Braces; trusses; and artifical legs, arms, and eyes are covered when furnished incident to a physician’s services or on a physician’s order. A brace includes rigid and semirigid devices used for the purpose of supporting a weak or deformed body member or restricting or eliminating motion in a diseased or injured part of the body. Back braces include, but are not limited to, sacroiliac, sacrolumbar, dorsolumbar corsets, and belts. Stump stockings and harnesses (including replacements) are also covered when these appliances are essential to the effective use of an artificial limb. Adjustments to an artificial limb or other appliance required by wear or by a change in the patient’s condition are covered when ordered by a physician. Adjustments, repairs, and replacements are covered so long as the device continues to be medically required.


  • L5795

    Addition, exoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal)
  • L5810

    Addition, endoskeletal knee-shin system, single axis, manual lock
  • L5811

    Addition, endoskeletal knee-shin system, single axis, manual lock, ultra-light material
  • L5812

    Addition, endoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee)
  • L5814

    Addition, endoskeletal knee-shin system, polycentric, hydraulic swing phase control, mechanical stance phase lock
  • L5816

    Addition, endoskeletal knee-shin system, polycentric, mechanical stance phase lock
  • L5818

    Addition, endoskeletal knee-shin system, polycentric, friction swing, and stance phase control
  • L5822

    Addition, endoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control
  • L5824

    Addition, endoskeletal knee-shin system, single axis, fluid swing phase control
  • L5826

    Addition, endoskeletal knee-shin system, single axis, hydraulic swing phase control, with miniature high activity frame


  • Continued
  • L5827

    Endoskeletal knee-shin system, single axis, electromechanical swing and stance phase control, with or without shock absorption and stance extension damping
  • L5828

    Addition, endoskeletal knee-shin system, single axis, fluid swing and stance phase control
  • L5830

    Addition, endoskeletal knee-shin system, single axis, pneumatic/ swing phase control
  • L5840

    Addition, endoskeletal knee/shin system, 4-bar linkage or multiaxial, pneumatic swing phase control
  • L5841

    Addition, endoskeletal knee-shin system, polycentric, pneumatic swing, and stance phase control
  • L5845

    Addition, endoskeletal, knee-shin system, stance flexion feature, adjustable
  • L5848

    Addition to endoskeletal knee-shin system, fluid stance extension, dampening feature, with or without adjustability
  • L5850

    Addition, endoskeletal system, above knee or hip disarticulation, knee extension assist
  • L5855

    Addition, endoskeletal system, hip disarticulation, mechanical hip extension assist
  • L5856

    Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type
  • L5857

    Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing phase only, includes electronic sensor(s), any type
  • L5858

    Addition to lower extremity prosthesis, endoskeletal knee shin system, microprocessor control feature, stance phase only, includes electronic sensor(s), any type
  • L5859

    Addition to lower extremity prosthesis, endoskeletal knee-shin system, powered and programmable flexion/extension assist control, includes any type motor(s)
  • L5910

    Addition, endoskeletal system, below knee, alignable system
  • L5920

    Addition, endoskeletal system, above knee or hip disarticulation, alignable system
  • L5925

    Addition, endoskeletal system, above knee, knee disarticulation or hip disarticulation, manual lock
  • L5926

    Addition to lower extremity prosthesis, endoskeletal, knee disarticulation, above knee, hip disarticulation, positional rotation unit, any type
  • L5930

    Addition, endoskeletal system, high activity knee control frame
  • L5940

    Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal)
  • L5950

    Addition, endoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal)


  • Continued
  • L5960

    Addition, endoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal)
  • L5961

    Addition, endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control
  • L5962

    Addition, endoskeletal system, below knee, flexible protective outer surface covering system
  • L5964

    Addition, endoskeletal system, above knee, flexible protective outer surface covering system
  • L5966

    Addition, endoskeletal system, hip disarticulation, flexible protective outer surface covering system
  • L5968

    Addition to lower limb prosthesis, multiaxial ankle with swing phase active dorsiflexion feature
  • L5969

    Addition, endoskeletal ankle-foot or ankle system, power assist, includes any type motor(s)
  • L5970

    All lower extremity prostheses, foot, external keel, sach foot
  • L5971

    All lower extremity prosthesis, solid ankle cushion heel (sach) foot, replacement only
  • L5972

    All lower extremity prostheses, foot, flexible keel
  • L5973

    Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source
  • L5974

    All lower extremity prostheses, foot, single axis ankle/foot
  • L5975

    All lower extremity prosthesis, combination single axis ankle and flexible keel foot
  • L5976

    All lower extremity prostheses, energy storing foot (seattle carbon copy ii or equal)
  • L5978

    All lower extremity prostheses, foot, multiaxial ankle/foot
  • L5979

    All lower extremity prosthesis, multi-axial ankle, dynamic response foot, one piece system
  • L5980

    All lower extremity prostheses, flex foot system
  • L5981

    All lower extremity prostheses, flex-walk system or equal
  • L5982

    All exoskeletal lower extremity prostheses, axial rotation unit
  • L5984

    All endoskeletal lower extremity prosthesis, axial rotation unit, with or without adjustability