Prep ak ischial open end |
Preparatory, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, prefabricated adjustable open end socket |
| L5590 |
Prep ak ischial laminated |
Preparatory, above knee - knee disarticulation ischial level socket, non-alignable system, pylon no cover, sach foot, laminated socket, molded to model |
| L5595 |
Hip disartic sach thermopls |
Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot, thermoplastic or equal, molded to patient model |
| L5600 |
Hip disart sach laminat mold |
Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot, laminated socket, molded to patient model |
| L5610 |
Above knee hydracadence |
Addition to lower extremity, endoskeletal system, above knee, hydracadence system |
| L5611 |
Ak 4 bar link w/fric swing |
Addition to lower extremity, endoskeletal system, above knee - knee disarticulation, 4 bar linkage, with friction swing phase control |
| L5613 |
Ak 4 bar ling w/hydraul swig |
Addition to lower extremity, endoskeletal system, above knee-knee disarticulation, 4 bar linkage, with hydraulic swing phase control |
| L5614 |
4-bar link above knee w/swng |
Addition to lower extremity, exoskeletal system, above knee-knee disarticulation, 4 bar linkage, with pneumatic swing phase control |
| L5615 |
Ak 4 bar link hydl swg/stanc |
Addition, endoskeletal knee-shin system, 4 bar linkage or multiaxial, fluid swing and stance phase control |
| L5616 |
Ak univ multiplex sys frict |
Addition to lower extremity, endoskeletal system, above knee, universal multiplex system, friction swing phase control |
| L5617 |
Ak/bk self-aligning unit ea |
Addition to lower extremity, quick change self-aligning unit, above knee or below knee, each |
| L5618 |
Test socket symes |
Addition to lower extremity, test socket, symes |
| L5620 |
Test socket below knee |
Addition to lower extremity, test socket, below knee |
| L5622 |
Test socket knee disarticula |
Addition to lower extremity, test socket, knee disarticulation |
| L5624 |
Test socket above knee |
Addition to lower extremity, test socket, above knee |
| L5626 |
Test socket hip disarticulat |
Addition to lower extremity, test socket, hip disarticulation |
| L5628 |
Test socket hemipelvectomy |
Addition to lower extremity, test socket, hemipelvectomy |
| L5629 |
Below knee acrylic socket |
Addition to lower extremity, below knee, acrylic socket |
| L5630 |
Syme typ expandabl wall sckt |
Addition to lower extremity, symes type, expandable wall socket |
| L5631 |
Ak/knee disartic acrylic soc |
Addition to lower extremity, above knee or knee disarticulation, acrylic socket |
| L5632 |
Symes type ptb brim design s |
Addition to lower extremity, symes type, 'ptb' brim design socket |
| L5634 |
Symes type poster opening so |
Addition to lower extremity, symes type, posterior opening (canadian) socket |
| L5636 |
Symes type medial opening so |
Addition to lower extremity, symes type, medial opening socket |
| L5637 |
Below knee total contact |
Addition to lower extremity, below knee, total contact |
| L5638 |
Below knee leather socket |
Addition to lower extremity, below knee, leather socket |
| L5639 |
Below knee wood socket |
Addition to lower extremity, below knee, wood socket |
| L5640 |
Knee disarticulat leather so |
Addition to lower extremity, knee disarticulation, leather socket |
| L5642 |
Above knee leather socket |
Addition to lower extremity, above knee, leather socket |
| L5643 |
Hip flex inner socket ext fr |
Addition to lower extremity, hip disarticulation, flexible inner socket, external frame |
| L5644 |
Above knee wood socket |
Addition to lower extremity, above knee, wood socket |
| L5645 |
Bk flex inner socket ext fra |
Addition to lower extremity, below knee, flexible inner socket, external frame |
| L5646 |
Below knee cushion socket |
Addition to lower extremity, below knee, air, fluid, gel or equal, cushion socket |
| L5647 |
Below knee suction socket |
Addition to lower extremity, below knee suction socket |
| L5648 |
Above knee cushion socket |
Addition to lower extremity, above knee, air, fluid, gel or equal, cushion socket |
| L5649 |
Isch containmt/narrow m-l so |
Addition to lower extremity, ischial containment/narrow m-l socket |
| L5650 |
Tot contact ak/knee disart s |
Additions to lower extremity, total contact, above knee or knee disarticulation socket |
| L5651 |
Ak flex inner socket ext fra |
Addition to lower extremity, above knee, flexible inner socket, external frame |
| L5652 |
Suction susp ak/knee disart |
Addition to lower extremity, suction suspension, above knee or knee disarticulation socket |
| L5653 |
Knee disart expand wall sock |
Addition to lower extremity, knee disarticulation, expandable wall socket |
| L5654 |
Socket insert symes |
Addition to lower extremity, socket insert, symes, (kemblo, pelite, aliplast, plastazote or equal) |
| L5655 |
Socket insert below knee |
Addition to lower extremity, socket insert, below knee (kemblo, pelite, aliplast, plastazote or equal) |
| L5656 |
Socket insert knee articulat |
Addition to lower extremity, socket insert, knee disarticulation (kemblo, pelite, aliplast, plastazote or equal) |
| L5658 |
Socket insert above knee |
Addition to lower extremity, socket insert, above knee (kemblo, pelite, aliplast, plastazote or equal) |
| L5661 |
Multi-durometer symes |
Addition to lower extremity, socket insert, multi-durometer symes |
| L5665 |
Multi-durometer below knee |
Addition to lower extremity, socket insert, multi-durometer, below knee |
| L5666 |
Below knee cuff suspension |
Addition to lower extremity, below knee, cuff suspension |
| L5668 |
Bk molded distal cushion |
Addition to lower extremity, below knee, molded distal cushion |
| L5670 |
Bk molded supracondylar susp |
Addition to lower extremity, below knee, molded supracondylar suspension ('pts' or similar) |
| L5671 |
Bk/ak locking mechanism |
Addition to lower extremity, below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert |
| L5672 |
Bk removable medial brim sus |
Addition to lower extremity, below knee, removable medial brim suspension |
| L5673 |
Socket insert w lock mech |
Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanism |
| L5676 |
Bk knee joints single axis p |
Additions to lower extremity, below knee, knee joints, single axis, pair |
| L5677 |
Bk knee joints polycentric p |
Additions to lower extremity, below knee, knee joints, polycentric, pair |
| L5678 |
Bk joint covers pair |
Additions to lower extremity, below knee, joint covers, pair |
| L5679 |
Socket insert w/o lock mech |
Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mechanism |
| L5680 |
Bk thigh lacer non-molded |
Addition to lower extremity, below knee, thigh lacer, nonmolded |
| L5681 |
Intl custm cong/latyp insert |
Addition to lower extremity, below knee/above knee, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code l5673 or l5679) |
| L5682 |
Bk thigh lacer glut/ischia m |
Addition to lower extremity, below knee, thigh lacer, gluteal/ischial, molded |
| L5683 |
Initial custom socket insert |
Addition to lower extremity, below knee/above knee, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code l5673 or l5679) |
| L5684 |
Bk fork strap |
Addition to lower extremity, below knee, fork strap |
| L5685 |
Below knee sus/seal sleeve |
Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or without valve, any material, each |
| L5686 |
Bk back check |
Addition to lower extremity, below knee, back check (extension control) |
| L5688 |
Bk waist belt webbing |
Addition to lower extremity, below knee, waist belt, webbing |
| L5690 |
Bk waist belt padded and lin |
Addition to lower extremity, below knee, waist belt, padded and lined |
| L5692 |
Ak pelvic control belt light |
Addition to lower extremity, above knee, pelvic control belt, light |
| L5694 |
Ak pelvic control belt pad/l |
Addition to lower extremity, above knee, pelvic control belt, padded and lined |
| L5695 |
Ak sleeve susp neoprene/equa |
Addition to lower extremity, above knee, pelvic control, sleeve suspension, neoprene or equal, each |
| L5696 |
Ak/knee disartic pelvic join |
Addition to lower extremity, above knee or knee disarticulation, pelvic joint |
| L5697 |
Ak/knee disartic pelvic band |
Addition to lower extremity, above knee or knee disarticulation, pelvic band |
| L5698 |
Ak/knee disartic silesian ba |
Addition to lower extremity, above knee or knee disarticulation, silesian bandage |
| L5699 |
Shoulder harness |
All lower extremity prostheses, shoulder harness |
| L5700 |
Replace socket below knee |
Replacement, socket, below knee, molded to patient model |
| L5701 |
Replace socket above knee |
Replacement, socket, above knee/knee disarticulation, including attachment plate, molded to patient model |
| L5702 |
Replace socket hip |
Replacement, socket, hip disarticulation, including hip joint, molded to patient model |
| L5703 |
Symes ankle w/o (sach) foot |
Ankle, symes, molded to patient model, socket without solid ankle cushion heel (sach) foot, replacement only |
| L5704 |
Custom shape cover bk |
Custom shaped protective cover, below knee |
| L5705 |
Custom shape cover ak |
Custom shaped protective cover, above knee |
| L5706 |
Custom shape cvr knee disart |
Custom shaped protective cover, knee disarticulation |
| L5707 |
Custom shape cvr hip disart |
Custom shaped protective cover, hip disarticulation |
| L5710 |
Kne-shin exo sng axi mnl loc |
Addition, exoskeletal knee-shin system, single axis, manual lock |
| L5711 |
Knee-shin exo mnl lock ultra |
Additions exoskeletal knee-shin system, single axis, manual lock, ultra-light material |
| L5712 |
Knee-shin exo frict swg & st |
Addition, exoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee) |
| L5714 |
Knee-shin exo variable frict |
Addition, exoskeletal knee-shin system, single axis, variable friction swing phase control |
| L5716 |
Knee-shin exo mech stance ph |
Addition, exoskeletal knee-shin system, polycentric, mechanical stance phase lock |
| L5718 |
Knee-shin exo frct swg & sta |
Addition, exoskeletal knee-shin system, polycentric, friction swing and stance phase control |
| L5722 |
Knee-shin pneum swg frct exo |
Addition, exoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control |
| L5724 |
Knee-shin exo fluid swing ph |
Addition, exoskeletal knee-shin system, single axis, fluid swing phase control |
| L5726 |
Knee-shin ext jnts fld swg e |
Addition, exoskeletal knee-shin system, single axis, external joints fluid swing phase control |
| L5728 |
Knee-shin fluid swg & stance |
Addition, exoskeletal knee-shin system, single axis, fluid swing and stance phase control |
| L5780 |
Knee-shin pneum/hydra pneum |
Addition, exoskeletal knee-shin system, single axis, pneumatic/hydra pneumatic swing phase control |
| L5781 |
Lower limb pros vacuum pump |
Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system |
| L5782 |
Hd low limb pros vacuum pump |
Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system, heavy duty |
| L5783 |
Add low ext mec limb vol sys |
Addition to lower extremity, user adjustable, mechanical, residual limb volume management system |
| L5785 |
Exoskeletal bk ultralt mater |
Addition, exoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal) |
| L5790 |
Exoskeletal ak ultra-light m |
Addition, exoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal) |
| L5795 |
Exoskel hip ultra-light mate |
Addition, exoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal) |
| L5810 |
Endoskel knee-shin mnl lock |
Addition, endoskeletal knee-shin system, single axis, manual lock |
| L5811 |
Endo knee-shin mnl lck ultra |
Addition, endoskeletal knee-shin system, single axis, manual lock, ultra-light material |
| L5812 |
Endo knee-shin frct swg & st |
Addition, endoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee) |
| L5814 |
Endo knee-shin hydral swg ph |
Addition, endoskeletal knee-shin system, polycentric, hydraulic swing phase control, mechanical stance phase lock |
| L5816 |
Endo knee-shin polyc mch sta |
Addition, endoskeletal knee-shin system, polycentric, mechanical stance phase lock |
| L5818 |
Endo knee-shin frct swg & st |
Addition, endoskeletal knee-shin system, polycentric, friction swing, and stance phase control |
| L5822 |
Endo knee-shin pneum swg frc |
Addition, endoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control |
| L5824 |
Endo knee-shin fluid swing p |
Addition, endoskeletal knee-shin system, single axis, fluid swing phase control |
| L5826 |
Miniature knee joint |
Addition, endoskeletal knee-shin system, single axis, hydraulic swing phase control, with miniature high activity frame |
| L5828 |
Endo knee-shin fluid swg/sta |
Addition, endoskeletal knee-shin system, single axis, fluid swing and stance phase control |
| L5830 |
Endo knee-shin pneum/swg pha |
Addition, endoskeletal knee-shin system, single axis, pneumatic/ swing phase control |
| L5840 |
Multi-axial knee/shin system |
Addition, endoskeletal knee/shin system, 4-bar linkage or multiaxial, pneumatic swing phase control |
| L5841 |
Addition endoskletl knee-shi |
Addition, endoskeletal knee-shin system, polycentric, pneumatic swing, and stance phase control |
| L5845 |
Knee-shin sys stance flexion |
Addition, endoskeletal, knee-shin system, stance flexion feature, adjustable |
| L5848 |
Knee-shin sys hydraul stance |
Addition to endoskeletal knee-shin system, fluid stance extension, dampening feature, with or without adjustability |
| L5850 |
Endo ak/hip knee extens assi |
Addition, endoskeletal system, above knee or hip disarticulation, knee extension assist |
| L5855 |
Mech hip extension assist |
Addition, endoskeletal system, hip disarticulation, mechanical hip extension assist |
| L5856 |
Elec knee-shin swing/stance |
Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type |
| L5857 |
Elec knee-shin swing only |
Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing phase only, includes electronic sensor(s), any type |
| L5858 |
Stance phase only |
Addition to lower extremity prosthesis, endoskeletal knee shin system, microprocessor control feature, stance phase only, includes electronic sensor(s), any type |
| L5859 |
Knee-shin pro flex/ext cont |
Addition to lower extremity prosthesis, endoskeletal knee-shin system, powered and programmable flexion/extension assist control, includes any type motor(s) |
| L5910 |
Endo below knee alignable sy |
Addition, endoskeletal system, below knee, alignable system |
| L5920 |
Endo ak/hip alignable system |
Addition, endoskeletal system, above knee or hip disarticulation, alignable system |
| L5925 |
Above knee manual lock |
Addition, endoskeletal system, above knee, knee disarticulation or hip disarticulation, manual lock |
| L5926 |
Endoskel posit rotat unit |
Addition to lower extremity prosthesis, endoskeletal, knee disarticulation, above knee, hip disarticulation, positional rotation unit, any type |
| L5930 |
High activity knee frame |
Addition, endoskeletal system, high activity knee control frame |
| L5940 |
Endo bk ultra-light material |
Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal) |
| L5950 |
Endo ak ultra-light material |
Addition, endoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal) |
| L5960 |
Endo hip ultra-light materia |
Addition, endoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal) |
| L5961 |
Endo poly hip, pneu/hyd/rot |
Addition, endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control |
| L5962 |
Below knee flex cover system |
Addition, endoskeletal system, below knee, flexible protective outer surface covering system |
| L5964 |
Above knee flex cover system |
Addition, endoskeletal system, above knee, flexible protective outer surface covering system |
| L5966 |
Hip flexible cover system |
Addition, endoskeletal system, hip disarticulation, flexible protective outer surface covering system |
| L5968 |
Multiaxial ankle w dorsiflex |
Addition to lower limb prosthesis, multiaxial ankle with swing phase active dorsiflexion feature |
| L5969 |
Ak/ft power asst incl motors |
Addition, endoskeletal ankle-foot or ankle system, power assist, includes any type motor(s) |
| L5970 |
Foot external keel sach foot |
All lower extremity prostheses, foot, external keel, sach foot |
| L5971 |
Sach foot, replacement |
All lower extremity prosthesis, solid ankle cushion heel (sach) foot, replacement only |
| L5972 |
Flexible keel foot |
All lower extremity prostheses, foot, flexible keel |
| L5973 |
Ank-foot sys dors-plant flex |
Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source |
| L5974 |
Foot single axis ankle/foot |
All lower extremity prostheses, foot, single axis ankle/foot |
| L5975 |
Combo ankle/foot prosthesis |
All lower extremity prosthesis, combination single axis ankle and flexible keel foot |
| L5976 |
Energy storing foot |
All lower extremity prostheses, energy storing foot (seattle carbon copy ii or equal) |
| L5978 |
Ft prosth multiaxial ankl/ft |
All lower extremity prostheses, foot, multiaxial ankle/foot |
| L5979 |
Multi-axial ankle/ft prosth |
All lower extremity prosthesis, multi-axial ankle, dynamic response foot, one piece system |
| L5980 |
Flex foot system |
All lower extremity prostheses, flex foot system |
| L5981 |
Flex-walk sys low ext prosth |
All lower extremity prostheses, flex-walk system or equal |
| L5982 |
Exoskeletal axial rotation u |
All exoskeletal lower extremity prostheses, axial rotation unit |
| L5984 |
Endoskeletal axial rotation |
All endoskeletal lower extremity prosthesis, axial rotation unit, with or without adjustability |
| L5985 |
Lwr ext dynamic prosth pylon |
All endoskeletal lower extremity prostheses, dynamic prosthetic pylon |
| L5986 |
Multi-axial rotation unit |
All lower extremity prostheses, multi-axial rotation unit ('mcp' or equal) |
| L5987 |
Shank ft w vert load pylon |
All lower extremity prosthesis, shank foot system with vertical loading pylon |
| L5988 |
Vertical shock reducing pylo |
Addition to lower limb prosthesis, vertical shock reducing pylon feature |
| L5990 |
User adjustable heel height |
Addition to lower extremity prosthesis, user adjustable heel height |
| L5991 |
Low pros ext osseo connector |
Addition to lower extremity prostheses, osseointegrated external prosthetic connector |
| L5999 |
Lowr extremity prosthes nos |
Lower extremity prosthesis, not otherwise specified |
