L5661 – Addition to lower extremity, socket insert, multi-durometer symes

Long description

Addition to lower extremity, socket insert, multi-durometer symes

Short description

Multi-durometer symes

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, 1988

Last change

January 1, 1996 – No change

Nearby L codes

• L5651 – Addition to lower extremity, above knee, flexible inner socket, external frame
• L5652 – Addition to lower extremity, suction suspension, above knee or knee disarticulation socket
• L5653 – Addition to lower extremity, knee disarticulation, expandable wall socket
• L5654 – Addition to lower extremity, socket insert, symes, (kemblo, pelite, aliplast, plastazote or equal)
• L5655 – Addition to lower extremity, socket insert, below knee (kemblo, pelite, aliplast, plastazote or equal)
• L5656 – Addition to lower extremity, socket insert, knee disarticulation (kemblo, pelite, aliplast, plastazote or equal)
• L5657 – Addition to lower extremity prosthesis, manual/automated adjustable air, fluid, gel or equal socket insert for limb volume management, any materials
• L5658 – Addition to lower extremity, socket insert, above knee (kemblo, pelite, aliplast, plastazote or equal)
• L5665 – Addition to lower extremity, socket insert, multi-durometer, below knee
• L5666 – Addition to lower extremity, below knee, cuff suspension
• L5668 – Addition to lower extremity, below knee, molded distal cushion
• L5670 – Addition to lower extremity, below knee, molded supracondylar suspension ('pts' or similar)
• L5671 – Addition to lower extremity, below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert
• L5672 – Addition to lower extremity, below knee, removable medial brim suspension
• L5673 – Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric, or equal, with or without perforations, with or without breathable material, for use with locking mechanism
• L5676 – Additions to lower extremity, below knee, knee joints, single axis, pair