L5701 – Replacement, socket, above knee/knee disarticulation, including attachment plate, molded to patient model

Long description

Replacement, socket, above knee/knee disarticulation, including attachment plate, molded to patient model

Short description

Replace socket above knee

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, 1994

Last change

January 1, 1994 – No change

Nearby L codes

• 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
• 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
• 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
• L5706 – Custom shaped protective cover, knee disarticulation
• L5707 – Custom shaped protective cover, hip disarticulation
• L5710 – Addition, exoskeletal knee-shin system, single axis, manual lock
• L5711 – Additions exoskeletal knee-shin system, single axis, manual lock, ultra-light material