HCPCS Code Details - L5615

HCPCS Level II Code
Orthotic and Prosthetic Procedures, Devices
HCPCS Code L5615
Description

Long description:
Addition, endoskeletal knee-shin system, 4 bar linkage or multiaxial, fluid swing and stance phase control

Short description:
Ak 4 bar link hydl swg/stanc

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 A - Add procedure or modifier code
Type of service P - Lump sum purchase of DME, prosthetics, orthotics
Effective date Effective Jan 01, 2024
Date added Added Jan 01, 2024
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 L5614 · Addition to lower extremity, exoskeletal system, above knee-knee disarticulation, 4 bar linkage, with pneumatic swing phase control

  • HCPCS K1014 · Addition, endoskeletal knee-shin system, 4 bar linkage or multiaxial, fluid swing and stance phase control

  • HCPCS L5810 · Addition, endoskeletal knee-shin system, single axis, manual lock

  • HCPCS L5811 · Addition, endoskeletal knee-shin system, single axis, manual lock, ultra-light material

  • HCPCS L5812 · Addition, endoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee)

  • HCPCS L5814 · Addition, endoskeletal knee-shin system, polycentric, hydraulic swing phase control, mechanical stance phase lock

  • HCPCS L5816 · Addition, endoskeletal knee-shin system, polycentric, mechanical stance phase lock

  • HCPCS L5818 · Addition, endoskeletal knee-shin system, polycentric, friction swing, and stance phase control

  • HCPCS L5822 · Addition, endoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control

  • HCPCS L5824 · Addition, endoskeletal knee-shin system, single axis, fluid swing phase control

  • HCPCS L5826 · Addition, endoskeletal knee-shin system, single axis, hydraulic swing phase control, with miniature high activity frame

  • HCPCS L5828 · Addition, endoskeletal knee-shin system, single axis, fluid swing and stance phase control

  • HCPCS L5830 · Addition, endoskeletal knee-shin system, single axis, pneumatic/ swing phase control

  • HCPCS L5616 · Addition to lower extremity, endoskeletal system, above knee, universal multiplex system, friction swing phase control


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”