Above knee, for proximal femoral focal deficiency, constant friction knee, shin, sach foot
Code effective Jan 01, 1996
HCPCS Section
Orthotic and Prosthetic Procedures, Devices
L5230 is a valid 2026 HCPCS code meaning Above knee, for proximal femoral focal deficiency, constant friction knee, shin, sach foot or (Fem focal defic constant fri) for short. HCPCS L5230 has been effective since 01/01/1996 and applies to Lump sum purchase of DME, prosthetics, orthotics.
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HCPCS Level II Code Section L - Orthotic and Prosthetic Procedures, Devices |
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| HCPCS Code | L5230 |
|---|---|
| Description |
Long description:
Short description: |
| HCPCS Pricing indicator |
38 - Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)
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| Multiple pricing indicator |
A - Not applicable as HCPCS priced under one methodology
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| Coverage code | C - Carrier judgment |
| BETOS2 code | D1F - Prosthetic/Orthotic devices |
| HCPCS Action code | N - No maintenance for this code |
| Type of service | P - Lump sum purchase of DME, prosthetics, orthotics |
| Effective date | Effective Jan 01, 1996 |
| Date added | Added Jan 01, 1982 |
1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).
2 BETOS stands for “Berenson-Eggers Type Of Service”
HCPCS Level II codes and descriptors are approved and maintained jointly by the alpha-numeric editorial panel (consisting of CMS, the Health Insurance Association of America, and the Blue Cross and Blue Shield Association). — Updated 6/23/2026
CPT® is a registered trademark of the American Medical Association (AMA). All rights reserved.