K4 HCPCS - LOWER EXTREMITY PROSTHESIS FUNCTIONAL LEVEL 4 - HAS THE ABILITY OR POTENTIAL FOR PROSTHETIC AMBULATION THAT EXCEEDS THE BASIC AMBULATION SKILLS, EXHIBITING HIGH IMPACT, STRESS, OR ENERGY LEVELS, TYPICAL OF THE PROSTHETIC DEMANDS OF THE CHILD, ACTIVE ADULT, OR ATHLETE.

Code Information

HCPCS Code: K4
Sequence Number: 0010
Short Description: Lwr ext prost functnl lvl 4
Long Description: Lower extremity prosthesis functional level 4 - has the ability or potential for prosthetic ambulation that exceeds the basic ambulation skills, exhibiting high impact, stress, or energy levels, typical of the prosthetic demands of the child, active adult, or athlete.
Date Added: 1/1/1993
Action Code: N - No maintenance for this code
Action Effective Date: 1/1/1997
Classification: Temporary Codes for Durable Medical Equipment Regional Carriers
Coding System: HCPCS

Field Name	Field Value
Healthcare Common Procedure Coding System Code	K4
HCPCS Sequence Number	0010
HCPCS Record Identification Code	7 - First line of modifier record also contains detail information in positions 92-275
HCPCS Long Description	Lower extremity prosthesis functional level 4 - has the ability or potential for prosthetic ambulation that exceeds the basic ambulation skills, exhibiting high impact, stress, or energy levels, typical of the prosthetic demands of the child, active adult, or athlete.
HCPCS Short Description	Lwr ext prost functnl lvl 4
HCPCS Coverage Code	C - Carrier judgment
HCPCS Code Added Date	1/1/1993
HCPCS Action Effective Date	1/1/1997
HCPCS Action Code	N - No maintenance for this code