L5430 HCPCS - 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

Code Information

  • HCPCS Code: L5430
  • Sequence Number: 0010
  • Short Description: Postop dsg ak ea add cast ch
  • Long Description: 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
  • Date Added: 1/1/1986
  • Action Code: N - No maintenance for this code
  • Action Effective Date: 1/1/1996
  • Classification: Orthotic/Prosthetic Procedures
  • Coding System: HCPCS

Code Type

  • Berenson-Eggers Type Of Service Code: D1F - Prosthetic/Orthotic devices
  • Type Of Service Code:
    • P - Lump sum purchase of DME, prosthetics, orthotics

Billing Information

  • Pricing Indicator Code:
    • 38 - Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)
  • Multiple Pricing Indicator Code: A - Not applicable as HCPCS priced under one methodology
  • 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 L5430
      HCPCS Sequence Number 0010
      HCPCS Record Identification Code 3 - First line of procedure record also contains detail information in positions 92-275
      HCPCS Long Description 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
      HCPCS Short Description Postop dsg ak ea add cast ch
      HCPCS Pricing Indicator Code 1 38 - Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)
      HCPCS Multiple Pricing Indicator Code A - Not applicable as HCPCS priced under one methodology
      HCPCS Coverage Code C - Carrier judgment
      HCPCS Berenson-Eggers Type Of Service Code D1F - Prosthetic/Orthotic devices
      HCPCS Type Of Service Code 1 P - Lump sum purchase of DME, prosthetics, orthotics
      HCPCS Anesthesia Base Unit Quantity 0
      HCPCS Code Added Date 1/1/1986
      HCPCS Action Effective Date 1/1/1996
      HCPCS Action Code N - No maintenance for this code

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      This page was last updated on: 7/1/2024