L5858 – Addition to lower extremity prosthesis, endoskeletal knee shin system, microprocessor control feature, stance phase only, includes electronic sensor(s), any type
HCPCS Level II code · L codes: Orthotic and Prosthetic Procedures and Devices
HCPCS codeL5858
- Long description
- Addition to lower extremity prosthesis, endoskeletal knee shin system, microprocessor control feature, stance phase only, includes electronic sensor(s), any type
- Short description
- Stance phase only
- 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, 2006
- Last change
- January 1, 2006 – No change
Frequently asked questions
What is HCPCS code L5858?
L5858 is a HCPCS Level II code for addition to lower extremity prosthesis, endoskeletal knee shin system, microprocessor control feature, stance phase only, includes electronic sensor(s), any type.
Does Medicare cover L5858?
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
- L5840 – Addition, endoskeletal knee/shin system, 4-bar linkage or multiaxial, pneumatic swing phase control
- L5841 – Addition, endoskeletal knee-shin system, polycentric, pneumatic swing, and stance phase control
- L5845 – Addition, endoskeletal, knee-shin system, stance flexion feature, adjustable
- L5848 – Addition to endoskeletal knee-shin system, fluid stance extension, dampening feature, with or without adjustability
- L5850 – Addition, endoskeletal system, above knee or hip disarticulation, knee extension assist
- L5855 – Addition, endoskeletal system, hip disarticulation, mechanical hip extension assist
- L5856 – Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type
- L5857 – Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing phase only, includes electronic sensor(s), any type
- L5859 – Addition to lower extremity prosthesis, endoskeletal knee-shin system, powered and programmable flexion/extension assist control, includes any type motor(s)
- L5910 – Addition, endoskeletal system, below knee, alignable system
- L5920 – Addition, endoskeletal system, above knee or hip disarticulation, alignable system
- L5925 – Addition, endoskeletal system, above knee, knee disarticulation or hip disarticulation, manual lock
- L5926 – Addition to lower extremity prosthesis, endoskeletal, knee disarticulation, above knee, hip disarticulation, positional rotation unit, any type
- L5930 – Addition, endoskeletal system, high activity knee control frame
- L5940 – Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal)
- L5950 – Addition, endoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal)
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.