L5200 – Above knee, molded socket, single axis constant friction knee, shin, sach foot
HCPCS Level II code · L codes: Orthotic and Prosthetic Procedures and Devices
HCPCS codeL5200
- Long description
- Above knee, molded socket, single axis constant friction knee, shin, sach foot
- Short description
- Kne sing axis fric shin sach
- 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 L5200?
L5200 is a HCPCS Level II code for above knee, molded socket, single axis constant friction knee, shin, sach foot.
Does Medicare cover L5200?
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
- 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
- L5100 – Below knee, molded socket, shin, sach 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
- 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
- L5270 – Hip disarticulation, tilt table type; molded socket, locking hip joint, single axis constant friction knee, shin, sach foot
- L5280 – Hemipelvectomy, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach foot
- L5301 – Below knee, molded socket, shin, sach foot, endoskeletal system
- L5312 – Knee disarticulation (or through knee), molded socket, single axis knee, pylon, sach foot, endoskeletal system
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.