L5100 – Below knee, molded socket, shin, sach foot
HCPCS Level II code · L codes: Orthotic and Prosthetic Procedures and Devices
HCPCS codeL5100
- Long description
- Below knee, molded socket, shin, sach foot
- Short description
- Molded socket shin sach foot
- Pricing indicator
38Orthotics, prosthetics, prosthetic devices & vision services- Medicare coverage
CCarrier judgment – coverage decided by the Medicare contractor- BETOS category
D1FProsthetic/Orthotic devices- Added
- January 1, 1982
- Last change
- January 1, 1996 – No change
Frequently asked questions
What is HCPCS code L5100?
L5100 is a HCPCS Level II code for below knee, molded socket, shin, sach foot.
Does Medicare cover L5100?
The HCPCS file lists coverage code C: Carrier judgment – coverage decided by the Medicare contractor. Coverage and payment also depend on local coverage determinations and the patient’s plan.
Nearby L codes
- L4397 – Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf
- L4398 – Foot drop splint, recumbent positioning device, prefabricated, off-the-shelf
- L4631 – Ankle foot orthosis, walking boot type, varus/valgus correction, rocker bottom, anterior tibial shell, soft interface, custom arch support, plastic or other material, includes straps and closures, custom fabricated
- 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
- L5105 – Below knee, plastic socket, joints and thigh lacer, sach foot
- L5150 – Knee disarticulation (or through knee), molded socket, external knee joints, shin, sach foot
- L5160 – Knee disarticulation (or through knee), molded socket, bent knee configuration, external knee joints, shin, sach foot
- L5200 – Above knee, molded socket, single axis constant friction knee, shin, sach foot
- L5210 – Above knee, short prosthesis, no knee joint ('stubbies'), with foot blocks, no ankle joints, each
- L5220 – Above knee, short prosthesis, no knee joint ('stubbies'), with articulated ankle/foot, dynamically aligned, each
- L5230 – Above knee, for proximal femoral focal deficiency, constant friction knee, shin, sach foot
- L5250 – Hip disarticulation, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach foot
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.