L5685 – Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or without valve, any material, each

Long description

Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or without valve, any material, each

Short description

Below knee sus/seal sleeve

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, 2005

Last change

January 1, 2005 – No change

Nearby L codes

• 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
• 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
• L5697 – Addition to lower extremity, above knee or knee disarticulation, pelvic band