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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.

Code Added Date: 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

Code Type

Berenson-Eggers Type Of Service Code: N/A
Type Of Service Code:
    N/A

    Billing Information

    Pricing Indicator Code:
      N/A
      Multiple Pricing Indicator Code: N/A
      Coverage Issues Manual Reference Section Number:
        N/A
        Medicare Carriers Manual Reference Section Number:
          N/A
          Coverage Code: C - Carrier judgment

          HCPCS Record

          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

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          This page was last updated on: 1/1/2018