L5331-Hip disarticulation, canadian type, molded socket, endoskeletal system, hip joint, single axis knee, sach foot
The following add-on codes may be used for this base code (only code for what you use):
Frequently Related
L5920- above knee or hip disarticulation, alignable system
L5650- Total contact, above knee or knee disarticulation socket x1ea
L5626- Test socket, hip disarticulation
L5628- Test socket, hemipelvectomy
L5960- Endoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal)
Socket
L5631- Above knee or knee disarticulation, acrylic socket
L5643- Hip disarticulation, flexible inner socket, external frame
L5649- Ischial containment/narrow m-l socket
Socket Inserts
L5673- Socket insert, silicone gel, elastomeric or equal, for use with locking mechanism
L5679- Socket insert w/o lock mech (custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mechanism)
L5681- 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)
L5683- Initial custom socket insert (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))
Hip Joint
L5961- endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control
Endo Knees
L5850-above knee or hip disarticulation, knee extension assist
L5611-K1- 4 bar linkage, with friction swing phase control
L5613-K3- 4 bar linkage, with hydraulic swing phase control
L5616-K1- Above knee, universal multiplex system, friction swing phase control
L5810-K1- Single axis, manual lock
L5811-K1- Single axis, manual lock, ultra-light material
L5812-K1- Single axis, friction swing and stance phase control (safety knee)
L5814-K3- Polycentric, hydraulic swing phase control, mechanical stance phase lock
L5816-K1- Polycentric, mechanical stance phase lock
L5818-K1- Polycentric, friction swing, and stance phase control
L5822-K3- Single axis, pneumatic swing, friction stance phase control
L5824-K3- Single axis, fluid swing phase control
L5826-K3- Single axis, hydraulic swing phase control, with miniature high activity frame
L5828-K3- Single axis, fluid swing and stance phase control
L5830-K3- Single axis, pneumatic/ swing phase control
L5840-K3- 4-bar linkage or multiaxial, pneumatic swing phase control
L5845-K1- Stance flexion feature, adjustable
L5848-K3- Fluid stance extension, dampening feature, with or without adjustability
L5856-K3- Microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type
L5857-K3- Microprocessor control feature, swing phase only, includes electronic sensor(s), any type
L5859- Powered and programmable flexion/extension assist control, includes any type motor(s)
L5925-K1- Above knee, knee disarticulation or hip disarticulation, manual lock
L5930-K4- High activity knee control frame
Feet/Ankles
L5968- Multiaxial ankle w dorsiflex
L5972-K2- Flexible keel foot
L5973-K3- Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source
L5974-K1- Foot single axis ankle/foot
L5975-K2- Combination single axis ankle and flexible keel foot
L5976-K3- Energy storing foot (seattle carbon copy ii or equal)
L5978-K2- Ft prosth multiaxial ankl/ft
L5979-K3- Multi-axial ankle, dynamic response foot, one piece system
L5980-K3- Flex foot system
L5981-K3- Flex-walk sys low ext prosth
L5984-K2- Axial rotation unit, with or without adjustability
L5986-K2- Multi-axial rotation unit
L5987-K3- shank foot system with vertical loading pylon
L5990- User adjustable heel height
Socks-generally limited to 12 total socks, 2 shrinker
L8410- Prosthetic sheath, above knee, each
L8417- Prosthetic sheath/sock, including a gel cushion layer, below knee or above knee, each
L8430- Prosthetic sock, multiple ply, above knee, each
L8460- Shrinker above knee
L8480- Pros sock single ply ak
Miscellaneous
L5617- quick change self-aligning unit, above knee or below knee, each
L5671- below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert
L5781- Vacuum pump, residual limb volume management and moisture evacuation system
L5782- Vacuum pump, residual limb volume management and moisture evacuation system, heavy duty
L5855- hip disarticulation, mechanical hip extension assist
L5699- All lower extremity prostheses, shoulder harness
L5985- Lwr ext dynamic prosth pylon
L5988- Vertical shock reducing pylo
L5971- solid ankle cushion heel (sach) foot, replacement only
L5707- Custom shaped protective cover, hip disarticulation
L5966- Addition, endoskeletal system, hip disarticulation, flexible protective outer surface covering system
Repairs
L7510- Repair of prosthetic device, repair or replace minor parts
L7520- Repair prosthetic device, labor component, per 15 minutes
L5341-Hemipelvectomy, canadian type, molded socket, endoskeletal system, hip joint, single axis knee, sach foot
The following add-on codes may be used for this base code (only code for what you use):
Frequently Related
L5920- above knee or hip disarticulation, alignable system
L5650- Total contact, above knee or knee disarticulation socket x1ea
L5626- Test socket, hip disarticulation
L5628- Test socket, hemipelvectomy
L5960- Endoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal)
Socket
L5631- Above knee or knee disarticulation, acrylic socket
L5643- Hip disarticulation, flexible inner socket, external frame
L5649- Ischial containment/narrow m-l socket
Socket Inserts
L5673- Socket insert, silicone gel, elastomeric or equal, for use with locking mechanism
L5679- Socket insert w/o lock mech (custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mechanism)
L5681- 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)
L5683- Initial custom socket insert (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))
Hip Joint
L5961- endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control
Endo Knees
L5850-above knee or hip disarticulation, knee extension assist
L5611-K1- 4 bar linkage, with friction swing phase control
L5613-K3- 4 bar linkage, with hydraulic swing phase control
L5616-K1- Above knee, universal multiplex system, friction swing phase control
L5810-K1- Single axis, manual lock
L5811-K1- Single axis, manual lock, ultra-light material
L5812-K1- Single axis, friction swing and stance phase control (safety knee)
L5814-K3- Polycentric, hydraulic swing phase control, mechanical stance phase lock
L5816-K1- Polycentric, mechanical stance phase lock
L5818-K1- Polycentric, friction swing, and stance phase control
L5822-K3- Single axis, pneumatic swing, friction stance phase control
L5824-K3- Single axis, fluid swing phase control
L5826-K3- Single axis, hydraulic swing phase control, with miniature high activity frame
L5828-K3- Single axis, fluid swing and stance phase control
L5830-K3- Single axis, pneumatic/ swing phase control
L5840-K3- 4-bar linkage or multiaxial, pneumatic swing phase control
L5845-K1- Stance flexion feature, adjustable
L5848-K3- Fluid stance extension, dampening feature, with or without adjustability
L5856-K3- Microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type
L5857-K3- Microprocessor control feature, swing phase only, includes electronic sensor(s), any type
L5859- Powered and programmable flexion/extension assist control, includes any type motor(s)
L5925-K1- Above knee, knee disarticulation or hip disarticulation, manual lock
L5930-K4- High activity knee control frame
Feet/Ankles
L5968- Multiaxial ankle w dorsiflex
L5972-K2- Flexible keel foot
L5973-K3- Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source
L5974-K1- Foot single axis ankle/foot
L5975-K2- Combination single axis ankle and flexible keel foot
L5976-K3- Energy storing foot (seattle carbon copy ii or equal)
L5978-K2- Ft prosth multiaxial ankl/ft
L5979-K3- Multi-axial ankle, dynamic response foot, one piece system
L5980-K3- Flex foot system
L5981-K3- Flex-walk sys low ext prosth
L5984-K2- Axial rotation unit, with or without adjustability
L5986-K2- Multi-axial rotation unit
L5987-K3- shank foot system with vertical loading pylon
L5990- User adjustable heel height
Socks-generally limited to 12 total socks, 2 shrinker
L8410- Prosthetic sheath, above knee, each
L8417- Prosthetic sheath/sock, including a gel cushion layer, below knee or above knee, each
L8430- Prosthetic sock, multiple ply, above knee, each
L8460- Shrinker above knee
L8480- Pros sock single ply ak
Miscellaneous
L5617- quick change self-aligning unit, above knee or below knee, each
L5671- below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert
L5781- Vacuum pump, residual limb volume management and moisture evacuation system
L5782- Vacuum pump, residual limb volume management and moisture evacuation system, heavy duty
L5855- hip disarticulation, mechanical hip extension assist
L5699- All lower extremity prostheses, shoulder harness
L5985- Lwr ext dynamic prosth pylon
L5988- Vertical shock reducing pylo
L5971- solid ankle cushion heel (sach) foot, replacement only
Repairs
L7510- Repair of prosthetic device, repair or replace minor parts
L7520- Repair prosthetic device, labor component, per 15 minutes
L5595-Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot, thermoplastic or equal, molded to patient model
The following add-on codes may be used for this base code (only code for what you use):
Frequently Related
L5920- above knee or hip disarticulation, alignable system
L5650- Total contact, above knee or knee disarticulation socket x1ea
L5626- Test socket, hip disarticulation
L5628- Test socket, hemipelvectomy
Socket
L5643- Hip disarticulation, flexible inner socket, external frame
L5649- Ischial containment/narrow m-l socket
Socket Inserts
L5673- Socket insert, silicone gel, elastomeric or equal, for use with locking mechanism
L5679- Socket insert w/o lock mech (custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mechanism)
L5681- 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)
L5683- Initial custom socket insert (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))
Hip Joint
L5961- endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control
Endo Knees
L5850-above knee or hip disarticulation, knee extension assist
L5611-K1- 4 bar linkage, with friction swing phase control
L5613-K3- 4 bar linkage, with hydraulic swing phase control
L5616-K1- Above knee, universal multiplex system, friction swing phase control
L5810-K1- Single axis, manual lock
L5811-K1- Single axis, manual lock, ultra-light material
L5812-K1- Single axis, friction swing and stance phase control (safety knee)
L5814-K3- Polycentric, hydraulic swing phase control, mechanical stance phase lock
L5816-K1- Polycentric, mechanical stance phase lock
L5818-K1- Polycentric, friction swing, and stance phase control
L5822-K3- Single axis, pneumatic swing, friction stance phase control
L5824-K3- Single axis, fluid swing phase control
L5826-K3- Single axis, hydraulic swing phase control, with miniature high activity frame
L5828-K3- Single axis, fluid swing and stance phase control
L5830-K3- Single axis, pneumatic/ swing phase control
L5840-K3- 4-bar linkage or multiaxial, pneumatic swing phase control
L5845-K1- Stance flexion feature, adjustable
L5848-K3- Fluid stance extension, dampening feature, with or without adjustability
L5856-K3- Microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type
L5857-K3- Microprocessor control feature, swing phase only, includes electronic sensor(s), any type
L5859- Powered and programmable flexion/extension assist control, includes any type motor(s)
L5925-K1- Above knee, knee disarticulation or hip disarticulation, manual lock
L5930-K4- High activity knee control frame
Feet/Ankles
L5968- Multiaxial ankle w dorsiflex
L5972-K2- Flexible keel foot
L5973-K3- Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source
L5974-K1- Foot single axis ankle/foot
L5975-K2- Combination single axis ankle and flexible keel foot
L5976-K3- Energy storing foot (seattle carbon copy ii or equal)
L5978-K2- Ft prosth multiaxial ankl/ft
L5979-K3- Multi-axial ankle, dynamic response foot, one piece system
L5980-K3- Flex foot system
L5981-K3- Flex-walk sys low ext prosth
L5984-K2- Axial rotation unit, with or without adjustability
L5986-K2- Multi-axial rotation unit
L5987-K3- shank foot system with vertical loading pylon
L5990- User adjustable heel height
Socks-generally limited to 12 total socks, 2 shrinker
L8410- Prosthetic sheath, above knee, each
L8417- Prosthetic sheath/sock, including a gel cushion layer, below knee or above knee, each
L8430- Prosthetic sock, multiple ply, above knee, each
L8460- Shrinker above knee
L8480- Pros sock single ply ak
Miscellaneous
L5671- below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert
L5855- hip disarticulation, mechanical hip extension assist
L5699- All lower extremity prostheses, shoulder harness
L5985- Lwr ext dynamic prosth pylon
L5988- Vertical shock reducing pylon
L5600-Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot, laminated socket, molded to patient model
The following add-on codes may be used for this base code (only code for what you use):
Frequently Related
L5920- above knee or hip disarticulation, alignable system
L5650- Total contact, above knee or knee disarticulation socket x1ea
L5626- Test socket, hip disarticulation
L5628- Test socket, hemipelvectomy
Socket
L5643- Hip disarticulation, flexible inner socket, external frame
L5649- Ischial containment/narrow m-l socket
Socket Inserts
L5673- Socket insert, silicone gel, elastomeric or equal, for use with locking mechanism
L5679- Socket insert w/o lock mech (custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mechanism)
L5681- 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)
L5683- Initial custom socket insert (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))
Hip Joint
L5961- endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control
Endo Knees
L5850-above knee or hip disarticulation, knee extension assist
L5611-K1- 4 bar linkage, with friction swing phase control
L5613-K3- 4 bar linkage, with hydraulic swing phase control
L5616-K1- Above knee, universal multiplex system, friction swing phase control
L5810-K1- Single axis, manual lock
L5811-K1- Single axis, manual lock, ultra-light material
L5812-K1- Single axis, friction swing and stance phase control (safety knee)
L5814-K3- Polycentric, hydraulic swing phase control, mechanical stance phase lock
L5816-K1- Polycentric, mechanical stance phase lock
L5818-K1- Polycentric, friction swing, and stance phase control
L5822-K3- Single axis, pneumatic swing, friction stance phase control
L5824-K3- Single axis, fluid swing phase control
L5826-K3- Single axis, hydraulic swing phase control, with miniature high activity frame
L5828-K3- Single axis, fluid swing and stance phase control
L5830-K3- Single axis, pneumatic/ swing phase control
L5840-K3- 4-bar linkage or multiaxial, pneumatic swing phase control
L5845-K1- Stance flexion feature, adjustable
L5848-K3- Fluid stance extension, dampening feature, with or without adjustability
L5856-K3- Microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type
L5857-K3- Microprocessor control feature, swing phase only, includes electronic sensor(s), any type
L5859- Powered and programmable flexion/extension assist control, includes any type motor(s)
L5925-K1- Above knee, knee disarticulation or hip disarticulation, manual lock
L5930-K4- High activity knee control frame
Feet/Ankles
L5968- Multiaxial ankle w dorsiflex
L5972-K2- Flexible keel foot
L5973-K3- Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source
L5974-K1- Foot single axis ankle/foot
L5975-K2- Combination single axis ankle and flexible keel foot
L5976-K3- Energy storing foot (seattle carbon copy ii or equal)
L5978-K2- Ft prosth multiaxial ankl/ft
L5979-K3- Multi-axial ankle, dynamic response foot, one piece system
L5980-K3- Flex foot system
L5981-K3- Flex-walk sys low ext prosth
L5984-K2- Axial rotation unit, with or without adjustability
L5986-K2- Multi-axial rotation unit
L5987-K3- shank foot system with vertical loading pylon
L5990- User adjustable heel height
Socks-generally limited to 12 total socks, 2 shrinker
L8410- Prosthetic sheath, above knee, each
L8417- Prosthetic sheath/sock, including a gel cushion layer, below knee or above knee, each
L8430- Prosthetic sock, multiple ply, above knee, each
L8460- Shrinker above knee
L8480- Pros sock single ply ak
Miscellaneous
L5617- quick change self-aligning unit, above knee or below knee, each
L5671- below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert
L5855- hip disarticulation, mechanical hip extension assist
L5699- All lower extremity prostheses, shoulder harness
L5985- Lwr ext dynamic prosth pylon
L5988- Vertical shock reducing pylon
L5702-Replacement, socket, hip disarticulation, including hip joint, molded to patient model
The following add-on codes may be used for this base code (only code for what you use):
Frequently Related
L5920- above knee or hip disarticulation, alignable system
L5650- Total contact, above knee or knee disarticulation socket x1ea
L5626- Test socket, hip disarticulation
L5628- Test socket, hemipelvectomy
L5960- Endoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal)
Socket
L5631- Above knee or knee disarticulation, acrylic socket
L5643- Hip disarticulation, flexible inner socket, external frame
L5649- Ischial containment/narrow m-l socket
Socket Inserts
L5673- Socket insert, silicone gel, elastomeric or equal, for use with locking mechanism
L5679- Socket insert w/o lock mech (custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mechanism)
L5681- 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)
L5683- Initial custom socket insert (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))
Hip Joint
L5961- endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control
Endo Knees
L5850-above knee or hip disarticulation, knee extension assist
L5611-K1- 4 bar linkage, with friction swing phase control
L5613-K3- 4 bar linkage, with hydraulic swing phase control
L5616-K1- Above knee, universal multiplex system, friction swing phase control
L5810-K1- Single axis, manual lock
L5811-K1- Single axis, manual lock, ultra-light material
L5812-K1- Single axis, friction swing and stance phase control (safety knee)
L5814-K3- Polycentric, hydraulic swing phase control, mechanical stance phase lock
L5816-K1- Polycentric, mechanical stance phase lock
L5818-K1- Polycentric, friction swing, and stance phase control
L5822-K3- Single axis, pneumatic swing, friction stance phase control
L5824-K3- Single axis, fluid swing phase control
L5826-K3- Single axis, hydraulic swing phase control, with miniature high activity frame
L5828-K3- Single axis, fluid swing and stance phase control
L5830-K3- Single axis, pneumatic/ swing phase control
L5840-K3- 4-bar linkage or multiaxial, pneumatic swing phase control
L5845-K1- Stance flexion feature, adjustable
L5848-K3- Fluid stance extension, dampening feature, with or without adjustability
L5856-K3- Microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type
L5857-K3- Microprocessor control feature, swing phase only, includes electronic sensor(s), any type
L5859- Powered and programmable flexion/extension assist control, includes any type motor(s)
L5925-K1- Above knee, knee disarticulation or hip disarticulation, manual lock
L5930-K4- High activity knee control frame
Feet/Ankles
L5968- Multiaxial ankle w dorsiflex
L5972-K2- Flexible keel foot
L5973-K3- Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source
L5974-K1- Foot single axis ankle/foot
L5975-K2- Combination single axis ankle and flexible keel foot
L5976-K3- Energy storing foot (seattle carbon copy ii or equal)
L5978-K2- Ft prosth multiaxial ankl/ft
L5979-K3- Multi-axial ankle, dynamic response foot, one piece system
L5980-K3- Flex foot system
L5981-K3- Flex-walk sys low ext prosth
L5984-K2- Axial rotation unit, with or without adjustability
L5986-K2- Multi-axial rotation unit
L5987-K3- shank foot system with vertical loading pylon
L5990- User adjustable heel height
Socks-generally limited to 12 total socks, 2 shrinker
L8410- Prosthetic sheath, above knee, each
L8417- Prosthetic sheath/sock, including a gel cushion layer, below knee or above knee, each
L8430- Prosthetic sock, multiple ply, above knee, each
L8460- Shrinker above knee
L8480- Pros sock single ply ak
Miscellaneous
L5617- quick change self-aligning unit, above knee or below knee, each
L5671- below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert
L5781- Vacuum pump, residual limb volume management and moisture evacuation system
L5782- Vacuum pump, residual limb volume management and moisture evacuation system, heavy duty
L5855- hip disarticulation, mechanical hip extension assist
L5699- All lower extremity prostheses, shoulder harness
L5985- Lwr ext dynamic prosth pylon
L5988- Vertical shock reducing pylo
L5971- solid ankle cushion heel (sach) foot, replacement only
L5707- Custom shaped protective cover, hip disarticulation
L5966- Addition, endoskeletal system, hip disarticulation, flexible protective outer surface covering system
Repairs
L7510- Repair of prosthetic device, repair or replace minor parts
L7520- Repair prosthetic device, labor component, per 15 minutes