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


  • L5714

    Addition, exoskeletal knee-shin system, single axis, variable friction swing phase control
  • L5716

    Addition, exoskeletal knee-shin system, polycentric, mechanical stance phase lock
  • L5718

    Addition, exoskeletal knee-shin system, polycentric, friction swing and stance phase control
  • L5722

    Addition, exoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control
  • L5724

    Addition, exoskeletal knee-shin system, single axis, fluid swing phase control
  • L5726

    Addition, exoskeletal knee-shin system, single axis, external joints fluid swing phase control
  • L5728

    Addition, exoskeletal knee-shin system, single axis, fluid swing and stance phase control
  • L5780

    Addition, exoskeletal knee-shin system, single axis, pneumatic/hydra pneumatic swing phase control
  • L5781

    Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system
  • L5782

    Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system, heavy duty
  • L5783

    Addition to lower extremity, user adjustable, mechanical, residual limb volume management system (with or without lamination kit)
  • L5785

    Addition, exoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal)
  • L5790

    Addition, exoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal)
  • L5795

    Addition, exoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal)
  • L5810

    Addition, endoskeletal knee-shin system, single axis, manual lock
  • L5811

    Addition, endoskeletal knee-shin system, single axis, manual lock, ultra-light material
  • L5812

    Addition, endoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee)
  • L5814

    Addition, endoskeletal knee-shin system, polycentric, hydraulic swing phase control, mechanical stance phase lock
  • L5816

    Addition, endoskeletal knee-shin system, polycentric, mechanical stance phase lock
  • L5818

    Addition, endoskeletal knee-shin system, polycentric, friction swing, and stance phase control
  • L5822

    Addition, endoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control
  • L5824

    Addition, endoskeletal knee-shin system, single axis, fluid swing phase control
  • L5826

    Addition, endoskeletal knee-shin system, single axis, hydraulic swing phase control, with miniature high activity frame
  • L5827

    Endoskeletal knee-shin system, single axis, electromechanical swing and stance phase control, with or without shock absorption and stance extension damping
  • L5828

    Addition, endoskeletal knee-shin system, single axis, fluid swing and stance phase control
  • L5830

    Addition, endoskeletal knee-shin system, single axis, pneumatic/ swing phase control
  • L5840

    Addition, endoskeletal knee/shin system, 4-bar linkage or multiaxial, pneumatic swing phase control
  • L5841

    Addition, endoskeletal knee-shin system, polycentric, pneumatic swing, and stance phase control
  • L5845

    Addition, endoskeletal, knee-shin system, stance flexion feature, adjustable
  • L5848

    Addition to endoskeletal knee-shin system, fluid stance extension, dampening feature, with or without adjustability
  • L5850

    Addition, endoskeletal system, above knee or hip disarticulation, knee extension assist
  • L5855

    Addition, endoskeletal system, hip disarticulation, mechanical hip extension assist
  • L5856

    Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type
  • L5857

    Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing phase only, includes electronic sensor(s), any type
  • L5858

    Addition to lower extremity prosthesis, endoskeletal knee shin system, microprocessor control feature, stance phase only, includes electronic sensor(s), any type
  • L5859

    Addition to lower extremity prosthesis, endoskeletal knee-shin system, powered and programmable flexion/extension assist control, includes any type motor(s)
  • L5910

    Addition, endoskeletal system, below knee, alignable system
  • L5920

    Addition, endoskeletal system, above knee or hip disarticulation, alignable system
  • L5925

    Addition, endoskeletal system, above knee, knee disarticulation or hip disarticulation, manual lock
  • L5926

    Addition to lower extremity prosthesis, endoskeletal, knee disarticulation, above knee, hip disarticulation, positional rotation unit, any type
  • L5930

    Addition, endoskeletal system, high activity knee control frame
  • L5940

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

    Addition, endoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal)
  • L5960

    Addition, endoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal)
  • L5961

    Addition, endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control
  • L5962

    Addition, endoskeletal system, below knee, flexible protective outer surface covering system
  • L5964

    Addition, endoskeletal system, above knee, flexible protective outer surface covering system
  • L5966

    Addition, endoskeletal system, hip disarticulation, flexible protective outer surface covering system
  • L5968

    Addition to lower limb prosthesis, multiaxial ankle with swing phase active dorsiflexion feature
  • L5969

    Addition, endoskeletal ankle-foot or ankle system, power assist, includes any type motor(s)