L Codes

L0112 Cranial cervical orthosis
L0113 Cranial cervical torticollis
L0120 Cerv flex n/adj foam pre ots
L0130 Flex thermoplastic collar mo
L0140 Cervical semi-rigid adjustab
L0150 Cerv semi-rig adj molded chn
L0160 Cerv sr wire occ/man pre ots
L0170 Cervical collar molded to pt
L0172 Cerv col sr foam 2pc pre ots
L0174 Cerv sr 2pc thor ext pre ots
L0180 Cer post col occ/man sup adj
L0190 Cerv collar supp adj cerv ba
L0200 Cerv col supp adj bar & thor
L0220 Thor rib belt custom fabrica
L0450 Tlso flex trunk/thor pre ots
L0452 Tlso flex custom fab thoraci
L0454 Tlso trnk sj-t9 pre cst
L0455 Tlso flex trnk sj-t9 pre ots
L0456 Tlso flex trnk sj-ss pre cst
L0457 Tlso flex trnk sj-ss pre ots
L0458 Tlso 2mod symphis-xipho pre
L0460 Tlso 2 shl symphys-stern cst
L0462 Tlso 3mod sacro-scap pre
L0464 Tlso 4mod sacro-scap pre
L0466 Tlso r fram soft ant pre cst
L0467 Tlso r fram soft pre ots
L0468 Tlso rig fram pelvic pre cst
L0469 Tlso rig fram pelvic pre ots
L0470 Tlso rigid frame pre subclav
L0472 Tlso rigid frame hyperex pre
L0480 Tlso rigid plastic custom fa
L0482 Tlso rigid lined custom fab
L0484 Tlso rigid plastic cust fab
L0486 Tlso rigidlined cust fab two
L0488 Tlso rigid lined pre one pie
L0490 Tlso rigid plastic pre one
L0491 Tlso 2 piece rigid shell
L0492 Tlso 3 piece rigid shell
L0621 Sio flex pelvic/sacr pre ots
L0622 Sio flex pelvisacral custom
L0623 Sio rig pnl pelv/sac pre ots
L0624 Sio panel custom
L0625 Lo flex l1-below l5 pre ots
L0626 Lo sag rig pnl stays pre cst
L0627 Lo sag ri an/pos pnl pre cst
L0628 Lso flex no ri stays pre ots
L0629 Lso flex w/rigid stays cust
L0630 Lso r post pnl sj-t9 pre cst
L0631 Lso sag r an/pos pnl pre cst
L0632 Lso sag rigid frame cust
L0633 Lso sc r pos/lat pnl pre cst
L0634 Lso flexion control custom
L0635 Lso sagit rigid panel prefab
L0636 Lso sagittal rigid panel cus
L0637 Lso sc r ant/pos pnl pre cst
L0638 Lso sag-coronal panel custom
L0639 Lso s/c shell/panel prefab
L0640 Lso s/c shell/panel custom
L0641 Lo rig pos pnl l1-l5 pre ots
L0642 Lo sag ri an/pos pnl pre ots
L0643 Lso sag ctr rigi pos pre ots
L0648 Lso sag r an/pos pnl pre ots
L0649 Lso sc r pos/lat pnl pre ots
L0650 Lso sc r ant/pos pnl pre ots
L0651 Lso sag-co shell pnl pre ots
L0700 Ctlso a-p-l control molded
L0710 Ctlso a-p-l control w/ inter
L0810 Halo cervical into jckt vest
L0820 Halo cervical into body jack
L0830 Halo cerv into milwaukee typ
L0859 Mri compatible system
L0861 Halo repl liner/interface
L0970 Tlso corset front
L0972 Lso corset front
L0974 Tlso full corset
L0976 Lso full corset
L0978 Axillary crutch extension
L0980 Peroneal straps pair pre ots
L0982 Stocking sup grips 4 pre ots
L0984 Protect body sock ea pre ots
L0999 Add to spinal orthosis nos
L1000 Ctlso milwauke initial model
L1001 Ctlso infant immobilizer
L1005 Tension based scoliosis orth
L1010 Ctlso axilla sling
L1020 Kyphosis pad
L1025 Kyphosis pad floating
L1030 Lumbar bolster pad
L1040 Lumbar or lumbar rib pad
L1050 Sternal pad
L1060 Thoracic pad
L1070 Trapezius sling
L1080 Outrigger
L1085 Outrigger bil w/ vert extens
L1090 Lumbar sling
L1100 Ring flange plastic/leather
L1110 Ring flange plas/leather mol
L1120 Covers for upright each
L1200 Furnsh initial orthosis only
L1210 Lateral thoracic extension
L1220 Anterior thoracic extension
L1230 Milwaukee type superstructur
L1240 Lumbar derotation pad
L1250 Anterior asis pad
L1260 Anterior thoracic derotation
L1270 Abdominal pad
L1280 Rib gusset (elastic) each
L1290 Lateral trochanteric pad
L1300 Body jacket mold to patient
L1310 Post-operative body jacket
L1499 Spinal orthosis nos
L1600 Ho flex frejka w/cov pre cst
L1610 Ho frejka cov only pre cst
L1620 Ho flex pavlik harns pre cst
L1630 Abduct control hip semi-flex
L1640 Pelv band/spread bar thigh c
L1650 Ho abduction hip adjustable
L1652 Ho bi thighcuffs w sprdr bar
L1660 Ho abduction static plastic
L1680 Pelvic & hip control thigh c
L1685 Post-op hip abduct custom fa
L1686 Ho post-op hip abduction
L1690 Combination bilateral ho
L1700 Leg perthes orth toronto typ
L1710 Legg perthes orth newington
L1720 Legg perthes orthosis trilat
L1730 Legg perthes orth scottish r
L1755 Legg perthes patten bottom t
L1810 Ko elastic with joints
L1812 Ko elastic w/joints pre ots
L1820 Ko elas w/ condyle pads & jo
L1830 Ko immob canvas long pre ots
L1831 Knee orth pos locking joint
L1832 Ko adj jnt pos r sup pre cst
L1833 Ko adj jnt pos r sup pre ots
L1834 Ko w/0 joint rigid molded to
L1836 Ko rigid w/o joints pre ots
L1840 Ko derot ant cruciate custom
L1843 Ko single upright pre cst
L1844 Ko w/adj jt rot cntrl molded
L1845 Ko double upright pre cst
L1846 Ko w adj flex/ext rotat mold
L1847 Ko dbl upright w/air pre cst
L1848 Ko dbl upright w/air pre ots
L1850 Ko swedish type pre ots
L1851 Ko single upright prefab ots
L1852 Ko double upright prefab ots
L1860 Ko supracondylar socket mold
L1900 Afo sprng wir drsflx calf bd
L1902 Afo ankle gauntlet pre ots
L1904 Afo molded ankle gauntlet
L1906 Afo multilig ank sup pre ots
L1907 Afo supramalleolar custom
L1910 Afo sing bar clasp attach sh
L1920 Afo sing upright w/ adjust s
L1930 Afo plastic
L1932 Afo rig ant tib prefab tcf/=
L1940 Afo molded to patient plasti
L1945 Afo molded plas rig ant tib
L1950 Afo spiral molded to pt plas
L1951 Afo spiral prefabricated
L1960 Afo pos solid ank plastic mo
L1970 Afo plastic molded w/ankle j
L1971 Afo w/ankle joint, prefab
L1980 Afo sing solid stirrup calf
L1990 Afo doub solid stirrup calf
L2000 Kafo sing fre stirr thi/calf
L2005 Kafo sng/dbl mechanical act
L2006 Kaf sng/dbl swg/stn mcpr cus
L2010 Kafo sng solid stirrup w/o j
L2020 Kafo dbl solid stirrup band/
L2030 Kafo dbl solid stirrup w/o j
L2034 Kafo pla sin up w/wo k/a cus
L2035 Kafo plastic pediatric size
L2036 Kafo plas doub free knee mol
L2037 Kafo plas sing free knee mol
L2038 Kafo w/o joint multi-axis an
L2040 Hkafo torsion bil rot straps
L2050 Hkafo torsion cable hip pelv
L2060 Hkafo torsion ball bearing j
L2070 Hkafo torsion unilat rot str
L2080 Hkafo unilat torsion cable
L2090 Hkafo unilat torsion ball br
L2106 Afo tib fx cast plaster mold
L2108 Afo tib fx cast molded to pt
L2112 Afo tibial fracture soft
L2114 Afo tib fx semi-rigid
L2116 Afo tibial fracture rigid
L2126 Kafo fem fx cast thermoplas
L2128 Kafo fem fx cast molded to p
L2132 Kafo femoral fx cast soft
L2134 Kafo fem fx cast semi-rigid
L2136 Kafo femoral fx cast rigid
L2180 Plas shoe insert w ank joint
L2182 Drop lock knee
L2184 Limited motion knee joint
L2186 Adj motion knee jnt lerman t
L2188 Quadrilateral brim
L2190 Waist belt
L2192 Pelvic band & belt thigh fla
L2200 Limited ankle motion ea jnt
L2210 Dorsiflexion assist each joi
L2220 Dorsi & plantar flex ass/res
L2230 Split flat caliper stirr & p
L2232 Rocker bottom, contact afo
L2240 Round caliper and plate atta
L2250 Foot plate molded stirrup at
L2260 Reinforced solid stirrup
L2265 Long tongue stirrup
L2270 Varus/valgus strap padded/li
L2275 Plastic mod low ext pad/line
L2280 Molded inner boot
L2300 Abduction bar jointed adjust
L2310 Abduction bar-straight
L2320 Non-molded lacer
L2330 Lacer molded to patient mode
L2335 Anterior swing band
L2340 Pre-tibial shell molded to p
L2350 Prosthetic type socket molde
L2360 Extended steel shank
L2370 Patten bottom
L2375 Torsion ank & half solid sti
L2380 Torsion straight knee joint
L2385 Straight knee joint heavy du
L2387 Add le poly knee custom kafo
L2390 Offset knee joint each
L2395 Offset knee joint heavy duty
L2397 Suspension sleeve lower ext
L2405 Knee joint drop lock ea jnt
L2415 Knee joint cam lock each joi
L2425 Knee disc/dial lock/adj flex
L2430 Knee jnt ratchet lock ea jnt
L2492 Knee lift loop drop lock rin
L2500 Thi/glut/ischia wgt bearing
L2510 Th/wght bear quad-lat brim m
L2520 Th/wght bear quad-lat brim c
L2525 Th/wght bear nar m-l brim mo
L2526 Th/wght bear nar m-l brim cu
L2530 Thigh/wght bear lacer non-mo
L2540 Thigh/wght bear lacer molded
L2550 Thigh/wght bear high roll cu
L2570 Hip clevis type 2 posit jnt
L2580 Pelvic control pelvic sling
L2600 Hip clevis/thrust bearing fr
L2610 Hip clevis/thrust bearing lo
L2620 Pelvic control hip heavy dut
L2622 Hip joint adjustable flexion
L2624 Hip adj flex ext abduct cont
L2627 Plastic mold recipro hip & c
L2628 Metal frame recipro hip & ca
L2630 Pelvic control band & belt u
L2640 Pelvic control band & belt b
L2650 Pelv & thor control gluteal
L2660 Thoracic control thoracic ba
L2670 Thorac cont paraspinal uprig
L2680 Thorac cont lat support upri
L2750 Plating chrome/nickel pr bar
L2755 Carbon graphite lamination
L2760 Extension per extension per
L2768 Ortho sidebar disconnect
L2780 Non-corrosive finish
L2785 Drop lock retainer each
L2795 Knee control full kneecap
L2800 Knee cap medial or lateral p
L2810 Knee control condylar pad
L2820 Soft interface below knee se
L2830 Soft interface above knee se
L2840 Tibial length sock fx or equ
L2850 Femoral lgth sock fx or equa
L2861 Torsion mechanism knee/ankle
L2999 Lower extremity orthosis nos
L3000 Ft insert ucb berkeley shell
L3001 Foot insert remov molded spe
L3002 Foot insert plastazote or eq
L3003 Foot insert silicone gel eac
L3010 Foot longitudinal arch suppo
L3020 Foot longitud/metatarsal sup
L3030 Foot arch support remov prem
L3031 Foot lamin/prepreg composite
L3040 Ft arch suprt premold longit
L3050 Foot arch supp premold metat
L3060 Foot arch supp longitud/meta
L3070 Arch suprt att to sho longit
L3080 Arch supp att to shoe metata
L3090 Arch supp att to shoe long/m
L3100 Hallus-valgus nt dyn pre ots
L3140 Abduction rotation bar shoe
L3150 Abduct rotation bar w/o shoe
L3160 Shoe styled positioning dev
L3170 Foot plas heel stabi pre ots
L3201 Oxford w supinat/pronat inf
L3202 Oxford w/ supinat/pronator c
L3203 Oxford w/ supinator/pronator
L3204 Hightop w/ supp/pronator inf
L3206 Hightop w/ supp/pronator chi
L3207 Hightop w/ supp/pronator jun
L3208 Surgical boot each infant
L3209 Surgical boot each child
L3211 Surgical boot each junior
L3212 Benesch boot pair infant
L3213 Benesch boot pair child
L3214 Benesch boot pair junior
L3215 Orthopedic ftwear ladies oxf
L3216 Orthoped ladies shoes dpth i
L3217 Ladies shoes hightop depth i
L3219 Orthopedic mens shoes oxford
L3221 Orthopedic mens shoes dpth i
L3222 Mens shoes hightop depth inl
L3224 Woman's shoe oxford brace
L3225 Man's shoe oxford brace
L3230 Custom shoes depth inlay
L3250 Custom mold shoe remov prost
L3251 Shoe molded to pt silicone s
L3252 Shoe molded plastazote cust
L3253 Shoe molded plastazote cust
L3254 Orth foot non-stndard size/w
L3255 Orth foot non-standard size/
L3257 Orth foot add charge split s
L3260 Ambulatory surgical boot eac
L3265 Plastazote sandal each
L3300 Sho lift taper to metatarsal
L3310 Shoe lift elev heel/sole neo
L3320 Shoe lift elev heel/sole cor
L3330 Lifts elevation metal extens
L3332 Shoe lifts tapered to one-ha
L3334 Shoe lifts elevation heel /i
L3340 Shoe wedge sach
L3350 Shoe heel wedge
L3360 Shoe sole wedge outside sole
L3370 Shoe sole wedge between sole
L3380 Shoe clubfoot wedge
L3390 Shoe outflare wedge
L3400 Shoe metatarsal bar wedge ro
L3410 Shoe metatarsal bar between
L3420 Full sole/heel wedge btween
L3430 Sho heel count plast reinfor
L3440 Heel leather reinforced
L3450 Shoe heel sach cushion type
L3455 Shoe heel new leather standa
L3460 Shoe heel new rubber standar
L3465 Shoe heel thomas with wedge
L3470 Shoe heel thomas extend to b
L3480 Shoe heel pad & depress for
L3485 Shoe heel pad removable for
L3500 Ortho shoe add leather insol
L3510 Orthopedic shoe add rub insl
L3520 O shoe add felt w leath insl
L3530 Ortho shoe add half sole
L3540 Ortho shoe add full sole
L3550 O shoe add standard toe tap
L3560 O shoe add horseshoe toe tap
L3570 O shoe add instep extension
L3580 O shoe add instep velcro clo
L3590 O shoe convert to sof counte
L3595 Ortho shoe add march bar
L3600 Trans shoe calip plate exist
L3610 Trans shoe caliper plate new
L3620 Trans shoe solid stirrup exi
L3630 Trans shoe solid stirrup new
L3640 Shoe dennis browne splint bo
L3649 Orthopedic shoe modifica nos
L3650 So 8 abd restraint pre ots
L3660 So 8 ab rstr can/web pre ots
L3670 So acro/clav can web pre ots
L3671 So cap design w/o jnts cf
L3674 So airplane w/wo joint cf
L3675 So vest canvas/web pre ots
L3677 So hard plas stabili pre cst
L3678 So hard plas stabili pre ots
L3702 Eo w/o joints cf
L3710 Eo elas w/metal jnts pre ots
L3720 Forearm/arm cuffs free motio
L3730 Forearm/arm cuffs ext/flex a
L3740 Cuffs adj lock w/ active con
L3760 Eo adj jt prefab custom fit
L3761 Eo, adj lock joint prefab ot
L3762 Eo rigid w/o joints pre ots
L3763 Ewho rigid w/o jnts cf
L3764 Ewho w/joint(s) cf
L3765 Ewhfo rigid w/o jnts cf
L3766 Ewhfo w/joint(s) cf
L3806 Whfo w/joint(s) custom fab
L3807 Whfo w/o joints pre cst
L3808 Whfo, rigid w/o joints
L3809 Whfo w/o joints pre ots
L3891 Torsion mechanism wrist/elbo
L3900 Hinge extension/flex wrist/f
L3901 Hinge ext/flex wrist finger
L3904 Whfo electric custom fitted
L3905 Who w/nontorsion jnt(s) cf
L3906 Who w/o joints cf
L3908 Who cock-up nonmolde pre ots
L3912 Hfo flexion glove pre ots
L3913 Hfo w/o joints cf
L3915 Who nontorsion jnts pre cst
L3916 Who nontorsion jnts pre ots
L3917 Metacarp fx orthosis pre cst
L3918 Metacarp fx orthosis pre ots
L3919 Ho w/o joints cf
L3921 Hfo w/joint(s) cf
L3923 Hfo without joints pre cst
L3924 Hfo without joints pre ots
L3925 Fo pip dip jnt/sprng pre ots
L3927 Fo pip dip no jt spr pre ots
L3929 Hfo nontorsion jnts pre cst
L3930 Hfo nontorsion jnts pre ots
L3931 Whfo nontorsion joint prefab
L3933 Fo w/o joints cf
L3935 Fo nontorsion joint cf
L3956 Add joint upper ext orthosis
L3960 Sewho airplan desig abdu pos
L3961 Sewho cap design w/o jnts cf
L3962 Sewho erbs palsey design abd
L3967 Sewho airplane w/o jnts cf
L3971 Sewho cap design w/jnt(s) cf
L3973 Sewho airplane w/jnt(s) cf
L3975 Sewhfo cap design w/o jnt cf
L3976 Sewhfo airplane w/o jnts cf
L3977 Sewhfo cap desgn w/jnt(s) cf
L3978 Sewhfo airplane w/jnt(s) cf
L3980 Up ext fx orthos humeral nos
L3981 Ue fx orth shoul cap forearm
L3982 Upper ext fx orthosis rad/ul
L3984 Upper ext fx orthosis wrist
L3995 Sock fracture or equal each
L3999 Upper limb orthosis nos
L4000 Repl girdle milwaukee orth
L4002 Replace strap, any orthosis
L4010 Replace trilateral socket br
L4020 Replace quadlat socket brim
L4030 Replace socket brim cust fit
L4040 Replace molded thigh lacer
L4045 Replace non-molded thigh lac
L4050 Replace molded calf lacer
L4055 Replace non-molded calf lace
L4060 Replace high roll cuff
L4070 Replace prox & dist upright
L4080 Repl met band kafo-afo prox
L4090 Repl met band kafo-afo calf/
L4100 Repl leath cuff kafo prox th
L4110 Repl leath cuff kafo-afo cal
L4130 Replace pretibial shell
L4205 Ortho dvc repair per 15 min
L4210 Orth dev repair/repl minor p
L4350 Ankle control ortho pre ots
L4360 Pneumat walking boot pre cst
L4361 Pneuma/vac walk boot pre ots
L4370 Pneum full leg splnt pre ots
L4386 Non-pneum walk boot pre cst
L4387 Non-pneum walk boot pre ots
L4392 Replace afo soft interface
L4394 Replace foot drop spint
L4396 Static or dynami afo pre cst
L4397 Static or dynami afo pre ots
L4398 Foot drop splint pre ots
L4631 Afo, walk boot type, cus fab
L5000 Sho insert w arch toe filler
L5010 Mold socket ank hgt w/ toe f
L5020 Tibial tubercle hgt w/ toe f
L5050 Ank symes mold sckt sach ft
L5060 Symes met fr leath socket ar
L5100 Molded socket shin sach foot
L5105 Plast socket jts/thgh lacer
L5150 Mold sckt ext knee shin sach
L5160 Mold socket bent knee shin s
L5200 Kne sing axis fric shin sach
L5210 No knee/ankle joints w/ ft b
L5220 No knee joint with artic ali
L5230 Fem focal defic constant fri
L5250 Hip canad sing axi cons fric
L5270 Tilt table locking hip sing
L5280 Hemipelvect canad sing axis
L5301 Bk mold socket sach ft endo
L5312 Knee disart, sach ft, endo
L5321 Ak open end sach
L5331 Hip disart canadian sach ft
L5341 Hemipelvectomy canadian sach
L5400 Postop dress & 1 cast chg bk
L5410 Postop dsg bk ea add cast ch
L5420 Postop dsg & 1 cast chg ak/d
L5430 Postop dsg ak ea add cast ch
L5450 Postop app non-wgt bear dsg
L5460 Postop app non-wgt bear dsg
L5500 Init bk ptb plaster direct
L5505 Init ak ischal plstr direct
L5510 Prep bk ptb plaster molded
L5520 Perp bk ptb thermopls direct
L5530 Prep bk ptb thermopls molded
L5535 Prep bk ptb open end socket
L5540 Prep bk ptb laminated socket
L5560 Prep ak ischial plast molded
L5570 Prep ak ischial direct form
L5580 Prep ak ischial thermo mold
L5585 Prep ak ischial open end
L5590 Prep ak ischial laminated
L5595 Hip disartic sach thermopls
L5600 Hip disart sach laminat mold
L5610 Above knee hydracadence
L5611 Ak 4 bar link w/fric swing
L5613 Ak 4 bar ling w/hydraul swig
L5614 4-bar link above knee w/swng
L5616 Ak univ multiplex sys frict
L5617 Ak/bk self-aligning unit ea
L5618 Test socket symes
L5620 Test socket below knee
L5622 Test socket knee disarticula
L5624 Test socket above knee
L5626 Test socket hip disarticulat
L5628 Test socket hemipelvectomy
L5629 Below knee acrylic socket
L5630 Syme typ expandabl wall sckt
L5631 Ak/knee disartic acrylic soc
L5632 Symes type ptb brim design s
L5634 Symes type poster opening so
L5636 Symes type medial opening so
L5637 Below knee total contact
L5638 Below knee leather socket
L5639 Below knee wood socket
L5640 Knee disarticulat leather so
L5642 Above knee leather socket
L5643 Hip flex inner socket ext fr
L5644 Above knee wood socket
L5645 Bk flex inner socket ext fra
L5646 Below knee cushion socket
L5647 Below knee suction socket
L5648 Above knee cushion socket
L5649 Isch containmt/narrow m-l so
L5650 Tot contact ak/knee disart s
L5651 Ak flex inner socket ext fra
L5652 Suction susp ak/knee disart
L5653 Knee disart expand wall sock
L5654 Socket insert symes
L5655 Socket insert below knee
L5656 Socket insert knee articulat
L5658 Socket insert above knee
L5661 Multi-durometer symes
L5665 Multi-durometer below knee
L5666 Below knee cuff suspension
L5668 Bk molded distal cushion
L5670 Bk molded supracondylar susp
L5671 Bk/ak locking mechanism
L5672 Bk removable medial brim sus
L5673 Socket insert w lock mech
L5676 Bk knee joints single axis p
L5677 Bk knee joints polycentric p
L5678 Bk joint covers pair
L5679 Socket insert w/o lock mech
L5680 Bk thigh lacer non-molded
L5681 Intl custm cong/latyp insert
L5682 Bk thigh lacer glut/ischia m
L5683 Initial custom socket insert
L5684 Bk fork strap
L5685 Below knee sus/seal sleeve
L5686 Bk back check
L5688 Bk waist belt webbing
L5690 Bk waist belt padded and lin
L5692 Ak pelvic control belt light
L5694 Ak pelvic control belt pad/l
L5695 Ak sleeve susp neoprene/equa
L5696 Ak/knee disartic pelvic join
L5697 Ak/knee disartic pelvic band
L5698 Ak/knee disartic silesian ba
L5699 Shoulder harness
L5700 Replace socket below knee
L5701 Replace socket above knee
L5702 Replace socket hip
L5703 Symes ankle w/o (sach) foot
L5704 Custom shape cover bk
L5705 Custom shape cover ak
L5706 Custom shape cvr knee disart
L5707 Custom shape cvr hip disart
L5710 Kne-shin exo sng axi mnl loc
L5711 Knee-shin exo mnl lock ultra
L5712 Knee-shin exo frict swg & st
L5714 Knee-shin exo variable frict
L5716 Knee-shin exo mech stance ph
L5718 Knee-shin exo frct swg & sta
L5722 Knee-shin pneum swg frct exo
L5724 Knee-shin exo fluid swing ph
L5726 Knee-shin ext jnts fld swg e
L5728 Knee-shin fluid swg & stance
L5780 Knee-shin pneum/hydra pneum
L5781 Lower limb pros vacuum pump
L5782 Hd low limb pros vacuum pump
L5785 Exoskeletal bk ultralt mater
L5790 Exoskeletal ak ultra-light m
L5795 Exoskel hip ultra-light mate
L5810 Endoskel knee-shin mnl lock
L5811 Endo knee-shin mnl lck ultra
L5812 Endo knee-shin frct swg & st
L5814 Endo knee-shin hydral swg ph
L5816 Endo knee-shin polyc mch sta
L5818 Endo knee-shin frct swg & st
L5822 Endo knee-shin pneum swg frc
L5824 Endo knee-shin fluid swing p
L5826 Miniature knee joint
L5828 Endo knee-shin fluid swg/sta
L5830 Endo knee-shin pneum/swg pha
L5840 Multi-axial knee/shin system
L5845 Knee-shin sys stance flexion
L5848 Knee-shin sys hydraul stance
L5850 Endo ak/hip knee extens assi
L5855 Mech hip extension assist
L5856 Elec knee-shin swing/stance
L5857 Elec knee-shin swing only
L5858 Stance phase only
L5859 Knee-shin pro flex/ext cont
L5910 Endo below knee alignable sy
L5920 Endo ak/hip alignable system
L5925 Above knee manual lock
L5930 High activity knee frame
L5940 Endo bk ultra-light material
L5950 Endo ak ultra-light material
L5960 Endo hip ultra-light materia
L5961 Endo poly hip, pneu/hyd/rot
L5962 Below knee flex cover system
L5964 Above knee flex cover system
L5966 Hip flexible cover system
L5968 Multiaxial ankle w dorsiflex
L5969 Ak/ft power asst incl motors
L5970 Foot external keel sach foot
L5971 Sach foot, replacement
L5972 Flexible keel foot
L5973 Ank-foot sys dors-plant flex
L5974 Foot single axis ankle/foot
L5975 Combo ankle/foot prosthesis
L5976 Energy storing foot
L5978 Ft prosth multiaxial ankl/ft
L5979 Multi-axial ankle/ft prosth
L5980 Flex foot system
L5981 Flex-walk sys low ext prosth
L5982 Exoskeletal axial rotation u
L5984 Endoskeletal axial rotation
L5985 Lwr ext dynamic prosth pylon
L5986 Multi-axial rotation unit
L5987 Shank ft w vert load pylon
L5988 Vertical shock reducing pylo
L5990 User adjustable heel height
L5999 Lowr extremity prosthes nos
L6000 Part hand thumb rem
L6010 Part hand little/ring
L6020 Part hand no fingers
L6026 Part hand myo exclu term dev
L6050 Wrst mld sck flx hng tri pad
L6055 Wrst mold sock w/exp interfa
L6100 Elb mold sock flex hinge pad
L6110 Elbow mold sock suspension t
L6120 Elbow mold doub splt soc ste
L6130 Elbow stump activated lock h
L6200 Elbow mold outsid lock hinge
L6205 Elbow molded w/ expand inter
L6250 Elbow inter loc elbow forarm
L6300 Shlder disart int lock elbow
L6310 Shoulder passive restor comp
L6320 Shoulder passive restor cap
L6350 Thoracic intern lock elbow
L6360 Thoracic passive restor comp
L6370 Thoracic passive restor cap
L6380 Postop dsg cast chg wrst/elb
L6382 Postop dsg cast chg elb dis/
L6384 Postop dsg cast chg shlder/t
L6386 Postop ea cast chg & realign
L6388 Postop applicat rigid dsg on
L6400 Below elbow prosth tiss shap
L6450 Elb disart prosth tiss shap
L6500 Above elbow prosth tiss shap
L6550 Shldr disar prosth tiss shap
L6570 Scap thorac prosth tiss shap
L6580 Wrist/elbow bowden cable mol
L6582 Wrist/elbow bowden cbl dir f
L6584 Elbow fair lead cable molded
L6586 Elbow fair lead cable dir fo
L6588 Shdr fair lead cable molded
L6590 Shdr fair lead cable direct
L6600 Polycentric hinge pair
L6605 Single pivot hinge pair
L6610 Flexible metal hinge pair
L6611 Additional switch, ext power
L6615 Disconnect locking wrist uni
L6616 Disconnect insert locking wr
L6620 Flexion/extension wrist unit
L6621 Flex/ext wrist w/wo friction
L6623 Spring-ass rot wrst w/ latch
L6624 Flex/ext/rotation wrist unit
L6625 Rotation wrst w/ cable lock
L6628 Quick disconn hook adapter o
L6629 Lamination collar w/ couplin
L6630 Stainless steel any wrist
L6632 Latex suspension sleeve each
L6635 Lift assist for elbow
L6637 Nudge control elbow lock
L6638 Elec lock on manual pw elbow
L6640 Shoulder abduction joint pai
L6641 Excursion amplifier pulley t
L6642 Excursion amplifier lever ty
L6645 Shoulder flexion-abduction j
L6646 Multipo locking shoulder jnt
L6647 Shoulder lock actuator
L6648 Ext pwrd shlder lock/unlock
L6650 Shoulder universal joint
L6655 Standard control cable extra
L6660 Heavy duty control cable
L6665 Teflon or equal cable lining
L6670 Hook to hand cable adapter
L6672 Harness chest/shlder saddle
L6675 Harness figure of 8 sing con
L6676 Harness figure of 8 dual con
L6677 Ue triple control harness
L6680 Test sock wrist disart/bel e
L6682 Test sock elbw disart/above
L6684 Test socket shldr disart/tho
L6686 Suction socket
L6687 Frame typ socket bel elbow/w
L6688 Frame typ sock above elb/dis
L6689 Frame typ socket shoulder di
L6690 Frame typ sock interscap-tho
L6691 Removable insert each
L6692 Silicone gel insert or equal
L6693 Lockingelbow forearm cntrbal
L6694 Elbow socket ins use w/lock
L6695 Elbow socket ins use w/o lck
L6696 Cus elbo skt in for con/atyp
L6697 Cus elbo skt in not con/atyp
L6698 Below/above elbow lock mech
L6703 Term dev, passive hand mitt
L6704 Term dev, sport/rec/work att
L6706 Term dev mech hook vol open
L6707 Term dev mech hook vol close
L6708 Term dev mech hand vol open
L6709 Term dev mech hand vol close
L6711 Ped term dev, hook, vol open
L6712 Ped term dev, hook, vol clos
L6713 Ped term dev, hand, vol open
L6714 Ped term dev, hand, vol clos
L6715 Term device, multi art digit
L6721 Hook/hand, hvy dty, vol open
L6722 Hook/hand, hvy dty, vol clos
L6805 Term dev modifier wrist unit
L6810 Term dev precision pinch dev
L6880 Elec hand ind art digits
L6881 Term dev auto grasp feature
L6882 Microprocessor control uplmb
L6883 Replc sockt below e/w disa
L6884 Replc sockt above elbow disa
L6885 Replc sockt shldr dis/interc
L6890 Prefab glove for term device
L6895 Custom glove for term device
L6900 Hand restorat thumb/1 finger
L6905 Hand restoration multiple fi
L6910 Hand restoration no fingers
L6915 Hand restoration replacmnt g
L6920 Wrist disarticul switch ctrl
L6925 Wrist disart myoelectronic c
L6930 Below elbow switch control
L6935 Below elbow myoelectronic ct
L6940 Elbow disarticulation switch
L6945 Elbow disart myoelectronic c
L6950 Above elbow switch control
L6955 Above elbow myoelectronic ct
L6960 Shldr disartic switch contro
L6965 Shldr disartic myoelectronic
L6970 Interscapular-thor switch ct
L6975 Interscap-thor myoelectronic
L7007 Adult electric hand
L7008 Pediatric electric hand
L7009 Adult electric hook
L7040 Prehensile actuator
L7045 Pediatric electric hook
L7170 Electronic elbow hosmer swit
L7180 Electronic elbow sequential
L7181 Electronic elbo simultaneous
L7185 Electron elbow adolescent sw
L7186 Electron elbow child switch
L7190 Elbow adolescent myoelectron
L7191 Elbow child myoelectronic ct
L7259 Electronic wrist rotator any
L7360 Six volt bat otto bock/eq ea
L7362 Battery chrgr six volt otto
L7364 Twelve volt battery utah/equ
L7366 Battery chrgr 12 volt utah/e
L7367 Replacemnt lithium ionbatter
L7368 Lithium ion battery charger
L7400 Add ue prost be/wd, ultlite
L7401 Add ue prost a/e ultlite mat
L7402 Add ue prost s/d ultlite mat
L7403 Add ue prost b/e acrylic
L7404 Add ue prost a/e acrylic
L7405 Add ue prost s/d acrylic
L7499 Upper extremity prosthes nos
L7510 Prosthetic device repair rep
L7520 Repair prosthesis per 15 min
L7600 Prosthetic donning sleeve
L7700 Pros soc insert gasket/seal
L7900 Male vacuum erection system
L7902 Tension ring, vac erect dev
L8000 Mastectomy bra
L8001 Breast prosthesis bra & form
L8002 Brst prsth bra & bilat form
L8010 Mastectomy sleeve
L8015 Ext breastprosthesis garment
L8020 Mastectomy form
L8030 Breast prosthes w/o adhesive
L8031 Breast prosthesis w adhesive
L8032 Reusable nipple prosthesis
L8033 Nipple prosthesis custom, ea
L8035 Custom breast prosthesis
L8039 Breast prosthesis nos
L8040 Nasal prosthesis
L8041 Midfacial prosthesis
L8042 Orbital prosthesis
L8043 Upper facial prosthesis
L8044 Hemi-facial prosthesis
L8045 Auricular prosthesis
L8046 Partial facial prosthesis
L8047 Nasal septal prosthesis
L8048 Unspec maxillofacial prosth
L8049 Repair maxillofacial prosth
L8300 Truss single w/ standard pad
L8310 Truss double w/ standard pad
L8320 Truss addition to std pad wa
L8330 Truss add to std pad scrotal
L8400 Sheath below knee
L8410 Sheath above knee
L8415 Sheath upper limb
L8417 Pros sheath/sock w gel cushn
L8420 Prosthetic sock multi ply bk
L8430 Prosthetic sock multi ply ak
L8435 Pros sock multi ply upper lm
L8440 Shrinker below knee
L8460 Shrinker above knee
L8465 Shrinker upper limb
L8470 Pros sock single ply bk
L8480 Pros sock single ply ak
L8485 Pros sock single ply upper l
L8499 Unlisted misc prosthetic ser
L8500 Artificial larynx
L8501 Tracheostomy speaking valve
L8505 Artificial larynx, accessory
L8507 Trach-esoph voice pros pt in
L8509 Trach-esoph voice pros md in
L8510 Voice amplifier
L8511 Indwelling trach insert
L8512 Gel cap for trach voice pros
L8513 Trach pros cleaning device
L8514 Repl trach puncture dilator
L8515 Gel cap app device for trach
L8600 Implant breast silicone/eq
L8603 Collagen imp urinary 2.5 ml
L8604 Dextranomer/hyaluronic acid
L8605 Inj bulking agent anal canal
L8606 Synthetic implnt urinary 1ml
L8607 Inj vocal cord bulking agent
L8608 Arg ii ext com/sup/acc misc
L8609 Artificial cornea
L8610 Ocular implant
L8612 Aqueous shunt prosthesis
L8613 Ossicular implant
L8614 Cochlear device
L8615 Coch implant headset replace
L8616 Coch implant microphone repl
L8617 Coch implant trans coil repl
L8618 Coch implant tran cable repl
L8619 Coch imp ext proc/contr rplc
L8621 Repl zinc air battery
L8622 Repl alkaline battery
L8623 Lith ion batt cid,non-earlvl
L8624 Lith ion batt cid, ear level
L8625 Charger coch impl/aoi battry
L8627 Cid ext speech process repl
L8628 Cid ext controller repl
L8629 Cid transmit coil and cable
L8630 Metacarpophalangeal implant
L8631 Mcp joint repl 2 pc or more
L8641 Metatarsal joint implant
L8642 Hallux implant
L8658 Interphalangeal joint spacer
L8659 Interphalangeal joint repl
L8670 Vascular graft, synthetic
L8679 Imp neurosti pls gn any type
L8680 Implt neurostim elctr each
L8681 Pt prgrm for implt neurostim
L8682 Implt neurostim radiofq rec
L8683 Radiofq trsmtr for implt neu
L8684 Radiof trsmtr implt scrl neu
L8685 Implt nrostm pls gen sng rec
L8686 Implt nrostm pls gen sng non
L8687 Implt nrostm pls gen dua rec
L8688 Implt nrostm pls gen dua non
L8689 External recharg sys intern
L8690 Aud osseo dev, int/ext comp
L8691 Aoi snd proc repl excl actua
L8692 Non-osseointegrated snd proc
L8693 Aud osseo dev, abutment
L8694 Aoi transducer/actuator repl
L8695 External recharg sys extern
L8696 Ext antenna phren nerve stim
L8698 Misc used with tot art heart
L8699 Prosthetic implant nos
L8701 Pow ue rom dev ewh uprt cust
L8702 Pow ue rom dev ewhf uprt cus
L9900 O&p supply/accessory/service