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

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

• L5970

  All lower extremity prostheses, foot, external keel, sach foot

• L5971

  All lower extremity prosthesis, solid ankle cushion heel (sach) foot, replacement only

• L5972

  All lower extremity prostheses, foot, flexible keel

• L5973

  Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source

• L5974

  All lower extremity prostheses, foot, single axis ankle/foot

• L5975

  All lower extremity prosthesis, combination single axis ankle and flexible keel foot

• L5976

  All lower extremity prostheses, energy storing foot (seattle carbon copy ii or equal)

• L5978

  All lower extremity prostheses, foot, multiaxial ankle/foot

• L5979

  All lower extremity prosthesis, multi-axial ankle, dynamic response foot, one piece system

• L5980

  All lower extremity prostheses, flex foot system

• L5981

  All lower extremity prostheses, flex-walk system or equal

• L5982

  All exoskeletal lower extremity prostheses, axial rotation unit

• L5984

  All endoskeletal lower extremity prosthesis, axial rotation unit, with or without adjustability

• L5985

  All endoskeletal lower extremity prostheses, dynamic prosthetic pylon

• L5986

  All lower extremity prostheses, multi-axial rotation unit ('mcp' or equal)

• L5987

  All lower extremity prosthesis, shank foot system with vertical loading pylon

• L5988

  Addition to lower limb prosthesis, vertical shock reducing pylon feature

• L5990

  Addition to lower extremity prosthesis, user adjustable heel height

• L5991

  Addition to lower extremity prostheses, osseointegrated external prosthetic connector

• L5992

  All lower extremity prosthesis, foot shell for modular foot/non-solid ankle cushion heel (sach) replacement only

• L5999

  Lower extremity prosthesis, not otherwise specified

• L6000

  Partial hand, thumb remaining

• L6010

  Partial hand, little and/or ring finger remaining

• L6020

  Partial hand, no finger remaining

• L6025

  Transcarpal/metacarpal or partial hand disarticulation prosthesis, external power, self-suspended, inner socket with removable forearm section, electrodes and cables, two batteries, charger, myoelectric control of terminal device

• L6026

  Transcarpal/metacarpal or partial hand disarticulation prosthesis, external power, self-suspended, inner socket with removable forearm section, electrodes and cables, two batteries, charger, myoelectric control of terminal device, excludes terminal device(s)

• L6028

  Partial hand, finger, and thumb prosthesis without prosthetic digit(s) /thumb, amputation at metacarpal level, including flexible or non-flexible interface, molded to patient model, for use without external power and/or passive prosthetic digit/thumb, not including inserts described by l6692

• L6029

  Upper extremity addition, test socket/interface, partial hand including fingers

• L6030

  Upper extremity addition, external frame, partial hand including fingers

• L6031

  Replacement socket/interface, partial hand including fingers, molded to patient model, for use with or without external power

• L6032

  Addition to upper extremity prosthesis, partial hand including fingers, ultralight material (titanium, carbon fiber or equal)

• L6033

  Addition to upper extremity prosthesis, partial hand including fingers, acrylic material

• L6034

  Partial hand, finger, and thumb prosthesis without prosthetic digit(s)/thumb, amputation at distal to metacarpal joint, including flexible or non-flexible interface, molded to patient model, for use without external power and/or passive prosthetic digit/thumb, not including inserts described by l6692

• L6035

  Single prosthetic digit, mechanical, can include metacarpophalangeal (mcp), proximal interphalangeal (pip), and/or distal interphalangeal (dip) joint(s), with or without locking mechanism, can include flexion or extension assist, any material, attachment, initial issue or replacement

• L6036

  Prosthetic thumb, mechanical, can include metacarpophalangeal (mcp), interphalangeal (ip) joint(s), with or without locking mechanism, can include flexion or extension assist, any material, attachment, initial issue or replacement

• L6037

  Immediate post-surgical or early fitting, application of initial rigid dressing, including fitting alignment and suspension of components, and one cast change, partial hand including fingers

• L6038

  Addition to single prosthetic digit or thumb, mechanical, attachment, multiaxial and/or internal/external rotation/abduction/adduction mechanism, with or without locking feature, any material

• L6039

  Passive prosthetic digit or thumb prosthesis not including hand restoration partial hand, full or partial, custom made, any material, initial or replacement, per single passive prosthetic digit or thumb

• L6050

  Wrist disarticulation, molded socket, flexible elbow hinges, triceps pad

• L6055

  Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad

• L6100

  Below elbow, molded socket, flexible elbow hinge, triceps pad

• L6110

  Below elbow, molded socket, (muenster or northwestern suspension types)

• L6120

  Below elbow, molded double wall split socket, step-up hinges, half cuff

• L6130

  Below elbow, molded double wall split socket, stump activated locking hinge, half cuff

• L6200

  Elbow disarticulation, molded socket, outside locking hinge, forearm

• L6205

  Elbow disarticulation, molded socket with expandable interface, outside locking hinges, forearm

• L6250

  Above elbow, molded double wall socket, internal locking elbow, forearm

• L6300

  Shoulder disarticulation, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm

• L6310

  Shoulder disarticulation, passive restoration (complete prosthesis)

• L6320

  Shoulder disarticulation, passive restoration (shoulder cap only)