Prosthetics

L5000-Partial Foot, Sho insert w arch toe filler

Code
L5000-Partial Foot, Sho insert w arch toe filler
Description

L5000-Partial foot, shoe insert with longitudinal arch, toe filler

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

Usually Associated

L5618- Test socket symes

L5629- Below knee acrylic socket

L5668- Bk molded distal cushion

L5999- Lowr extremity prosthes nos

Symes & Partial Foot Replacement and Miscellaneus Codes

L5703- Ankle, symes, molded to patient model, socket without solid ankle cushion heel (sach) foot, replacement only

 L5971- Sach foot, replacement 

L5999-Lower extremity prosthes nos

Orthotic or Prosthetic Lcodes
Px-Symes/Partial Foot
ICD10 Code:
S98.922A-Partial traumatic amputation of left foot, level unspecified, initial encounter
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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.

L5010-Mold socket ank hgt w/ toe f

Code
L5010-Mold socket ank hgt w/ toe f
Description

L5010-Partial foot, molded socket, ankle height, with toe filler

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

Usually Associated

L5618- Test socket symes

L5629- Below knee acrylic socket

L5668- Bk molded distal cushion

L5999- Lowr extremity prosthes nos

Symes & Partial Foot Replacement and Miscellaneus Codes

L5703- Ankle, symes, molded to patient model, socket without solid ankle cushion heel (sach) foot, replacement only

 L5971- Sach foot, replacement

L5999-Lower extremity prosthes nos

Orthotic or Prosthetic Lcodes
Px-Symes/Partial Foot
ICD10 Code:
S98.922A-Partial traumatic amputation of left foot, level unspecified, initial encounter
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.

L5020-Partial Foot, Tibial tubercle hgt w/ toe filler

Code
L5020-Partial Foot, Tibial tubercle hgt w/ toe filler
Description

L5020-Partial foot, molded socket, tibial tubercle height, with toe filler

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

Usually Associated

L5618- Test socket symes

L5629- Below knee acrylic socket

L5668- Bk molded distal cushion

L5999- Lowr extremity prosthes nos

Symes & Partial Foot Replacement and Miscellaneus Codes

L5703- Ankle, symes, molded to patient model, socket without solid ankle cushion heel (sach) foot, replacement only

L5971- Sach foot, replacement

L5999-Lower extremity prosthes nos

Orthotic or Prosthetic Lcodes
Px-Symes/Partial Foot
ICD10 Code:
S98.922A-Partial traumatic amputation of left foot, level unspecified, initial encounter
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.

L5050-Ank symes mold sckt sach ft

Code
L5050-Ank symes mold sckt sach ft
Description

L5050-Ankle, symes, molded socket, sach foot

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

Usually Associated

L5618- Test socket symes

 L5637- Below knee total contact

L5785- Exoskeletal bk ultralt mater

Socket

L5629- Below knee acrylic socket

L5630- Syme typ expandabl wall sckt

L5632- Symes type ptb brim design s

L5634- Symes type poster opening so

 L5636- Symes type medial opening so

L5645- Socket insert symes

Inserts

L5654- Socket insert symes

L5661- Multi-durometer symes

L5668- Bk molded distal cushion

L5673- Socket insert w lock mech

L5679- Socket insert w/o lock mech

L5681- Intl custm cong/latyp insert

L5683- Initial custom socket insert

Feet

L5968- Multiaxial ankle w dorsiflex

L5970-K1- Foot external keel sach foot

L5971- Sach foot, replacement

 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

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

L5688- Bk waist belt webbing

L5690- Bk waist belt padded and lin

Socks/Sheaths-generally limited to 12 total socks, 2 shrinkers

L8400- Sheath below knee

L8417- Prosthetic sheath/sock, including a gel cushion layer, below knee or above knee, each

L8420- Prosthetic sock multi ply bk

L8440- Shrinker below knee

L8470- Pros sock single ply bk

Other

L5910- Above knee hydracadence

L5962- Below knee flex cover system

L5982-K2- Exoskeletal axial rotation unit

L5986-K2- Multi-axial rotation unit

Symes & Partial Foot Replacement and Miscellaneus Codes

L5703- Ankle, symes, molded to patient model, socket without solid ankle cushion heel (sach) foot, replacement only

L5971- Sach foot, replacement

 L5999-Lower extremity prosthes nos

Orthotic or Prosthetic Lcodes
Px-Symes/Partial Foot
ICD10 Code:
S98.01-Complete traumatic amputation of foot at ankle level, Z89.512-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.

L5060-Symes met fr leath socket ar

Code
L5060-Symes met fr leath socket ar
Description

L5060-Ankle, symes, metal frame, molded leather socket, articulated ankle/foot

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

Usually Associated

L5618- Test socket symes

 L5637- Below knee total contact

L5785- Exoskeletal bk ultralt mater

Socket

L5629- Below knee acrylic socket

L5630- Syme typ expandabl wall sckt

L5632- Symes type ptb brim design s

L5634- Symes type poster opening so

 L5636- Symes type medial opening so

L5645- Socket insert symes

Inserts

L5654- Socket insert symes

L5661- Multi-durometer symes

L5668- Bk molded distal cushion

L5673- Socket insert w lock mech

L5679- Socket insert w/o lock mech

L5681- Intl custm cong/latyp insert

L5683- Initial custom socket insert

Feet

L5968- Multiaxial ankle w dorsiflex

L5970-K1- Foot external keel sach foot

L5971- Sach foot, replacement

 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

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

L5688- Bk waist belt webbing

L5690- Bk waist belt padded and lin

Socks/Sheaths-generally limited to 12 total socks, 2 shrinkers

L8400- Sheath below knee

L8417- Prosthetic sheath/sock, including a gel cushion layer, below knee or above knee, each

L8420- Prosthetic sock multi ply bk

L8440- Shrinker below knee

L8470- Pros sock single ply bk

Other

L5910- Above knee hydracadence

L5962- Below knee flex cover system

L5982-K2- Exoskeletal axial rotation unit

L5986-K2- Multi-axial rotation unit

Symes & Partial Foot Replacement and Miscellaneus Codes

L5703- Ankle, symes, molded to patient model, socket without solid ankle cushion heel (sach) foot, replacement only

 L5971- Sach foot, replacement

 L5999-Lower extremity prosthes nos

Orthotic or Prosthetic Lcodes
Px-Symes/Partial Foot
ICD10 Code:
S98.01-Complete traumatic amputation of foot at ankle level, Z89.512-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.
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