HCPCS Code L5677

Additions to lower extremity, below knee, knee joints, polycentric, pair
Code effective Jan 01, 1996

HCPCS Section
Orthotic and Prosthetic Procedures, Devices

L5677 is a valid 2026 HCPCS code meaning Additions to lower extremity, below knee, knee joints, polycentric, pair or (Bk knee joints polycentric p) for short. HCPCS L5677 has been effective since 01/01/1996 and applies to Lump sum purchase of DME, prosthetics, orthotics.

HCPCS Code Details - L5677

HCPCS Level II Code
Section L - Orthotic and Prosthetic Procedures, Devices
HCPCS Code L5677
Description

Long description:
Additions to lower extremity, below knee, knee joints, polycentric, pair

Short description:
Bk knee joints polycentric p

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, 1988

See also

  • HCPCS L5650 · Additions to lower extremity, total contact, above knee or knee disarticulation socket

  • HCPCS L5676 · Additions to lower extremity, below knee, knee joints, single axis, pair

  • HCPCS L5678 · Additions to lower extremity, below knee, joint covers, pair

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.