HCPCS Code Details - L5850

HCPCS Level II Code
Orthotic and Prosthetic Procedures, Devices
HCPCS Code L5850
Description

Long description:
Addition, endoskeletal system, above knee or hip disarticulation, knee extension assist

Short description:
Endo ak/hip knee extens assi

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, 1988
Date added Added Jan 01, 1988
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 L5848 · Addition to endoskeletal knee-shin system, fluid stance extension, dampening feature, with or without adjustability

  • HCPCS L5855 · Addition, endoskeletal system, hip disarticulation, mechanical hip extension assist

  • HCPCS L5910 · Addition, endoskeletal system, below knee, alignable system

  • HCPCS L5920 · Addition, endoskeletal system, above knee or hip disarticulation, alignable system

  • HCPCS L5925 · Addition, endoskeletal system, above knee, knee disarticulation or hip disarticulation, manual lock

  • HCPCS L5930 · Addition, endoskeletal system, high activity knee control frame

  • HCPCS L5940 · Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal)

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

  • HCPCS L5960 · Addition, endoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal)

  • HCPCS L5961 · Addition, endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control

  • HCPCS L5962 · Addition, endoskeletal system, below knee, flexible protective outer surface covering system

  • HCPCS L5964 · Addition, endoskeletal system, above knee, flexible protective outer surface covering system

  • HCPCS L5966 · Addition, endoskeletal system, hip disarticulation, flexible protective outer surface covering 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”