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L5200
Above knee, molded socket, single axis constant friction knee, shin, sach foot
HCPCS code
Medical Policies and Guidelines for Above knee, molded socket, single axis constant friction knee, shin, sach foot
Related policies from health plans
HUMANA
Prosthetics - Medicare Advantage
Similar Codes
ICD10CM codes
S88.019
- Complete traumatic amputation at knee level, unspecified lower leg
T84.013A
- Broken internal left knee prosthesis, initial encounter
Z96.653
- Presence of artificial knee joint, bilateral
S88.119
- Complete traumatic amputation at level between knee and ankle, unspecified lower leg
S88.029
- Partial traumatic amputation at knee level, unspecified lower leg
S88.112
- Complete traumatic amputation at level between knee and ankle, left lower leg
Z44.122
- Encounter for fitting and adjustment of partial artificial left leg
S88.11
- Complete traumatic amputation at level between knee and ankle
S88.019A
- Complete traumatic amputation at knee level, unspecified lower leg, initial encounter
S88.111S
- Complete traumatic amputation at level between knee and ankle, right lower leg, sequela
HCPCS codes
L5200
- Above knee, molded socket, single axis constant friction knee, shin, sach foot
L5100
- Below knee, molded socket, shin, sach foot
L5321
- Above knee, molded socket, open end, sach foot, endoskeletal system, single axis knee
L5301
- Below knee, molded socket, shin, sach foot, endoskeletal system
L5230
- Above knee, for proximal femoral focal deficiency, constant friction knee, shin, sach foot
L5105
- Below knee, plastic socket, joints and thigh lacer, sach foot
L5312
- Knee disarticulation (or through knee), molded socket, single axis knee, pylon, sach foot, endoskele
L5651
- Addition to lower extremity, above knee, flexible inner socket, external frame
L5050
- Ankle, symes, molded socket, sach foot
L5590
- Preparatory, above knee - knee disarticulation ischial level socket, non-alignable system, pylon no
CPT4 codes
29581
- Application of multi-layer compression system; leg (below knee), including ankle and foot
27442
- Arthroplasty, femoral condyles or tibial plateau(s), knee
27446
- Arthroplasty, knee, condyle and plateau; medial OR lateral compartment
27440
- Arthroplasty, knee, tibial plateau
29582
- Application of multi-layer compression system; thigh and leg, including ankle and foot, when perform
27445
- Arthroplasty, knee, hinge prosthesis (eg, Walldius type)
27700
- Arthroplasty, ankle
27598
- Disarticulation at knee
28810
- Amputation, metatarsal, with toe, single
27415
- Osteochondral allograft, knee, open