HCPCS Code Details - L5301

HCPCS Level II Code
Orthotic and Prosthetic Procedures, Devices
HCPCS Code L5301

Long description:
Below knee, molded socket, shin, sach foot, endoskeletal system

Short description:
Bk mold socket sach ft endo

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, 2002
Date added Added Jan 01, 2002
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 L5280 · Hemipelvectomy, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach foot

  • HCPCS L5100 · Below knee, molded socket, shin, sach foot

  • HCPCS L5312 · Knee disarticulation (or through knee), molded socket, single axis knee, pylon, sach foot, endoskeletal system

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”