HCPCS Service Codes - Lump sum purchase of DME, prosthetics, orthotics

HCPCS Service Code P for Lump sum purchase of DME, prosthetics, orthotics.

HCPCS Type of Service (TOS) code is an indicator that the contractor places on Form CMS-1500. The indicator is mainly used for data purposes, however in some instances, it affects payment. All HCPCS codes have a corresponding TOS indicator.

Below are all available HCPCS TOS codes. Find an HCPCS code based on the type of service.

HCPCS Codes for Lump sum purchase of DME, prosthetics, orthotics

  • L5648

    Addition to lower extremity, above knee, air, fluid, gel or equal, cushion socket

  • L5649

    Addition to lower extremity, ischial containment/narrow m-l socket

  • L5650

    Additions to lower extremity, total contact, above knee or knee disarticulation socket

  • L5651

    Addition to lower extremity, above knee, flexible inner socket, external frame

  • L5652

    Addition to lower extremity, suction suspension, above knee or knee disarticulation socket

  • L5653

    Addition to lower extremity, knee disarticulation, expandable wall socket

  • L5654

    Addition to lower extremity, socket insert, symes, (kemblo, pelite, aliplast, plastazote or equal)

  • L5655

    Addition to lower extremity, socket insert, below knee (kemblo, pelite, aliplast, plastazote or equal)

  • L5656

    Addition to lower extremity, socket insert, knee disarticulation (kemblo, pelite, aliplast, plastazote or equal)

  • L5657

    Addition to lower extremity prosthesis, manual/automated adjustable air, fluid, gel or equal socket insert for limb volume management, any materials

  • L5658

    Addition to lower extremity, socket insert, above knee (kemblo, pelite, aliplast, plastazote or equal)

  • L5661

    Addition to lower extremity, socket insert, multi-durometer symes

  • L5665

    Addition to lower extremity, socket insert, multi-durometer, below knee

  • L5666

    Addition to lower extremity, below knee, cuff suspension

  • L5668

    Addition to lower extremity, below knee, molded distal cushion

  • L5670

    Addition to lower extremity, below knee, molded supracondylar suspension ('pts' or similar)

  • L5671

    Addition to lower extremity, below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert

  • L5672

    Addition to lower extremity, below knee, removable medial brim suspension

  • L5673

    Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric, or equal, with or without perforations, with or without breathable material, for use with locking mechanism

  • L5676

    Additions to lower extremity, below knee, knee joints, single axis, pair

  • L5677

    Additions to lower extremity, below knee, knee joints, polycentric, pair

  • L5678

    Additions to lower extremity, below knee, joint covers, pair

  • L5679

    Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric, or equal, with or without perforations, with or without breathable material, not for use with locking mechanism

  • L5680

    Addition to lower extremity, below knee, thigh lacer, nonmolded

  • L5681

    Addition to lower extremity, below knee/above knee, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code l5673 or l5679)

  • L5682

    Addition to lower extremity, below knee, thigh lacer, gluteal/ischial, molded

  • L5683

    Addition to lower extremity, below knee/above knee, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code l5673 or l5679)

  • L5684

    Addition to lower extremity, below knee, fork strap

  • L5685

    Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or without valve, any material, each

  • L5686

    Addition to lower extremity, below knee, back check (extension control)

  • L5688

    Addition to lower extremity, below knee, waist belt, webbing

  • L5690

    Addition to lower extremity, below knee, waist belt, padded and lined

  • L5692

    Addition to lower extremity, above knee, pelvic control belt, light

  • L5694

    Addition to lower extremity, above knee, pelvic control belt, padded and lined

  • L5695

    Addition to lower extremity, above knee, pelvic control, sleeve suspension, neoprene or equal, each

  • L5696

    Addition to lower extremity, above knee or knee disarticulation, pelvic joint

  • L5697

    Addition to lower extremity, above knee or knee disarticulation, pelvic band

  • L5698

    Addition to lower extremity, above knee or knee disarticulation, silesian bandage

  • L5699

    All lower extremity prostheses, shoulder harness

  • L5700

    Replacement, socket, below knee, molded to patient model

  • L5701

    Replacement, socket, above knee/knee disarticulation, including attachment plate, molded to patient model

  • L5702

    Replacement, socket, hip disarticulation, including hip joint, molded to patient model

  • L5703

    Ankle, symes, molded to patient model, socket without solid ankle cushion heel (sach) foot, replacement only

  • L5704

    Custom shaped protective cover, below knee

  • L5705

    Custom shaped protective cover, above knee

  • L5706

    Custom shaped protective cover, knee disarticulation

  • L5707

    Custom shaped protective cover, hip disarticulation

  • L5710

    Addition, exoskeletal knee-shin system, single axis, manual lock

  • L5711

    Additions exoskeletal knee-shin system, single axis, manual lock, ultra-light material

  • L5712

    Addition, exoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee)