P-Transtibial

L5301-Bk mold socket sach ft endo

Code
L5301-Bk mold socket sach ft endo
Description

L5301-Below knee, molded socket, shin, sach foot, endoskeletal system

The following add-on codes may be used for this base code (only code for what you use):

Endo Cover

L5704- Custom shaped protective cover, below knee x1ea

L5962- Below knee flex cover system x1ea

Frequently Related

L5620- Test socket below knee x 2 ea

L5637- Below knee total contact x 1ea

L5910- Endo below knee alignable system x1ea

L5940- Endo bk ultra-light material x1ea

Socket

L5629- Below knee acrylic socket x1ea

L5638- Below knee leather socket x1ea

L5639- Below knee wood socket x1ea

L5645- Below knee, flexible inner socket, external frame x1ea

L5646- Below knee cushion socket x1ea

L5647- Below knee suction socket x1ea

Socket Inserts

L5655- Socket insert below knee (kemblo, pelite, aliplast, plastazote or equal) x1ea

L5665- Multi-durometer below knee x1ea

L5668- Bk molded distal cushion x1ea

L5673- Socket insert w lock mech (gel liner, silicone or equal, prefab or custom fab from existing mold, for use with locking mechanism) generally limited to 2 ea

L5679- Socket insert w/o lock mech (gel liner, silicone or equal, prefab or custom fab from existing mold, not for use with locking mechanism) generally limited to 2ea

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- 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)

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

L5982-K2- Exoskeletal axial rotation unit

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

Suspension

L5666- Below knee cuff suspension

L5670- Bk molded supracondylar susp

L5671- Bk/ak locking mechanism

L5672- Bk removable medial brim sus

L5684- Bk fork strap

L5685- Below knee sus/seal sleeve

L5686- below knee, back check (extension control)

L5688- Bk waist belt webbing

L5690- Bk waist belt padded and lined

L5699- Shoulder harness

L5781- Lower limb pros vacuum pump

L5782- Hd low limb pros vacuum pump

Miscellaneous

L5617- quick change self-aligning unit, above knee or below knee, each

L5676- knee joints, single axis, pair

L5677- below knee, knee joints, polycentric, pair

L5678- Bk joint covers pair

L5680- Bk thigh lacer non-molded

L5682- thigh lacer, gluteal/ischial, molded

L7368- Lithium ion battery charger, replacement only

L5985- Lwr ext dynamic prosth pylon

L5988- Vertical shock reducing pylon

L7600- Prosthetic donning sleeve, any material, each

L5999- Lowr extremity prosthes nos

Socks-generally limited to 12 total socks, 2 shrinker

L8400- Sheath below knee

L8417- Pros sheath/sock w gel cushn

L8420- Prosthetic sock multi ply bk

L8440- Shrinker below knee

L8470- Pros sock single ply bk

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

Orthotic or Prosthetic Lcodes
Px-Lower Extremity
ICD10 Code:
S88.0-Traumatic amputation at knee level, Z89.5-Acquired absence of left leg below knee
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Disclaimer
Responsibility for accurate coding lies solely with the clinician treating the patient. OandP Academy assumes no responsibility or liability for the provider’s coding decisions. OandP Academy coding suggestions rest on its best judgment and are subject to revision based on additional information or changes in the alpha-numeric system. Ultimately it is your responsibility to code appropriately. Code using this tool at your own risk. OandP Academy suggest that there is documentation of what is being provided to the patient and that services furnished are clinically justified.

L5510-Prep bk ptb plaster molded

Code
L5510-Prep bk ptb plaster molded
Description

L5510- Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, plaster socket, molded to model

 

Orthotic or Prosthetic Lcodes
Px-Lower Extremity
ICD10 Code:
Z89.511-Acquired absence of RIGHT leg below knee, Z89.512-Acquired absence of LEFT leg below knee, Z89.519-Acquired absence of UNSPECIFIED leg below knee, S88.119-Complete traumatic amputation at level between knee and ankle, UNSPECIFIED lower leg, S88.112-Complete traumatic amputation at level between knee and ankle, LEFT lower leg, S88.111-Complete traumatic amputation at level between knee and ankle, RIGHT lower leg
Search by Category
Disclaimer
Responsibility for accurate coding lies solely with the clinician treating the patient. OandP Academy assumes no responsibility or liability for the provider’s coding decisions. OandP Academy coding suggestions rest on its best judgment and are subject to revision based on additional information or changes in the alpha-numeric system. Ultimately it is your responsibility to code appropriately. Code using this tool at your own risk. OandP Academy suggest that there is documentation of what is being provided to the patient and that services furnished are clinically justified.

L5520-Prep bk ptb thermopls direct

Code
L5520-Prep bk ptb thermopls direct
Description

L5520-Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, direct formed
The following add-on codes may be used for this base code (only code for what you use):
Frequently Related
L5620- Test socket below knee x 2 ea
L5637- Below knee total contact x 1ea
L5910- Endo below knee alignable system x1ea
Socket
L5645- Below knee, flexible inner socket, external frame x1ea
Socket Inserts
L5655- Socket insert below knee (kemblo, pelite, aliplast, plastazote or equal) x1ea
L5665- Multi-durometer below knee x1ea
L5668- Bk molded distal cushion x1ea
L5673- Socket insert w lock mech (gel liner, silicone or equal, prefab or custom fab from existing mold, for use with locking mechanism) generally limited to 2 ea
L5679- Socket insert w/o lock mech (gel liner, silicone or equal, prefab or custom fab from existing mold, not for use with locking mechanism) generally limited to 2ea
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- 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)
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
L5982-K2- Exoskeletal axial rotation unit
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
Suspension
L5666- Below knee cuff suspension
L5670- Bk molded supracondylar susp
L5671- Bk/ak locking mechanism
L5672- Bk removable medial brim sus
L5684- Bk fork strap
L5685- Below knee sus/seal sleeve
L5686- below knee, back check (extension control)
L5688- Bk waist belt webbing
L5690- Bk waist belt padded and lined
L5699- Shoulder harness
L5781- Lower limb pros vacuum pump
L5782- Hd low limb pros vacuum pump
Miscellaneous
L5617- quick change self-aligning unit, above knee or below knee, each
L5676- knee joints, single axis, pair
L5677- below knee, knee joints, polycentric, pair
L5678- Bk joint covers pair
L5680- Bk thigh lacer non-molded
L5682- thigh lacer, gluteal/ischial, molded
L7368- Lithium ion battery charger, replacement only
L5985- Lwr ext dynamic prosth pylon
L5988- Vertical shock reducing pylo
L5999- Lowr extremity prosthes nos
Socks-generally limited to 12 total socks, 2 shrinker
L8400- Sheath below knee
L8417- Pros sheath/sock w gel cushn
L8420- Prosthetic sock multi ply bk
L8440- Shrinker below knee
L8470- Pros sock single ply bk
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
L7600- Prosthetic donning sleeve, any material, each

Orthotic or Prosthetic Lcodes
Px-Lower Extremity
Search by Category

L5530-Prep bk ptb thermopls molded

Code
L5530-Prep bk ptb thermopls molded
Description

L5530-Preparatory, below knee 'ptb' type 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
L5620- Test socket below knee x 2 ea
L5637- Below knee total contact x 1ea
L5910- Endo below knee alignable system x1ea
Socket
L5645- Below knee, flexible inner socket, external frame x1ea
Socket Inserts
L5655- Socket insert below knee (kemblo, pelite, aliplast, plastazote or equal) x1ea
L5665- Multi-durometer below knee x1ea
L5668- Bk molded distal cushion x1ea
L5673- Socket insert w lock mech (gel liner, silicone or equal, prefab or custom fab from existing mold, for use with locking mechanism) generally limited to 2 ea
L5679- Socket insert w/o lock mech (gel liner, silicone or equal, prefab or custom fab from existing mold, not for use with locking mechanism) generally limited to 2ea
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- 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)
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
L5982-K2- Exoskeletal axial rotation unit
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
Suspension
L5666- Below knee cuff suspension
L5670- Bk molded supracondylar susp
L5671- Bk/ak locking mechanism
L5672- Bk removable medial brim sus
L5684- Bk fork strap
L5685- Below knee sus/seal sleeve
L5686- below knee, back check (extension control)
L5688- Bk waist belt webbing
L5690- Bk waist belt padded and lined
L5699- Shoulder harness
L5781- Lower limb pros vacuum pump
L5782- Hd low limb pros vacuum pump
Miscellaneous
L5617- quick change self-aligning unit, above knee or below knee, each
L5676- knee joints, single axis, pair
L5677- below knee, knee joints, polycentric, pair
L5678- Bk joint covers pair
L5680- Bk thigh lacer non-molded
L5682- thigh lacer, gluteal/ischial, molded
L7368- Lithium ion battery charger, replacement only
L5985- Lwr ext dynamic prosth pylon
L5988- Vertical shock reducing pylon
L7600- Prosthetic donning sleeve, any material, each
L5999- Lowr extremity prosthes nos
Socks-generally limited to 12 total socks, 2 shrinker
L8400- Sheath below knee
L8417- Pros sheath/sock w gel cushn
L8420- Prosthetic sock multi ply bk
L8440- Shrinker below knee
L8470- Pros sock single ply bk
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

Orthotic or Prosthetic Lcodes
Px-Lower Extremity
ICD10 Code:
S88.0-Traumatic amputation at knee level, Z89.5-Acquired absence of left leg below knee
Search by Category
Disclaimer
Responsibility for accurate coding lies solely with the clinician treating the patient. OandP Academy assumes no responsibility or liability for the provider’s coding decisions. OandP Academy coding suggestions rest on its best judgment and are subject to revision based on additional information or changes in the alpha-numeric system. Ultimately it is your responsibility to code appropriately. Code using this tool at your own risk. OandP Academy suggest that there is documentation of what is being provided to the patient and that services furnished are clinically justified.

L5535-Prep bk ptb open end socket

Code
L5535-Prep bk ptb open end socket
Description

L5535-Preparatory, below knee 'ptb' type socket, non-alignable system, 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

Orthotic or Prosthetic Lcodes
Px-Lower Extremity
ICD10 Code:
Z89.511-Acquired absence of RIGHT leg below knee, Z89.512-Acquired absence of LEFT leg below knee, Z89.519-Acquired absence of UNSPECIFIED leg below knee, S88.119-Complete traumatic amputation at level between knee and ankle, UNSPECIFIED lower leg, S88.112-Complete traumatic amputation at level between knee and ankle, LEFT lower leg, S88.111-Complete traumatic amputation at level between knee and ankle, RIGHT lower leg
Search by Category
Disclaimer
Responsibility for accurate coding lies solely with the clinician treating the patient. OandP Academy assumes no responsibility or liability for the provider’s coding decisions. OandP Academy coding suggestions rest on its best judgment and are subject to revision based on additional information or changes in the alpha-numeric system. Ultimately it is your responsibility to code appropriately. Code using this tool at your own risk. OandP Academy suggest that there is documentation of what is being provided to the patient and that services furnished are clinically justified.
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