HCPCS Code Details - L5696

HCPCS Level II Code
Orthotic and Prosthetic Procedures, Devices
HCPCS Code L5696
Description

Long description:
Addition to lower extremity, above knee or knee disarticulation, pelvic joint

Short description:
Ak/knee disartic pelvic join

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, 1986
Date added Added Jan 01, 1986
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 L5695 · Addition to lower extremity, above knee, pelvic control, sleeve suspension, neoprene or equal, each

  • HCPCS K0672 · Addition to lower extremity orthosis, removable soft interface, all components, replacement only, each

  • HCPCS L2180 · Addition to lower extremity fracture orthosis, plastic shoe insert with ankle joints

  • HCPCS L2182 · Addition to lower extremity fracture orthosis, drop lock knee joint

  • HCPCS L2184 · Addition to lower extremity fracture orthosis, limited motion knee joint

  • HCPCS L2186 · Addition to lower extremity fracture orthosis, adjustable motion knee joint, lerman type

  • HCPCS L2188 · Addition to lower extremity fracture orthosis, quadrilateral brim

  • HCPCS L2190 · Addition to lower extremity fracture orthosis, waist belt

  • HCPCS L2192 · Addition to lower extremity fracture orthosis, hip joint, pelvic band, thigh flange, and pelvic belt

  • HCPCS L2200 · Addition to lower extremity, limited ankle motion, each joint

  • HCPCS L2210 · Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint

  • HCPCS L2220 · Addition to lower extremity, dorsiflexion and plantar flexion assist/resist, each joint

  • HCPCS L2230 · Addition to lower extremity, split flat caliper stirrups and plate attachment

  • HCPCS L2232 · Addition to lower extremity orthosis, rocker bottom for total contact ankle foot orthosis, for custom fabricated orthosis only

  • HCPCS L2240 · Addition to lower extremity, round caliper and plate attachment

  • HCPCS L2250 · Addition to lower extremity, foot plate, molded to patient model, stirrup attachment

  • HCPCS L5697 · Addition to lower extremity, above knee or knee disarticulation, pelvic band


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”