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L5704
Custom shaped protective cover, below knee
HCPCS code
Medical Policies and Guidelines for Custom shaped protective cover, below knee
Related policies from health plans
HUMANA
Prosthetics
HUMANA
Prosthetics
Similar Codes
ICD10CM codes
S80.821
- Blister (nonthermal), right lower leg
S80.229
- Blister (nonthermal), unspecified knee
S80.221
- Blister (nonthermal), right knee
S80.222
- Blister (nonthermal), left knee
Z44.122
- Encounter for fitting and adjustment of partial artificial left leg
S80.829
- Blister (nonthermal), unspecified lower leg
T84.013A
- Broken internal left knee prosthesis, initial encounter
Z44.121
- Encounter for fitting and adjustment of partial artificial right leg
Z44.112
- Encounter for fitting and adjustment of complete left artificial leg
S80.822
- Blister (nonthermal), left lower leg
HCPCS codes
L5704
- Custom shaped protective cover, below knee
L5705
- Custom shaped protective cover, above knee
L5700
- Replacement, socket, below knee, molded to patient model
L5668
- Addition to lower extremity, below knee, molded distal cushion
L5678
- Additions to lower extremity, below knee, joint covers, pair
L5680
- Addition to lower extremity, below knee, thigh lacer, nonmolded
L5665
- Addition to lower extremity, socket insert, multi-durometer, below knee
L5637
- Addition to lower extremity, below knee, total contact
L5964
- Addition, endoskeletal system, above knee, flexible protective outer surface covering system
L5690
- Addition to lower extremity, below knee, waist belt, padded and lined
CPT4 codes
29530
- Strapping; knee
29405
- Application of short leg cast (below knee to toes)
29425
- Application of short leg cast (below knee to toes); walking or ambulatory type
29581
- Application of multi-layer compression system; leg (below knee), including ankle and foot
27446
- Arthroplasty, knee, condyle and plateau; medial OR lateral compartment
27598
- Disarticulation at knee
29515
- Application of short leg splint (calf to foot)
29505
- Application of long leg splint (thigh to ankle or toes)
29355
- Application of long leg cast (thigh to toes); walker or ambulatory type
27599
- Unlisted procedure, femur or knee