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

Long description

Addition to lower extremity, above knee or knee disarticulation, pelvic band

Short description

Ak/knee disartic pelvic band

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

• 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
• 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
• L5704 – Custom shaped protective cover, below knee
• L5705 – Custom shaped protective cover, above knee