HCPCS Code Details - L5200

HCPCS Level II Code
Orthotic and Prosthetic Procedures, Devices
HCPCS Code L5200

Long description:
Above knee, molded socket, single axis constant friction knee, shin, sach foot

Short description:
Kne sing axis fric shin sach

HCPCS Modifier1
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
HCPCS Coding Procedures

HCPCS Modifiers

In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.

Example: E0260-NU - Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
NU” identifies the hospital bed as new equipment

See also

  • HCPCS L5160 · Knee disarticulation (or through knee), molded socket, bent knee configuration, external knee joints, shin, sach foot

  • HCPCS L5321 · Above knee, molded socket, open end, sach foot, endoskeletal system, single axis knee

  • HCPCS L5210 · Above knee, short prosthesis, no knee joint ('stubbies'), with foot blocks, no ankle joints, each

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”