L5676 – Additions to lower extremity, below knee, knee joints, single axis, pair

Long description

Additions to lower extremity, below knee, knee joints, single axis, pair

Short description

Bk knee joints single axis p

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, 1986

Last change

January 1, 1996 – No change

Nearby L codes

• L5661 – Addition to lower extremity, socket insert, multi-durometer symes
• 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
• L5677 – Additions to lower extremity, below knee, knee joints, polycentric, pair
• L5678 – Additions to lower extremity, below knee, joint covers, pair
• L5679 – 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, not for use with locking mechanism
• L5680 – Addition to lower extremity, below knee, thigh lacer, nonmolded
• L5681 – Addition to lower extremity, below knee/above knee, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code l5673 or l5679)
• L5682 – Addition to lower extremity, below knee, thigh lacer, gluteal/ischial, molded
• L5683 – Addition to lower extremity, below knee/above knee, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code l5673 or l5679)
• L5684 – Addition to lower extremity, below knee, fork strap