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

HCPCS code

Medical Policies and Guidelines for Addition to lower extremity, socket insert, above knee (kemblo, pelite, aliplast, plastazote or equal)

Related policies from health plans

Prosthetics
Prosthetics

Similar Codes


ICD10CM codes

Z44.109 - Encounter for fitting and adjustment of unspecified artificial leg, unspecified leg
S88.029A - Partial traumatic amputation at knee level, unspecified lower leg, initial encounter
Z44.122 - Encounter for fitting and adjustment of partial artificial left leg
S88.029D - Partial traumatic amputation at knee level, unspecified lower leg, subsequent encounter
T84.127A - Displacement of internal fixation device of bone of left lower leg, initial encounter
Z44.129 - Encounter for fitting and adjustment of partial artificial leg, unspecified leg
Z44.119 - Encounter for fitting and adjustment of complete artificial leg, unspecified leg
Z44.112 - Encounter for fitting and adjustment of complete left artificial leg
T84.126A - Displacement of internal fixation device of bone of right lower leg, initial encounter
S88.019A - Complete traumatic amputation at knee level, unspecified lower leg, initial encounter

HCPCS codes

L5658 - Addition to lower extremity, socket insert, above knee (kemblo, pelite, aliplast, plastazote or equa
L5655 - Addition to lower extremity, socket insert, below knee (kemblo, pelite, aliplast, plastazote or equa
L5654 - Addition to lower extremity, socket insert, symes, (kemblo, pelite, aliplast, plastazote or equal)
L5656 - Addition to lower extremity, socket insert, knee disarticulation (kemblo, pelite, aliplast, plastazo
L5665 - Addition to lower extremity, socket insert, multi-durometer, below knee
L5624 - Addition to lower extremity, test socket, above knee
L5683 - Addition to lower extremity, below knee/above knee, custom fabricated socket insert for other than c
L5648 - Addition to lower extremity, above knee, air, fluid, gel or equal, cushion socket
L5681 - Addition to lower extremity, below knee/above knee, custom fabricated socket insert for congenital o
L5673 - Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabri

CPT4 codes

27442 - Arthroplasty, femoral condyles or tibial plateau(s), knee
27446 - Arthroplasty, knee, condyle and plateau; medial OR lateral compartment
29581 - Application of multi-layer compression system; leg (below knee), including ankle and foot
29425 - Application of short leg cast (below knee to toes); walking or ambulatory type
27438 - Arthroplasty, patella; with prosthesis
73701 - Computed tomography, lower extremity; with contrast material(s)
27486 - Revision of total knee arthroplasty, with or without allograft; 1 component
27487 - Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component
27445 - Arthroplasty, knee, hinge prosthesis (eg, Walldius type)
27591 - Amputation, thigh, through femur, any level; immediate fitting technique including first cast