L5684 – Addition to lower extremity, below knee, fork strap
HCPCS Level II code · L codes: Orthotic and Prosthetic Procedures and Devices
HCPCS codeL5684
- Long description
- Addition to lower extremity, below knee, fork strap
- Short description
- Bk fork strap
- 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, 1986
- Last change
- January 1, 1986 – No change
Frequently asked questions
What is HCPCS code L5684?
L5684 is a HCPCS Level II code for addition to lower extremity, below knee, fork strap.
Does Medicare cover L5684?
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
- 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)
- 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)
- 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
- L5695 – Addition to lower extremity, above knee, pelvic control, sleeve suspension, neoprene or equal, each
- L5696 – Addition to lower extremity, above knee or knee disarticulation, pelvic joint
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.