L5695 – Addition to lower extremity, above knee, pelvic control, sleeve suspension, neoprene or equal, each
HCPCS Level II code · L codes: Orthotic and Prosthetic Procedures and Devices
HCPCS codeL5695
- Long description
- Addition to lower extremity, above knee, pelvic control, sleeve suspension, neoprene or equal, each
- Short description
- Ak sleeve susp neoprene/equa
- 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, 1989
- Last change
- January 1, 1996 – No change
Frequently asked questions
What is HCPCS code L5695?
L5695 is a HCPCS Level II code for addition to lower extremity, above knee, pelvic control, sleeve suspension, neoprene or equal, each.
Does Medicare cover L5695?
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
- 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
- L5696 – Addition to lower extremity, above knee or knee disarticulation, pelvic joint
- L5697 – Addition to lower extremity, above knee or knee disarticulation, pelvic band
- L5698 – Addition to lower extremity, above knee or knee disarticulation, silesian bandage
- L5699 – All lower extremity prostheses, shoulder harness
- L5700 – Replacement, socket, below knee, molded to patient model
- L5701 – Replacement, socket, above knee/knee disarticulation, including attachment plate, molded to patient model
- L5702 – Replacement, socket, hip disarticulation, including hip joint, molded to patient model
- L5703 – Ankle, symes, molded to patient model, socket without solid ankle cushion heel (sach) foot, replacement only
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.