L5613 – Addition to lower extremity, endoskeletal system, above knee-knee disarticulation, 4 bar linkage, with hydraulic swing phase control

Long description

Addition to lower extremity, endoskeletal system, above knee-knee disarticulation, 4 bar linkage, with hydraulic swing phase control

Short description

Ak 4 bar ling w/hydraul swig

Pricing indicator

38 Orthotics, prosthetics, prosthetic devices & vision services

Medicare coverage

C Carrier judgment – coverage decided by the Medicare contractor

BETOS category

D1F Prosthetic/Orthotic devices

Added

January 1, 1989

Last change

January 1, 1996 – No change

Nearby L codes

• L5570 – Preparatory, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, direct formed
• L5580 – Preparatory, above knee - knee disarticulation ischial level socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, molded to model
• L5585 – Preparatory, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, prefabricated adjustable open end socket
• L5590 – Preparatory, above knee - knee disarticulation ischial level socket, non-alignable system, pylon no cover, sach foot, laminated socket, molded to model
• L5595 – Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot, thermoplastic or equal, molded to patient model
• L5600 – Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot, laminated socket, molded to patient model
• L5610 – Addition to lower extremity, endoskeletal system, above knee, hydracadence system
• L5611 – Addition to lower extremity, endoskeletal system, above knee - knee disarticulation, 4 bar linkage, with friction swing phase control
• L5614 – Addition to lower extremity, exoskeletal system, above knee-knee disarticulation, 4 bar linkage, with pneumatic swing phase control
• L5615 – Addition, endoskeletal knee-shin system, 4 bar linkage or multiaxial, fluid swing and stance phase control
• L5616 – Addition to lower extremity, endoskeletal system, above knee, universal multiplex system, friction swing phase control
• L5617 – Addition to lower extremity, quick change self-aligning unit, above knee or below knee, each
• L5618 – Addition to lower extremity, test socket, symes
• L5620 – Addition to lower extremity, test socket, below knee
• L5622 – Addition to lower extremity, test socket, knee disarticulation
• L5624 – Addition to lower extremity, test socket, above knee