HCPCS Code L5250

Hip disarticulation, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach foot
Code effective Jan 01, 1996

HCPCS Section
Orthotic and Prosthetic Procedures, Devices

L5250 is a valid 2026 HCPCS code meaning Hip disarticulation, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach foot or (Hip canad sing axi cons fric) for short. HCPCS L5250 has been effective since 01/01/1996 and applies to Lump sum purchase of DME, prosthetics, orthotics.


HCPCS Code Details - L5250

HCPCS Level II Code
Section L - Orthotic and Prosthetic Procedures, Devices
HCPCS Code L5250
Description

Long description:
Hip disarticulation, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach foot

Short description:
Hip canad sing axi cons fric

HCPCS Pricing indicator 38 - Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)
Multiple pricing indicator A - Not applicable as HCPCS priced under one methodology
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

See also

  • HCPCS L5230 · Above knee, for proximal femoral focal deficiency, constant friction knee, shin, sach foot

  • HCPCS L5331 · Hip disarticulation, canadian type, molded socket, endoskeletal system, hip joint, single axis knee, sach foot

  • HCPCS L5270 · Hip disarticulation, tilt table type; molded socket, locking hip joint, single axis constant friction knee, shin, sach foot

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.