L5682 – Addition to lower extremity, below knee, thigh lacer, gluteal/ischial, molded

Long description

Addition to lower extremity, below knee, thigh lacer, gluteal/ischial, molded

Short description

Bk thigh lacer glut/ischia m

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, 1986 – No change

Nearby L codes

• 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
• 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)
• 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
• L5685 – Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or without valve, any material, each
• L5686 – Addition to lower extremity, below knee, back check (extension control)
• L5688 – Addition to lower extremity, below knee, waist belt, webbing
• L5690 – Addition to lower extremity, below knee, waist belt, padded and lined
• L5692 – Addition to lower extremity, above knee, pelvic control belt, light
• L5694 – Addition to lower extremity, above knee, pelvic control belt, padded and lined