L5312-Knee disarticulation (or through knee), molded socket, single axis knee, pylon, sach foot, endoskeletal system
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
L5653- Knee disarticulation, expandable wall socket x1ea
L5622- Test socket, knee disarticulation x2ea (only if 2 check sockets are used)
L5950- Endoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal)x1ea
Socket
L5631- Above knee or knee disarticulation, acrylic socket
L5640- Knee disarticulation, leather socket
L5644- Above knee wood socket
L5648- Above knee cushion socket
L5649- Ischial containment/narrow m-l socket
L5651- Flexible inner socket, external frame
L5652- Suction suspension, above knee or knee disarticulation socket
L5653- Knee disarticulation, expandable wall socket
Socket Inserts
L5656- Socket insert, knee disarticulation (kemblo, pelite, aliplast, plastazote or equal)
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))
Suspension
L5671- Below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert
L5684- Bk fork strap
L5686- Below knee, back check (extension control)
L5688- Bk waist belt webbing
L5690- Below knee, waist belt, padded and lined
L5692- Ak pelvic control belt light
L5694- Pelvic control belt, padded and lined
L5695- Pelvic control, sleeve suspension, neoprene or equal, each
L5696- Above knee or knee disarticulation, pelvic joint
L5697- Ak/knee disartic pelvic band
L5698- Above knee or knee disarticulation, silesian bandage
L5699- Shoulder harness
Endo Knees
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
Knee Joints
L5676- Below knee, joint covers, pair
L5677- Below knee, knee joints, polycentric, pair
L5678- Below knee, joint covers, pair
Feet/Ankles
L5968- Multiaxial ankle w dorsiflex
L5969- endoskeletal ankle-foot or ankle system, power assist, includes any type motor(s)
L5970-K1- Foot external keel sach foot
L5971- Solid ankle cushion heel (sach) foot, replacement only
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
L5986-K2- Multi-axial rotation unit
L5987-K3- shank foot system with vertical loading pylon
L5990- User adjustable heel height
L5984-K2- Axial rotation unit, with or without adjustability
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
L5781- Vacuum pump, residual limb volume management and moisture evacuation system
L5782- Vacuum pump, residual limb volume management and moisture evacuation system, heavy duty
L5985- Lwr ext dynamic prosth pylon
L5988- Vertical shock reducing pylo
L5706- Custom shaped protective cover, knee disarticulation
L5964- Above knee, flexible protective outer surface covering system
L7600- Prosthetic donning sleeve, any material, each
L5999- Lower extremity prosthesis, not otherwise specified
L8499-Unlisted procedure for miscellaneous prosthetic services
Repairs
L7510- Repair of prosthetic device, repair or replace minor parts
L7520- Repair prosthetic device, labor component, per 15 minutes
L5560-Preparatory, above knee- knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, plaster socket, molded to model
We do not suggest billing add-on codes with the base code above.
L5580-Preparatory, above knee - knee disarticulation ischial level socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, molded to model
The following add-on codes may be used for this base code (only code for what you use):
Frequently Related
L5650- total contact, above knee or knee disarticulation socket x1ea
L5653- Knee disarticulation, expandable wall socket x1ea
L5624- Test socket above knee x2ea (only if 2 check sockets are used)
L5950- Endoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal)
Socket
L5649- ischial containment/narrow m-l socket
L5651- flexible inner socket, external frame
L5652- suction suspension, above knee or knee disarticulation 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))
L5658- socket insert, above knee (kemblo, pelite, aliplast, plastazote or equal)
Suspension
L5692- Ak pelvic control belt light
L5694- pelvic control belt, padded and lined
L5695- pelvic control, sleeve suspension, neoprene or equal, each
L5696- above knee or knee disarticulation, pelvic joint
L5697- Ak/knee disartic pelvic band
L5698- above knee or knee disarticulation, silesian bandage
L5781- Lower limb pros vacuum pump
L5782- vacuum pump, residual limb volume management and moisture evacuation system, heavy duty
L5985- Lwr ext dynamic prosth pylon
L5699- Shoulder harness
Endo Knees
L5610-K3- Above knee hydracadence
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
L5850-K1- above knee or hip disarticulation, knee extension assist
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
L5858-K3- microprocessor control feature, stance 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
L5969- endoskeletal ankle-foot or ankle system, power assist, includes any type motor(s)
L5970-K1- Foot external keel sach foot
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
L5985- Lwr ext dynamic prosth pylon
L5988- Vertical shock reducing pylo
L7600- Prosthetic donning sleeve, any material, each
Repairs
L7510- Repair of prosthetic device, repair or replace minor parts
L7520- Repair prosthetic device, labor component, per 15 minutes
L5971- All lower extremity prosthesis, solid ankle cushion heel (sach) foot, replacement only
L5580-Preparatory, above knee - knee disarticulation ischial level socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, molded to 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
L5653- Knee disarticulation, expandable wall socket x1ea
L5622- Test socket, knee disarticulation x2ea (only if 2 check sockets are used)
Socket
L5631- Above knee or knee disarticulation, acrylic socket
L5648- Above knee cushion socket
L5649- Ischial containment/narrow m-l socket
L5651- Flexible inner socket, external frame
L5652- Suction suspension, above knee or knee disarticulation socket
L5653- Knee disarticulation, expandable wall socket
Socket Inserts
L5656- Socket insert, knee disarticulation (kemblo, pelite, aliplast, plastazote or equal)
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))
Suspension
L5671- Below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert
L5684- Bk fork strap
L5686- Below knee, back check (extension control)
L5688- Bk waist belt webbing
L5690- Below knee, waist belt, padded and lined
L5692- Ak pelvic control belt light
L5694- Pelvic control belt, padded and lined
L5695- Pelvic control, sleeve suspension, neoprene or equal, each
L5696- Above knee or knee disarticulation, pelvic joint
L5697- Ak/knee disartic pelvic band
L5698- Above knee or knee disarticulation, silesian bandage
L5699- Shoulder harness
Endo Knees
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
Knee Joints
L5676- Below knee, joint covers, pair
L5677- Below knee, knee joints, polycentric, pair
L5678- Below knee, joint covers, pair
Feet/Ankles
L5968- Multiaxial ankle w dorsiflex
L5969- endoskeletal ankle-foot or ankle system, power assist, includes any type motor(s)
L5970-K1- Foot external keel sach foot
L5971- Solid ankle cushion heel (sach) foot, replacement only
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
L5986-K2- Multi-axial rotation unit
L5987-K3- shank foot system with vertical loading pylon
L5990- User adjustable heel height
L5984-K2- Axial rotation unit, with or without adjustability
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
L5781- Vacuum pump, residual limb volume management and moisture evacuation system
L5782- Vacuum pump, residual limb volume management and moisture evacuation system, heavy duty
L5985- Lwr ext dynamic prosth pylon
L5988- Vertical shock reducing pylo
L5706- Custom shaped protective cover, knee disarticulation
L5964- Above knee, flexible protective outer surface covering system
L7600- Prosthetic donning sleeve, any material, each
L5999- Lower extremity prosthesis, not otherwise specified
L8499-Unlisted procedure for miscellaneous prosthetic services
Repairs
L7510- Repair of prosthetic device, repair or replace minor parts
L7520- Repair prosthetic device, labor component, per 15 minutes
L5585-Preparatory, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, prefabricated adjustable open end socket
The following add-on codes may be used for this base code (only code for what you use):
Frequently Related
L5684- Bk fork strap
L5688- Bk waist belt webbing
L5999- Lower extremity prosthesis, not otherwise specified