HCPCS Code L5703

Ankle, symes, molded to patient model, socket without solid ankle cushion heel (sach) foot, replacement only
Code effective Jan 01, 2006

HCPCS Section
Orthotic and Prosthetic Procedures, Devices

L5703 is a valid 2026 HCPCS code meaning Ankle, symes, molded to patient model, socket without solid ankle cushion heel (sach) foot, replacement only or (Symes ankle w/o (sach) foot) for short. HCPCS L5703 has been effective since 01/01/2006 and applies to Lump sum purchase of DME, prosthetics, orthotics.


HCPCS Code Details - L5703

HCPCS Level II Code
Section L - Orthotic and Prosthetic Procedures, Devices
HCPCS Code L5703
Description

Long description:
Ankle, symes, molded to patient model, socket without solid ankle cushion heel (sach) foot, replacement only

Short description:
Symes ankle w/o (sach) foot

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, 2006
Date added Added Jan 01, 2006

See also

  • HCPCS L5702 · Replacement, socket, hip disarticulation, including hip joint, molded to patient model

  • HCPCS L5050 · Ankle, symes, molded socket, sach foot

  • HCPCS L5704 · Custom shaped protective cover, below knee

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.