L codes: Orthotics and prosthetics
Orthotic and prosthetic devices, their additions, components and repairs.
Active HCPCS L codes
Each opens its own page with CMS’s full descriptor, Medicare indicators and dates.
L0112Cranial cervical orthosis, congenital torticollis type, with or without soft interface…L0113Cranial cervical orthosis, torticollis type, with or without joint, with or without soft…L0120Cervical, flexible, non-adjustable, prefabricated, off-the-shelf (foam collar)L0130Cervical, flexible, thermoplastic collar, molded to patientL0140Cervical, semi-rigid, adjustable (plastic collar)L0150Cervical, semi-rigid, adjustable molded chin cup (plastic collar with…L0160Cervical, semi-rigid, wire frame occipital/mandibular support, prefabricated…L0170Cervical, collar, molded to patient modelL0172Cervical, collar, semi-rigid thermoplastic foam, two-piece, prefabricated, off-the-shelfL0174Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension…L0180Cervical, multiple post collar, occipital/mandibular supports, adjustableL0190Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars…L0200Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars…L0220Thoracic, rib belt, custom fabricatedL0450Tlso, flexible, provides trunk support, upper thoracic region, produces intracavitary…L0452Tlso, flexible, provides trunk support, upper thoracic region, produces intracavitary…L0454Tlso flexible, provides trunk support, extends from sacrococcygeal junction to above t-9…L0455Tlso, flexible, provides trunk support, extends from sacrococcygeal junction to above…L0456Tlso, flexible, provides trunk support, thoracic region, rigid posterior panel and soft…L0457Tlso, flexible, provides trunk support, thoracic region, rigid posterior panel and soft…L0458Tlso, triplanar control, modular segmented spinal system, two rigid plastic shells…L0460Tlso, triplanar control, modular segmented spinal system, two rigid plastic shells…L0462Tlso, triplanar control, modular segmented spinal system, three rigid plastic shells…L0464Tlso, triplanar control, modular segmented spinal system, four rigid plastic shells…L0466Tlso, sagittal control, rigid posterior frame and flexible soft anterior apron with…L0467Tlso, sagittal control, rigid posterior frame and flexible soft anterior apron with…L0468Tlso, sagittal-coronal control, rigid posterior frame and flexible soft anterior apron…L0469Tlso, sagittal-coronal control, rigid posterior frame and flexible soft anterior apron…L0470Tlso, triplanar control, rigid posterior frame and flexible soft anterior apron with…L0472Tlso, triplanar control, hyperextension, rigid anterior and lateral frame extends from…L0480Tlso, triplanar control, one piece rigid plastic shell without interface liner, with…L0482Tlso, triplanar control, one piece rigid plastic shell with interface liner, multiple…L0484Tlso, triplanar control, two piece rigid plastic shell without interface liner, with…L0486Tlso, triplanar control, two piece rigid plastic shell with interface liner, multiple…L0488Tlso, triplanar control, one piece rigid plastic shell with interface liner, multiple…L0490Tlso, sagittal-coronal control, one piece rigid plastic shell, with overlapping…L0491Tlso, sagittal-coronal control, modular segmented spinal system, two rigid plastic…L0492Tlso, sagittal-coronal control, modular segmented spinal system, three rigid plastic…L0621Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the…L0622Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the…L0623Sacroiliac orthosis, provides pelvic-sacral support, with rigid or semi-rigid panels…L0624Sacroiliac orthosis, provides pelvic-sacral support, with rigid or semi-rigid panels…L0625Lumbar orthosis, flexible, provides lumbar support, posterior extends from l-1 to below…L0626Lumbar orthosis, sagittal control, with rigid posterior panel(s), posterior extends from…L0627Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior…L0628Lumbar-sacral orthosis, flexible, provides lumbo-sacral support, posterior extends from…L0629Lumbar-sacral orthosis, flexible, provides lumbo-sacral support, posterior extends from…L0630Lumbar-sacral orthosis, sagittal control, with rigid posterior panel(s), posterior…L0631Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels…L0632Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels…L0633Lumbar-sacral orthosis, sagittal-coronal control, with rigid posterior frame/panel(s)…L0634Lumbar-sacral orthosis, sagittal-coronal control, with rigid posterior frame/panel(s)…L0635Lumbar-sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterior…L0636Lumbar sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterior…L0637Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior…L0638Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior…L0639Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior…L0640Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior…L0641Lumbar orthosis, sagittal control, with rigid posterior panel(s), posterior extends from…L0642Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior…L0643Lumbar-sacral orthosis, sagittal control, with rigid posterior panel(s), posterior…L0648Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels…L0649Lumbar-sacral orthosis, sagittal-coronal control, with rigid posterior frame/panel(s)…L0650Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior…L0651Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior…L0700Cervical-thoracic-lumbar-sacral-orthoses (ctlso), anterior-posterior-lateral control…L0710Ctlso, anterior-posterior-lateral-control, molded to patient model, with interface…L0720Cervical-thoracic-lumbar-sacral-orthoses (ctlso), anterior-posterior-lateral control…L0810Halo procedure, cervical halo incorporated into jacket vestL0820Halo procedure, cervical halo incorporated into plaster body jacketL0830Halo procedure, cervical halo incorporated into milwaukee type orthosisL0859Addition to halo procedure, magnetic resonance image compatible systems, rings and pins…L0861Addition to halo procedure, replacement liner/interface materialL0970Tlso, corset frontL0972Lso, corset frontL0974Tlso, full corsetL0976Lso, full corsetL0978Axillary crutch extensionL0980Peroneal straps, prefabricated, off-the-shelf, pairL0982Stocking supporter grips, prefabricated, off-the-shelf, set of four (4)L0984Protective body sock, prefabricated, off-the-shelf, eachL0999Addition to spinal orthosis, not otherwise specifiedL1000Cervical-thoracic-lumbar-sacral orthosis (ctlso) (milwaukee), inclusive of furnishing…L1001Cervical thoracic lumbar sacral orthosis, immobilizer, infant size, prefabricated…L1005Tension based scoliosis orthosis and accessory pads, includes fitting and adjustmentL1006Scoliosis orthosis, sagittal-coronal control provided by a rigid lateral frame, extends…L1007Scoliosis orthosis, sagittal-coronal control provided by a rigid lateral frame, extends…L1010Addition to cervical-thoracic-lumbar-sacral orthosis (ctlso) or scoliosis orthosis…L1020Addition to ctlso or scoliosis orthosis, kyphosis padL1025Addition to ctlso or scoliosis orthosis, kyphosis pad, floatingL1030Addition to ctlso or scoliosis orthosis, lumbar bolster padL1040Addition to ctlso or scoliosis orthosis, lumbar or lumbar rib padL1050Addition to ctlso or scoliosis orthosis, sternal padL1060Addition to ctlso or scoliosis orthosis, thoracic padL1070Addition to ctlso or scoliosis orthosis, trapezius slingL1080Addition to ctlso or scoliosis orthosis, outriggerL1085Addition to ctlso or scoliosis orthosis, outrigger, bilateral with vertical extensionsL1090Addition to ctlso or scoliosis orthosis, lumbar slingL1100Addition to ctlso or scoliosis orthosis, ring flange, plastic or leatherL1110Addition to ctlso or scoliosis orthosis, ring flange, plastic or leather, molded to…L1120Addition to ctlso, scoliosis orthosis, cover for upright, eachL1200Thoracic-lumbar-sacral-orthosis (tlso), inclusive of furnishing initial orthosis onlyL1210Addition to tlso, (low profile), lateral thoracic extensionL1220Addition to tlso, (low profile), anterior thoracic extensionL1230Addition to tlso, (low profile), milwaukee type superstructureL1240Addition to tlso, (low profile), lumbar derotation padL1250Addition to tlso, (low profile), anterior asis padL1260Addition to tlso, (low profile), anterior thoracic derotation padL1270Addition to tlso, (low profile), abdominal padL1280Addition to tlso, (low profile), rib gusset (elastic), eachL1290Addition to tlso, (low profile), lateral trochanteric padL1300Other scoliosis procedure, body jacket molded to patient modelL1310Other scoliosis procedure, post-operative body jacketL1320Thoracic, pectus carinatum orthosis, sternal compression, rigid circumferential frame…L1330Thoracic orthosis, sternal and/or sternocostal compression, may include anterior and/or…L1499Spinal orthosis, not otherwise specifiedL1600Hip orthosis, abduction control of hip joints, flexible, frejka type with cover…L1610Hip orthosis, abduction control of hip joints, flexible, (frejka cover only)…L1620Hip orthosis, abduction control of hip joints, flexible, (pavlik harness), prefabricated…L1630Hip orthosis, abduction control of hip joints, semi-flexible (von rosen type), custom…L1640Hip orthosis, abduction control of hip joints, static, pelvic band or spreader bar…L1650Hip orthosis, abduction control of hip joints, static, adjustable, (ilfled type)…L1652Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar, adult size…L1653Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar, adult size…L1660Hip orthosis, abduction control of hip joints, static, plastic, prefabricated, includes…L1680Hip orthosis, abduction control of hip joints, dynamic, pelvic control, adjustable hip…L1681Hip orthosis, bilateral hip joints and thigh cuffs, adjustable flexion, extension…L1685Hip orthosis, abduction control of hip joint, postoperative hip abduction type, custom…L1686Hip orthosis, abduction control of hip joint, postoperative hip abduction type…L1690Combination, bilateral, lumbo-sacral, hip, femur orthosis providing adduction and…L1700Legg perthes orthosis, (toronto type), custom fabricatedL1710Legg perthes orthosis, (newington type), custom fabricatedL1720Legg perthes orthosis, trilateral, (tachdijan type), custom fabricatedL1730Legg perthes orthosis, (scottish rite type), custom fabricatedL1755Legg perthes orthosis, (patten bottom type), custom fabricatedL1810Knee orthosis, elastic with joints, prefabricated item that has been trimmed, bent…L1812Knee orthosis, elastic with joints, prefabricated, off-the-shelfL1820Knee orthosis, elastic with condylar pads and joints, with or without patellar control…L1821Knee orthosis, elastic with condylar pads and joints, with or without patellar control…L1830Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelfL1831Knee orthosis, locking knee joint(s), positional orthosis, prefabricated, includes…L1832Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis…L1833Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis…L1834Knee orthosis, without knee joint, rigid, custom fabricatedL1836Knee orthosis, rigid, without joint(s), includes soft interface material, prefabricated…L1840Knee orthosis, derotation, medial-lateral, anterior cruciate ligament, custom fabricatedL1843Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension…L1844Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension…L1845Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension…L1846Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension…L1847Knee orthosis, double upright with adjustable joint, with inflatable air support…L1848Knee orthosis, double upright with adjustable joint, with inflatable air support…L1850Knee orthosis, swedish type, prefabricated, off-the-shelfL1851Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and…L1852Knee orthosis (ko), double upright, thigh and calf, with adjustable flexion and…L1860Knee orthosis, modification of supracondylar prosthetic socket, custom fabricated (sk)L1900Ankle foot orthosis, spring wire, dorsiflexion assist calf band, custom fabricatedL1902Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated…L1904Ankle orthosis, ankle gauntlet or similar, with or without joints, custom fabricatedL1906Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelfL1907Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom…L1910Ankle foot orthosis, posterior, single bar, clasp attachment to shoe counter…L1920Ankle foot orthosis, single upright with static or adjustable stop (phelps or perlstein…L1930Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and…L1932Ankle foot orthosis, rigid anterior tibial section, total carbon fiber or equal…L1933Ankle foot orthosis, rigid anterior tibial section, total carbon fiber or equal…L1940Ankle foot orthosis, plastic or other material, custom fabricatedL1945Ankle foot orthosis, plastic, rigid anterior tibial section (floor reaction), custom…L1950Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic…L1951Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic or…L1952Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic or…L1960Ankle foot orthosis, posterior solid ankle, plastic, custom fabricatedL1970Ankle foot orthosis, plastic with ankle joint, custom fabricatedL1971Ankle foot orthosis, plastic or other material with ankle joint, with or without…L1972Ankle foot orthosis, plastic or other material with ankle joint, with or without…L1980Ankle foot orthosis, single upright free plantar dorsiflexion, solid stirrup, calf…L1990Ankle foot orthosis, double upright free plantar dorsiflexion, solid stirrup, calf…L2000Knee ankle foot orthosis, single upright, free knee, free ankle, solid stirrup, thigh…L2005Knee ankle foot orthosis, any material, single or double upright, stance control…L2006Knee ankle foot device, any material, single or double upright, swing and stance phase…L2010Knee ankle foot orthosis, single upright, free ankle, solid stirrup, thigh and calf…L2020Knee ankle foot orthosis, double upright, free ankle, solid stirrup, thigh and calf…L2030Knee ankle foot orthosis, double upright, free ankle, solid stirrup, thigh and calf…L2034Knee ankle foot orthosis, full plastic, single upright, with or without free motion…L2035Knee ankle foot orthosis, full plastic, static (pediatric size), without free motion…L2036Knee ankle foot orthosis, full plastic, double upright, with or without free motion…L2037Knee ankle foot orthosis, full plastic, single upright, with or without free motion…L2038Knee ankle foot orthosis, full plastic, with or without free motion knee, multi-axis…L2040Hip knee ankle foot orthosis, torsion control, bilateral rotation straps, pelvic…L2050Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, hip joint…L2060Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, ball bearing…L2070Hip knee ankle foot orthosis, torsion control, unilateral rotation straps, pelvic…L2080Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, hip joint…L2090Hip knee ankle foot orthosis, torsion control, unilateral torsion cable, ball bearing…L2106Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, thermoplastic…L2108Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, custom fabricatedL2112Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, soft, prefabricated…L2114Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, semi-rigid…L2116Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, rigid, prefabricated…L2126Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis…L2128Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, custom…L2132Kafo, fracture orthosis, femoral fracture cast orthosis, soft, prefabricated, includes…L2134Kafo, fracture orthosis, femoral fracture cast orthosis, semi-rigid, prefabricated…L2136Kafo, fracture orthosis, femoral fracture cast orthosis, rigid, prefabricated, includes…L2180Addition to lower extremity fracture orthosis, plastic shoe insert with ankle jointsL2182Addition to lower extremity fracture orthosis, drop lock knee jointL2184Addition to lower extremity fracture orthosis, limited motion knee jointL2186Addition to lower extremity fracture orthosis, adjustable motion knee joint, lerman typeL2188Addition to lower extremity fracture orthosis, quadrilateral brimL2190Addition to lower extremity fracture orthosis, waist beltL2192Addition to lower extremity fracture orthosis, hip joint, pelvic band, thigh flange, and…L2200Addition to lower extremity, limited ankle motion, each jointL2210Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each jointL2220Addition to lower extremity, dorsiflexion and plantar flexion assist/resist, each jointL2221Addition to lower extremity orthosis, ankle system, microprocessor-controlled feature…L2230Addition to lower extremity, split flat caliper stirrups and plate attachmentL2232Addition to lower extremity orthosis, rocker bottom for total contact ankle foot…L2240Addition to lower extremity, round caliper and plate attachmentL2250Addition to lower extremity, foot plate, molded to patient model, stirrup attachmentL2260Addition to lower extremity, reinforced solid stirrup (scott-craig type)L2265Addition to lower extremity, long tongue stirrupL2270Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or…L2275Addition to lower extremity, varus/valgus correction, plastic modification, padded/linedL2280Addition to lower extremity, molded inner bootL2300Addition to lower extremity, abduction bar (bilateral hip involvement), jointed…L2310Addition to lower extremity, abduction bar-straightL2320Addition to lower extremity, non-molded lacer, for custom fabricated orthosis onlyL2330Addition to lower extremity, lacer molded to patient model, for custom fabricated…L2335Addition to lower extremity, anterior swing bandL2340Addition to lower extremity, pre-tibial shell, molded to patient modelL2350Addition to lower extremity, prosthetic type, (bk) socket, molded to patient model…L2360Addition to lower extremity, extended steel shankL2370Addition to lower extremity, patten bottomL2375Addition to lower extremity, torsion control, ankle joint and half solid stirrupL2380Addition to lower extremity, torsion control, straight knee joint, each jointL2385Addition to lower extremity, straight knee joint, heavy duty, each jointL2387Addition to lower extremity, polycentric knee joint, for custom fabricated knee ankle…L2390Addition to lower extremity, offset knee joint, each jointL2395Addition to lower extremity, offset knee joint, heavy duty, each jointL2397Addition to lower extremity orthosis, suspension sleeveL2405Addition to knee joint, drop lock, eachL2415Addition to knee lock with integrated release mechanism (bail, cable, or equal), any…L2425Addition to knee joint, disc or dial lock for adjustable knee flexion, each jointL2430Addition to knee joint, ratchet lock for active and progressive knee extension, each jointL2492Addition to knee joint, lift loop for drop lock ringL2500Addition to lower extremity, thigh/weight bearing, gluteal/ ischial weight bearing, ringL2510Addition to lower extremity, thigh/weight bearing, quadri- lateral brim, molded to…L2520Addition to lower extremity, thigh/weight bearing, quadri- lateral brim, custom fittedL2525Addition to lower extremity, thigh/weight bearing, ischial containment/narrow m-l brim…L2526Addition to lower extremity, thigh/weight bearing, ischial containment/narrow m-l brim…L2530Addition to lower extremity, thigh-weight bearing, lacer, non-moldedL2540Addition to lower extremity, thigh/weight bearing, lacer, molded to patient modelL2550Addition to lower extremity, thigh/weight bearing, high roll cuffL2570Addition to lower extremity, pelvic control, hip joint, clevis type two position joint…L2580Addition to lower extremity, pelvic control, pelvic slingL2600Addition to lower extremity, pelvic control, hip joint, clevis type, or thrust bearing…L2610Addition to lower extremity, pelvic control, hip joint, clevis or thrust bearing, lock…L2620Addition to lower extremity, pelvic control, hip joint, heavy duty, eachL2622Addition to lower extremity, pelvic control, hip joint, adjustable flexion, eachL2624Addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension…L2627Addition to lower extremity, pelvic control, plastic, molded to patient model…L2628Addition to lower extremity, pelvic control, metal frame, reciprocating hip joint and…L2630Addition to lower extremity, pelvic control, band and belt, unilateralL2640Addition to lower extremity, pelvic control, band and belt, bilateralL2650Addition to lower extremity, pelvic and thoracic control, gluteal pad, eachL2660Addition to lower extremity, thoracic control, thoracic bandL2670Addition to lower extremity, thoracic control, paraspinal uprightsL2680Addition to lower extremity, thoracic control, lateral support uprightsL2750Addition to lower extremity orthosis, plating chrome or nickel, per barL2755Addition to lower extremity orthosis, high strength, lightweight material, all hybrid…L2760Addition to lower extremity orthosis, extension, per extension, per bar (for lineal…L2768Orthotic side bar disconnect device, per barL2780Addition to lower extremity orthosis, non-corrosive finish, per barL2785Addition to lower extremity orthosis, drop lock retainer, eachL2795Addition to lower extremity orthosis, knee control, full kneecapL2800Addition to lower extremity orthosis, knee control, knee cap, medial or lateral pull…L2810Addition to lower extremity orthosis, knee control, condylar padL2820Addition to lower extremity orthosis, soft interface for molded plastic, below knee…L2830Addition to lower extremity orthosis, soft interface for molded plastic, above knee…L2840Addition to lower extremity orthosis, tibial length sock, fracture or equal, eachL2850Addition to lower extremity orthosis, femoral length sock, fracture or equal, eachL2861Addition to lower extremity joint, knee or ankle, concentric adjustable torsion style…L2999Lower extremity orthoses, not otherwise specifiedL3000Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, eachL3001Foot, insert, removable, molded to patient model, spenco, eachL3002Foot, insert, removable, molded to patient model, plastazote or equal, eachL3003Foot, insert, removable, molded to patient model, silicone gel, eachL3010Foot, insert, removable, molded to patient model, longitudinal arch support, eachL3020Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, eachL3030Foot, insert, removable, formed to patient foot, eachL3031Foot, insert/plate, removable, addition to lower extremity orthosis, high strength…L3040Foot, arch support, removable, premolded, longitudinal, eachL3050Foot, arch support, removable, premolded, metatarsal, eachL3060Foot, arch support, removable, premolded, longitudinal/ metatarsal, eachL3070Foot, arch support, non-removable attached to shoe, longitudinal, eachL3080Foot, arch support, non-removable attached to shoe, metatarsal, eachL3090Foot, arch support, non-removable attached to shoe, longitudinal/metatarsal, eachL3100Hallus-valgus night dynamic splint, prefabricated, off-the-shelfL3140Foot, abduction rotation bar, including shoesL3150Foot, abduction rotation bar, without shoesL3160Foot, adjustable shoe-styled positioning deviceL3161Foot, adductus positioning device, adjustableL3170Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, eachL3201Orthopedic shoe, oxford with supinator or pronator, infantL3202Orthopedic shoe, oxford with supinator or pronator, childL3203Orthopedic shoe, oxford with supinator or pronator, juniorL3204Orthopedic shoe, hightop with supinator or pronator, infantL3206Orthopedic shoe, hightop with supinator or pronator, childL3207Orthopedic shoe, hightop with supinator or pronator, juniorL3208Surgical boot, each, infantL3209Surgical boot, each, childL3211Surgical boot, each, juniorL3212Benesch boot, pair, infantL3213Benesch boot, pair, childL3214Benesch boot, pair, juniorL3215Orthopedic footwear, ladies shoe, oxford, eachL3216Orthopedic footwear, ladies shoe, depth inlay, eachL3217Orthopedic footwear, ladies shoe, hightop, depth inlay, eachL3219Orthopedic footwear, mens shoe, oxford, eachL3221Orthopedic footwear, mens shoe, depth inlay, eachL3222Orthopedic footwear, mens shoe, hightop, depth inlay, eachL3224Orthopedic footwear, woman's shoe, oxford, used as an integral part of a brace (orthosis)L3225Orthopedic footwear, man's shoe, oxford, used as an integral part of a brace (orthosis)L3230Orthopedic footwear, custom shoe, depth inlay, eachL3250Orthopedic footwear, custom molded shoe, removable inner mold, prosthetic shoe, eachL3251Foot, shoe molded to patient model, silicone shoe, eachL3252Foot, shoe molded to patient model, plastazote (or similar), custom fabricated, eachL3253Foot, molded shoe plastazote (or similar) custom fitted, eachL3254Non-standard size or widthL3255Non-standard size or lengthL3257Orthopedic footwear, additional charge for split sizeL3260Surgical boot/shoe, eachL3265Plastazote sandal, eachL3300Lift, elevation, heel, tapered to metatarsals, per inchL3310Lift, elevation, heel and sole, neoprene, per inchL3320Lift, elevation, heel and sole, cork, per inchL3330Lift, elevation, metal extension (skate)L3332Lift, elevation, inside shoe, tapered, up to one-half inchL3334Lift, elevation, heel, per inchL3340Heel wedge, sachL3350Heel wedgeL3360Sole wedge, outside soleL3370Sole wedge, between soleL3380Clubfoot wedgeL3390Outflare wedgeL3400Metatarsal bar wedge, rockerL3410Metatarsal bar wedge, between soleL3420Full sole and heel wedge, between soleL3430Heel, counter, plastic reinforcedL3440Heel, counter, leather reinforcedL3450Heel, sach cushion typeL3455Heel, new leather, standardL3460Heel, new rubber, standardL3465Heel, thomas with wedgeL3470Heel, thomas extended to ballL3480Heel, pad and depression for spurL3485Heel, pad, removable for spurL3500Orthopedic shoe addition, insole, leatherL3510Orthopedic shoe addition, insole, rubberL3520Orthopedic shoe addition, insole, felt covered with leatherL3530Orthopedic shoe addition, sole, halfL3540Orthopedic shoe addition, sole, fullL3550Orthopedic shoe addition, toe tap standardL3560Orthopedic shoe addition, toe tap, horseshoeL3570Orthopedic shoe addition, special extension to instep (leather with eyelets)L3580Orthopedic shoe addition, convert instep to velcro closureL3590Orthopedic shoe addition, convert firm shoe counter to soft counterL3595Orthopedic shoe addition, march barL3600Transfer of an orthosis from one shoe to another, caliper plate, existingL3610Transfer of an orthosis from one shoe to another, caliper plate, newL3620Transfer of an orthosis from one shoe to another, solid stirrup, existingL3630Transfer of an orthosis from one shoe to another, solid stirrup, newL3640Transfer of an orthosis from one shoe to another, dennis browne splint (riveton), both…L3649Orthopedic shoe, modification, addition or transfer, not otherwise specifiedL3650Shoulder orthosis, figure of eight design abduction restrainer, prefabricated…L3660Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing…L3670Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated…L3671Shoulder orthosis, shoulder joint design, without joints, may include soft interface…L3674Shoulder orthosis, abduction positioning (airplane design), thoracic component and…L3675Shoulder orthosis, vest type abduction restrainer, canvas webbing type or equal…L3677Shoulder orthosis, shoulder joint design, without joints, may include soft interface…L3678Shoulder orthosis, shoulder joint design, without joints, may include soft interface…L3702Elbow orthosis, without joints, may include soft interface, straps, custom fabricated…L3710Elbow orthosis, elastic with metal joints, prefabricated, off-the-shelfL3720Elbow orthosis, double upright with forearm/arm cuffs, free motion, custom fabricatedL3730Elbow orthosis, double upright with forearm/arm cuffs, extension/ flexion assist, custom…L3740Elbow orthosis, double upright with forearm/arm cuffs, adjustable position lock with…L3760Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, item that…L3761Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated…L3762Elbow orthosis, rigid, without joints, includes soft interface material, prefabricated…L3763Elbow wrist hand orthosis, rigid, without joints, may include soft interface, straps…L3764Elbow wrist hand orthosis, includes one or more nontorsion joints, elastic bands…L3765Elbow wrist hand finger orthosis, rigid, without joints, may include soft interface…L3766Elbow wrist hand finger orthosis, includes one or more nontorsion joints, elastic bands…L3806Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles…L3807Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed…L3808Wrist hand finger orthosis, rigid without joints, may include soft interface material…L3809Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any typeL3891Addition to upper extremity joint, wrist or elbow, concentric adjustable torsion style…L3900Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion…L3901Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion…L3904Wrist hand finger orthosis, external powered, electric, custom fabricatedL3905Wrist hand orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles…L3906Wrist hand orthosis, without joints, may include soft interface, straps, custom…L3908Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated…L3912Hand finger orthosis (hfo), flexion glove with elastic finger control, prefabricated…L3913Hand finger orthosis, without joints, may include soft interface, straps, custom…L3915Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands…L3916Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands…L3917Hand orthosis, metacarpal fracture orthosis, prefabricated item that has been trimmed…L3918Hand orthosis, metacarpal fracture orthosis, prefabricated, off-the-shelfL3919Hand orthosis, without joints, may include soft interface, straps, custom fabricated…L3921Hand finger orthosis, includes one or more nontorsion joints, elastic bands…L3923Hand finger orthosis, without joints, may include soft interface, straps, prefabricated…L3924Hand finger orthosis, without joints, may include soft interface, straps, prefabricated…L3925Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), non…L3927Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), without…L3929Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic…L3930Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic…L3931Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles…L3933Finger orthosis, without joints, may include soft interface, custom fabricated, includes…L3935Finger orthosis, nontorsion joint, may include soft interface, custom fabricated…L3956Addition of joint to upper extremity orthosis, any material; per jointL3960Shoulder elbow wrist hand orthosis, abduction positioning, airplane design…L3961Shoulder elbow wrist hand orthosis, shoulder cap design, without joints, may include…L3962Shoulder elbow wrist hand orthosis, abduction positioning, erb's palsey design…L3967Shoulder elbow wrist hand orthosis, abduction positioning (airplane design), thoracic…L3971Shoulder elbow wrist hand orthosis, shoulder cap design, includes one or more nontorsion…L3973Shoulder elbow wrist hand orthosis, abduction positioning (airplane design), thoracic…L3975Shoulder elbow wrist hand finger orthosis, shoulder cap design, without joints, may…L3976Shoulder elbow wrist hand finger orthosis, abduction positioning (airplane design)…L3977Shoulder elbow wrist hand finger orthosis, shoulder cap design, includes one or more…L3978Shoulder elbow wrist hand finger orthosis, abduction positioning (airplane design)…L3980Upper extremity fracture orthosis, humeral, prefabricated, includes fitting and adjustmentL3981Upper extremity fracture orthosis, humeral, prefabricated, includes shoulder cap design…L3982Upper extremity fracture orthosis, radius/ulnar, prefabricated, includes fitting and…L3984Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustmentL3995Addition to upper extremity orthosis, sock, fracture or equal, eachL3999Upper limb orthosis, not otherwise specifiedL4000Replace girdle for spinal orthosis (ctlso or so)L4002Replacement strap, any orthosis, includes all components, any length, any typeL4010Replace trilateral socket brimL4020Replace quadrilateral socket brim, molded to patient modelL4030Replace quadrilateral socket brim, custom fittedL4040Replace molded thigh lacer, for custom fabricated orthosis onlyL4045Replace non-molded thigh lacer, for custom fabricated orthosis onlyL4050Replace molded calf lacer, for custom fabricated orthosis onlyL4055Replace non-molded calf lacer, for custom fabricated orthosis onlyL4060Replace high roll cuffL4070Replace proximal and distal upright for kafoL4080Replace metal bands kafo, proximal thighL4090Replace metal bands kafo-afo, calf or distal thighL4100Replace leather cuff kafo, proximal thighL4110Replace leather cuff kafo-afo, calf or distal thighL4130Replace pretibial shellL4205Repair of orthotic device, labor component, per 15 minutesL4210Repair of orthotic device, repair or replace minor partsL4350Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g.…L4360Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface…L4361Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface…L4370Pneumatic full leg splint, prefabricated, off-the-shelfL4386Walking boot, non-pneumatic, with or without joints, with or without interface material…L4387Walking boot, non-pneumatic, with or without joints, with or without interface material…L4392Replacement, soft interface material, static afoL4394Replace soft interface material, foot drop splintL4396Static or dynamic ankle foot orthosis, including soft interface material, adjustable for…L4397Static or dynamic ankle foot orthosis, including soft interface material, adjustable for…L4398Foot drop splint, recumbent positioning device, prefabricated, off-the-shelfL4631Ankle foot orthosis, walking boot type, varus/valgus correction, rocker bottom, anterior…L5000Partial foot, shoe insert with longitudinal arch, toe fillerL5010Partial foot, molded socket, ankle height, with toe fillerL5020Partial foot, molded socket, tibial tubercle height, with toe fillerL5050Ankle, symes, molded socket, sach footL5060Ankle, symes, metal frame, molded leather socket, articulated ankle/footL5100Below knee, molded socket, shin, sach footL5105Below knee, plastic socket, joints and thigh lacer, sach footL5150Knee disarticulation (or through knee), molded socket, external knee joints, shin, sach…L5160Knee disarticulation (or through knee), molded socket, bent knee configuration, external…L5200Above knee, molded socket, single axis constant friction knee, shin, sach footL5210Above knee, short prosthesis, no knee joint ('stubbies'), with foot blocks, no ankle…L5220Above knee, short prosthesis, no knee joint ('stubbies'), with articulated ankle/foot…L5230Above knee, for proximal femoral focal deficiency, constant friction knee, shin, sach footL5250Hip disarticulation, canadian type; molded socket, hip joint, single axis constant…L5270Hip disarticulation, tilt table type; molded socket, locking hip joint, single axis…L5280Hemipelvectomy, canadian type; molded socket, hip joint, single axis constant friction…L5301Below knee, molded socket, shin, sach foot, endoskeletal systemL5312Knee disarticulation (or through knee), molded socket, single axis knee, pylon, sach…L5321Above knee, molded socket, open end, sach foot, endoskeletal system, single axis kneeL5331Hip disarticulation, canadian type, molded socket, endoskeletal system, hip joint…L5341Hemipelvectomy, canadian type, molded socket, endoskeletal system, hip joint, single…L5400Immediate post surgical or early fitting, application of initial rigid dressing…L5410Immediate post surgical or early fitting, application of initial rigid dressing…L5420Immediate post surgical or early fitting, application of initial rigid dressing…L5430Immediate post surgical or early fitting, application of initial rigid dressing, incl.…L5450Immediate post surgical or early fitting, application of non-weight bearing rigid…L5460Immediate post surgical or early fitting, application of non-weight bearing rigid…L5500Initial, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot…L5505Initial, above knee - knee disarticulation, ischial level socket, non-alignable system…L5510Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach…L5520Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach…L5530Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach…L5535Preparatory, below knee 'ptb' type socket, non-alignable system, no cover, sach foot…L5540Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach…L5560Preparatory, above knee- knee disarticulation, ischial level socket, non-alignable…L5570Preparatory, above knee - knee disarticulation, ischial level socket, non-alignable…L5580Preparatory, above knee - knee disarticulation ischial level socket, non-alignable…L5585Preparatory, above knee - knee disarticulation, ischial level socket, non-alignable…L5590Preparatory, above knee - knee disarticulation ischial level socket, non-alignable…L5595Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot…L5600Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot, laminated…L5610Addition to lower extremity, endoskeletal system, above knee, hydracadence systemL5611Addition to lower extremity, endoskeletal system, above knee - knee disarticulation, 4…L5613Addition to lower extremity, endoskeletal system, above knee-knee disarticulation, 4 bar…L5614Addition to lower extremity, exoskeletal system, above knee-knee disarticulation, 4 bar…L5615Addition, endoskeletal knee-shin system, 4 bar linkage or multiaxial, fluid swing and…L5616Addition to lower extremity, endoskeletal system, above knee, universal multiplex…L5617Addition to lower extremity, quick change self-aligning unit, above knee or below knee…L5618Addition to lower extremity, test socket, symesL5620Addition to lower extremity, test socket, below kneeL5622Addition to lower extremity, test socket, knee disarticulationL5624Addition to lower extremity, test socket, above kneeL5626Addition to lower extremity, test socket, hip disarticulationL5628Addition to lower extremity, test socket, hemipelvectomyL5629Addition to lower extremity, below knee, acrylic socketL5630Addition to lower extremity, symes type, expandable wall socketL5631Addition to lower extremity, above knee or knee disarticulation, acrylic socketL5632Addition to lower extremity, symes type, 'ptb' brim design socketL5634Addition to lower extremity, symes type, posterior opening (canadian) socketL5636Addition to lower extremity, symes type, medial opening socketL5637Addition to lower extremity, below knee, total contactL5638Addition to lower extremity, below knee, leather socketL5639Addition to lower extremity, below knee, wood socketL5640Addition to lower extremity, knee disarticulation, leather socketL5642Addition to lower extremity, above knee, leather socketL5643Addition to lower extremity, hip disarticulation, flexible inner socket, external frameL5644Addition to lower extremity, above knee, wood socketL5645Addition to lower extremity, below knee, flexible inner socket, external frameL5646Addition to lower extremity, below knee, air, fluid, gel or equal, cushion socketL5647Addition to lower extremity, below knee suction socketL5648Addition to lower extremity, above knee, air, fluid, gel or equal, cushion socketL5649Addition to lower extremity, ischial containment/narrow m-l socketL5650Additions to lower extremity, total contact, above knee or knee disarticulation socketL5651Addition to lower extremity, above knee, flexible inner socket, external frameL5652Addition to lower extremity, suction suspension, above knee or knee disarticulation socketL5653Addition to lower extremity, knee disarticulation, expandable wall socketL5654Addition to lower extremity, socket insert, symes, (kemblo, pelite, aliplast, plastazote…L5655Addition to lower extremity, socket insert, below knee (kemblo, pelite, aliplast…L5656Addition to lower extremity, socket insert, knee disarticulation (kemblo, pelite…L5657Addition to lower extremity prosthesis, manual/automated adjustable air, fluid, gel or…L5658Addition to lower extremity, socket insert, above knee (kemblo, pelite, aliplast…L5661Addition to lower extremity, socket insert, multi-durometer symesL5665Addition to lower extremity, socket insert, multi-durometer, below kneeL5666Addition to lower extremity, below knee, cuff suspensionL5668Addition to lower extremity, below knee, molded distal cushionL5670Addition to lower extremity, below knee, molded supracondylar suspension ('pts' or…L5671Addition to lower extremity, below knee / above knee suspension locking mechanism…L5672Addition to lower extremity, below knee, removable medial brim suspensionL5673Addition to lower extremity, below knee/above knee, custom fabricated from existing mold…L5676Additions to lower extremity, below knee, knee joints, single axis, pairL5677Additions to lower extremity, below knee, knee joints, polycentric, pairL5678Additions to lower extremity, below knee, joint covers, pairL5679Addition to lower extremity, below knee/above knee, custom fabricated from existing mold…L5680Addition to lower extremity, below knee, thigh lacer, nonmoldedL5681Addition to lower extremity, below knee/above knee, custom fabricated socket insert for…L5682Addition to lower extremity, below knee, thigh lacer, gluteal/ischial, moldedL5683Addition to lower extremity, below knee/above knee, custom fabricated socket insert for…L5684Addition to lower extremity, below knee, fork strapL5685Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or…L5686Addition to lower extremity, below knee, back check (extension control)L5688Addition to lower extremity, below knee, waist belt, webbingL5690Addition to lower extremity, below knee, waist belt, padded and linedL5692Addition to lower extremity, above knee, pelvic control belt, lightL5694Addition to lower extremity, above knee, pelvic control belt, padded and linedL5695Addition to lower extremity, above knee, pelvic control, sleeve suspension, neoprene or…L5696Addition to lower extremity, above knee or knee disarticulation, pelvic jointL5697Addition to lower extremity, above knee or knee disarticulation, pelvic bandL5698Addition to lower extremity, above knee or knee disarticulation, silesian bandageL5699All lower extremity prostheses, shoulder harnessL5700Replacement, socket, below knee, molded to patient modelL5701Replacement, socket, above knee/knee disarticulation, including attachment plate, molded…L5702Replacement, socket, hip disarticulation, including hip joint, molded to patient modelL5703Ankle, symes, molded to patient model, socket without solid ankle cushion heel (sach)…L5704Custom shaped protective cover, below kneeL5705Custom shaped protective cover, above kneeL5706Custom shaped protective cover, knee disarticulationL5707Custom shaped protective cover, hip disarticulationL5710Addition, exoskeletal knee-shin system, single axis, manual lockL5711Additions exoskeletal knee-shin system, single axis, manual lock, ultra-light materialL5712Addition, exoskeletal knee-shin system, single axis, friction swing and stance phase…L5714Addition, exoskeletal knee-shin system, single axis, variable friction swing phase controlL5716Addition, exoskeletal knee-shin system, polycentric, mechanical stance phase lockL5718Addition, exoskeletal knee-shin system, polycentric, friction swing and stance phase…L5722Addition, exoskeletal knee-shin system, single axis, pneumatic swing, friction stance…L5724Addition, exoskeletal knee-shin system, single axis, fluid swing phase controlL5726Addition, exoskeletal knee-shin system, single axis, external joints fluid swing phase…L5728Addition, exoskeletal knee-shin system, single axis, fluid swing and stance phase controlL5780Addition, exoskeletal knee-shin system, single axis, pneumatic/hydra pneumatic swing…L5781Addition to lower limb prosthesis, vacuum pump, residual limb volume management and…L5782Addition to lower limb prosthesis, vacuum pump, residual limb volume management and…L5783Addition to lower extremity, user adjustable, mechanical, residual limb volume…L5785Addition, exoskeletal system, below knee, ultra-light material (titanium, carbon fiber…L5790Addition, exoskeletal system, above knee, ultra-light material (titanium, carbon fiber…L5795Addition, exoskeletal system, hip disarticulation, ultra-light material (titanium…L5810Addition, endoskeletal knee-shin system, single axis, manual lockL5811Addition, endoskeletal knee-shin system, single axis, manual lock, ultra-light materialL5812Addition, endoskeletal knee-shin system, single axis, friction swing and stance phase…L5814Addition, endoskeletal knee-shin system, polycentric, hydraulic swing phase control…L5816Addition, endoskeletal knee-shin system, polycentric, mechanical stance phase lockL5818Addition, endoskeletal knee-shin system, polycentric, friction swing, and stance phase…L5822Addition, endoskeletal knee-shin system, single axis, pneumatic swing, friction stance…L5824Addition, endoskeletal knee-shin system, single axis, fluid swing phase controlL5826Addition, endoskeletal knee-shin system, single axis, hydraulic swing phase control…L5827Endoskeletal knee-shin system, single axis, electromechanical swing and stance phase…L5828Addition, endoskeletal knee-shin system, single axis, fluid swing and stance phase controlL5830Addition, endoskeletal knee-shin system, single axis, pneumatic/ swing phase controlL5840Addition, endoskeletal knee/shin system, 4-bar linkage or multiaxial, pneumatic swing…L5841Addition, endoskeletal knee-shin system, polycentric, pneumatic swing, and stance phase…L5845Addition, endoskeletal, knee-shin system, stance flexion feature, adjustableL5848Addition to endoskeletal knee-shin system, fluid stance extension, dampening feature…L5850Addition, endoskeletal system, above knee or hip disarticulation, knee extension assistL5855Addition, endoskeletal system, hip disarticulation, mechanical hip extension assistL5856Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor…L5857Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor…L5858Addition to lower extremity prosthesis, endoskeletal knee shin system, microprocessor…L5859Addition to lower extremity prosthesis, endoskeletal knee-shin system, powered and…L5910Addition, endoskeletal system, below knee, alignable systemL5920Addition, endoskeletal system, above knee or hip disarticulation, alignable systemL5925Addition, endoskeletal system, above knee, knee disarticulation or hip disarticulation…L5926Addition to lower extremity prosthesis, endoskeletal, knee disarticulation, above knee…L5930Addition, endoskeletal system, high activity knee control frameL5940Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber…L5950Addition, endoskeletal system, above knee, ultra-light material (titanium, carbon fiber…L5960Addition, endoskeletal system, hip disarticulation, ultra-light material (titanium…L5961Addition, endoskeletal system, polycentric hip joint, pneumatic or hydraulic control…L5962Addition, endoskeletal system, below knee, flexible protective outer surface covering…L5964Addition, endoskeletal system, above knee, flexible protective outer surface covering…L5966Addition, endoskeletal system, hip disarticulation, flexible protective outer surface…L5968Addition to lower limb prosthesis, multiaxial ankle with swing phase active dorsiflexion…L5969Addition, endoskeletal ankle-foot or ankle system, power assist, includes any type…L5970All lower extremity prostheses, foot, external keel, sach footL5971All lower extremity prosthesis, solid ankle cushion heel (sach) foot, replacement onlyL5972All lower extremity prostheses, foot, flexible keelL5973Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or…L5974All lower extremity prostheses, foot, single axis ankle/footL5975All lower extremity prosthesis, combination single axis ankle and flexible keel footL5976All lower extremity prostheses, energy storing foot (seattle carbon copy ii or equal)L5978All lower extremity prostheses, foot, multiaxial ankle/footL5979All lower extremity prosthesis, multi-axial ankle, dynamic response foot, one piece systemL5980All lower extremity prostheses, flex foot systemL5981All lower extremity prostheses, flex-walk system or equalL5982All exoskeletal lower extremity prostheses, axial rotation unitL5984All endoskeletal lower extremity prosthesis, axial rotation unit, with or without…L5985All endoskeletal lower extremity prostheses, dynamic prosthetic pylonL5986All lower extremity prostheses, multi-axial rotation unit ('mcp' or equal)L5987All lower extremity prosthesis, shank foot system with vertical loading pylonL5988Addition to lower limb prosthesis, vertical shock reducing pylon featureL5990Addition to lower extremity prosthesis, user adjustable heel heightL5991Addition to lower extremity prostheses, osseointegrated external prosthetic connectorL5992All lower extremity prosthesis, foot shell for modular foot/non-solid ankle cushion heel…L5999Lower extremity prosthesis, not otherwise specifiedL6026Transcarpal/metacarpal or partial hand disarticulation prosthesis, external power…L6028Partial hand, finger, and thumb prosthesis without prosthetic digit(s) /thumb…L6029Upper extremity addition, test socket/interface, partial hand including fingersL6030Upper extremity addition, external frame, partial hand including fingersL6031Replacement socket/interface, partial hand including fingers, molded to patient model…L6032Addition to upper extremity prosthesis, partial hand including fingers, ultralight…L6033Addition to upper extremity prosthesis, partial hand including fingers, acrylic materialL6034Partial hand, finger, and thumb prosthesis without prosthetic digit(s)/thumb, amputation…L6035Single prosthetic digit, mechanical, can include metacarpophalangeal (mcp), proximal…L6036Prosthetic thumb, mechanical, can include metacarpophalangeal (mcp), interphalangeal…L6037Immediate post-surgical or early fitting, application of initial rigid dressing…L6038Addition to single prosthetic digit or thumb, mechanical, attachment, multiaxial and/or…L6039Passive prosthetic digit or thumb prosthesis not including hand restoration partial…L6050Wrist disarticulation, molded socket, flexible elbow hinges, triceps padL6055Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges…L6100Below elbow, molded socket, flexible elbow hinge, triceps padL6110Below elbow, molded socket, (muenster or northwestern suspension types)L6120Below elbow, molded double wall split socket, step-up hinges, half cuffL6130Below elbow, molded double wall split socket, stump activated locking hinge, half cuffL6200Elbow disarticulation, molded socket, outside locking hinge, forearmL6205Elbow disarticulation, molded socket with expandable interface, outside locking hinges…L6250Above elbow, molded double wall socket, internal locking elbow, forearmL6300Shoulder disarticulation, molded socket, shoulder bulkhead, humeral section, internal…L6310Shoulder disarticulation, passive restoration (complete prosthesis)L6320Shoulder disarticulation, passive restoration (shoulder cap only)L6350Interscapular thoracic, molded socket, shoulder bulkhead, humeral section, internal…L6360Interscapular thoracic, passive restoration (complete prosthesis)L6370Interscapular thoracic, passive restoration (shoulder cap only)L6380Immediate post surgical or early fitting, application of initial rigid dressing…L6382Immediate post surgical or early fitting, application of initial rigid dressing…L6384Immediate post surgical or early fitting, application of initial rigid dressing…L6386Immediate post surgical or early fitting, each additional cast change and realignmentL6388Immediate post surgical or early fitting, application of rigid dressing onlyL6400Below elbow, molded socket, endoskeletal system, including soft prosthetic tissue shapingL6450Elbow disarticulation, molded socket, endoskeletal system, including soft prosthetic…L6500Above elbow, molded socket, endoskeletal system, including soft prosthetic tissue shapingL6550Shoulder disarticulation, molded socket, endoskeletal system, including soft prosthetic…L6570Interscapular thoracic, molded socket, endoskeletal system, including soft prosthetic…L6580Preparatory, wrist disarticulation or below elbow, single wall plastic socket, friction…L6582Preparatory, wrist disarticulation or below elbow, single wall socket, friction wrist…L6584Preparatory, elbow disarticulation or above elbow, single wall plastic socket, friction…L6586Preparatory, elbow disarticulation or above elbow, single wall socket, friction wrist…L6588Preparatory, shoulder disarticulation or interscapular thoracic, single wall plastic…L6590Preparatory, shoulder disarticulation or interscapular thoracic, single wall socket…L6600Upper extremity additions, polycentric hinge, pairL6605Upper extremity additions, single pivot hinge, pairL6610Upper extremity additions, flexible metal hinge, pairL6611Addition to upper extremity prosthesis, external powered, additional switch, any typeL6615Upper extremity addition, disconnect locking wrist unitL6616Upper extremity addition, additional disconnect insert for locking wrist unit, eachL6620Upper extremity addition, flexion/extension wrist unit, with or without frictionL6621Upper extremity prosthesis addition, flexion/extension wrist with or without friction…L6623Upper extremity addition, spring assisted rotational wrist unit with latch releaseL6624Upper extremity addition, flexion/extension and rotation wrist unitL6625Upper extremity addition, rotation wrist unit with cable lockL6628Upper extremity addition, quick disconnect hook adapter, otto bock or equalL6629Upper extremity addition, quick disconnect lamination collar with coupling piece, otto…L6630Upper extremity addition, stainless steel, any wristL6632Upper extremity addition, latex suspension sleeve, eachL6635Upper extremity addition, lift assist for elbowL6637Upper extremity addition, nudge control elbow lockL6638Upper extremity addition to prosthesis, electric locking feature, only for use with…L6640Upper extremity additions, shoulder abduction joint, pairL6641Upper extremity addition, excursion amplifier, pulley typeL6642Upper extremity addition, excursion amplifier, lever typeL6645Upper extremity addition, shoulder flexion-abduction joint, eachL6646Upper extremity addition, shoulder joint, multipositional locking, flexion, adjustable…L6647Upper extremity addition, shoulder lock mechanism, body powered actuatorL6648Upper extremity addition, shoulder lock mechanism, external powered actuatorL6650Upper extremity addition, shoulder universal joint, eachL6655Upper extremity addition, standard control cable, extraL6660Upper extremity addition, heavy duty control cableL6665Upper extremity addition, teflon, or equal, cable liningL6670Upper extremity addition, hook to hand, cable adapterL6672Upper extremity addition, harness, chest or shoulder, saddle typeL6675Upper extremity addition, harness, (e.g., figure of eight type), single cable designL6676Upper extremity addition, harness, (e.g., figure of eight type), dual cable designL6677Upper extremity addition, harness, triple control, simultaneous operation of terminal…L6680Upper extremity addition, test socket, wrist disarticulation or below elbowL6682Upper extremity addition, test socket, elbow disarticulation or above elbowL6684Upper extremity addition, test socket, shoulder disarticulation or interscapular thoracicL6686Upper extremity addition, suction socketL6687Upper extremity addition, frame type socket, below elbow or wrist disarticulationL6688Upper extremity addition, frame type socket, above elbow or elbow disarticulationL6689Upper extremity addition, frame type socket, shoulder disarticulationL6690Upper extremity addition, frame type socket, interscapular-thoracicL6691Upper extremity addition, removable insert, eachL6692Upper extremity addition, silicone gel insert or equal, with or without locking…L6693Upper extremity addition, locking elbow, forearm counterbalanceL6694Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from…L6695Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from…L6696Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated…L6697Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated…L6698Addition to upper extremity prosthesis, lock mechanism, excludes socket insertL6700Upper extremity addition, external powered feature, myoelectronic control module…L6703Terminal device, passive hand/mitt, any material, any sizeL6704Terminal device, sport/recreational/work attachment, any material, any sizeL6706Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or…L6707Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or…L6708Terminal device, hand, mechanical, voluntary opening, any material, any sizeL6709Terminal device, hand, mechanical, voluntary closing, any material, any sizeL6711Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or…L6712Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or…L6713Terminal device, hand, mechanical, voluntary opening, any material, any size, pediatricL6714Terminal device, hand, mechanical, voluntary closing, any material, any size, pediatricL6715Terminal device, multiple articulating digit, includes motor(s), initial issue or…L6721Terminal device, hook or hand, heavy duty, mechanical, voluntary opening, any material…L6722Terminal device, hook or hand, heavy duty, mechanical, voluntary closing, any material…L6805Addition to terminal device, modifier wrist unitL6810Addition to terminal device, precision pinch deviceL6880Electric hand, switch or myoelectric controlled, independently articulating digits, any…L6881Automatic grasp feature, addition to upper limb electric prosthetic terminal deviceL6882Microprocessor control feature, addition to upper limb prosthetic terminal deviceL6883Replacement socket, below elbow/wrist disarticulation, molded to patient model, for use…L6884Replacement socket, above elbow/elbow disarticulation, molded to patient model, for use…L6885Replacement socket, shoulder disarticulation/interscapular thoracic, molded to patient…L6890Addition to upper extremity prosthesis, glove for terminal device, any material…L6895Addition to upper extremity prosthesis, glove for terminal device, any material, custom…L6900Hand restoration (casts, shading and measurements included), partial hand, with glove…L6905Hand restoration (casts, shading and measurements included), partial hand, with glove…L6910Hand restoration (casts, shading and measurements included), partial hand, with glove…L6915Hand restoration (shading, and measurements included), replacement glove for aboveL6920Wrist disarticulation, external power, self-suspended inner socket, removable forearm…L6925Wrist disarticulation, external power, self-suspended inner socket, removable forearm…L6930Below elbow, external power, self-suspended inner socket, removable forearm shell, otto…L6935Below elbow, external power, self-suspended inner socket, removable forearm shell, otto…L6940Elbow disarticulation, external power, molded inner socket, removable humeral shell…L6945Elbow disarticulation, external power, molded inner socket, removable humeral shell…L6950Above elbow, external power, molded inner socket, removable humeral shell, internal…L6955Above elbow, external power, molded inner socket, removable humeral shell, internal…L6960Shoulder disarticulation, external power, molded inner socket, removable shoulder shell…L6965Shoulder disarticulation, external power, molded inner socket, removable shoulder shell…L6970Interscapular-thoracic, external power, molded inner socket, removable shoulder shell…L6975Interscapular-thoracic, external power, molded inner socket, removable shoulder shell…L7007Electric hand, switch or myoelectric controlled, adultL7008Electric hand, switch or myoelectric, controlled, pediatricL7009Electric hook, switch or myoelectric controlled, adultL7040Prehensile actuator, switch controlledL7045Electric hook, switch or myoelectric controlled, pediatricL7170Electronic elbow, hosmer or equal, switch controlledL7180Electronic elbow, microprocessor sequential control of elbow and terminal deviceL7181Electronic elbow, microprocessor simultaneous control of elbow and terminal deviceL7185Electronic elbow, adolescent, variety village or equal, switch controlledL7186Electronic elbow, child, variety village or equal, switch controlledL7190Electronic elbow, adolescent, variety village or equal, myoelectronically controlledL7191Electronic elbow, child, variety village or equal, myoelectronically controlledL7259Electronic wrist rotator, any typeL7360Six volt battery, eachL7362Battery charger, six volt, eachL7364Twelve volt battery, eachL7366Battery charger, twelve volt, eachL7367Lithium ion battery, rechargeable, replacementL7368Lithium ion battery charger, replacement onlyL7400Addition to upper extremity prosthesis, below elbow/wrist disarticulation, ultralight…L7401Addition to upper extremity prosthesis, above elbow disarticulation, ultralight material…L7402Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic…L7403Addition to upper extremity prosthesis, below elbow/wrist disarticulation, acrylic…L7404Addition to upper extremity prosthesis, above elbow disarticulation, acrylic materialL7405Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic…L7406Addition to upper extremity prosthesis, user adjustable, mechanical, residual limb…L7499Upper extremity prosthesis, not otherwise specifiedL7510Repair of prosthetic device, repair or replace minor partsL7520Repair prosthetic device, labor component, per 15 minutesL7600Prosthetic donning sleeve, any material, eachL7700Gasket or seal, for use with prosthetic socket insert, any type, eachL7900Male vacuum erection systemL7902Tension ring, for vacuum erection device, any type, replacement only, eachL8000Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size…L8001Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral…L8002Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral…L8015External breast prosthesis garment, with mastectomy form, post mastectomyL8020Breast prosthesis, mastectomy formL8030Breast prosthesis, silicone or equal, without integral adhesive, any typeL8031Breast prosthesis, silicone or equal, with integral adhesive, any typeL8032Nipple prosthesis, prefabricated, reusable, any type, eachL8033Nipple prosthesis, custom fabricated, reusable, any material, any type, eachL8035Custom breast prosthesis, post mastectomy, molded to patient model, any typeL8039Breast prosthesis, not otherwise specifiedL8040Nasal prosthesis, provided by a non-physicianL8041Midfacial prosthesis, provided by a non-physicianL8042Orbital prosthesis, provided by a non-physicianL8043Upper facial prosthesis, provided by a non-physicianL8044Hemi-facial prosthesis, provided by a non-physicianL8045Auricular prosthesis, provided by a non-physicianL8046Partial facial prosthesis, provided by a non-physicianL8047Nasal septal prosthesis, provided by a non-physicianL8048Unspecified maxillofacial prosthesis, by report, provided by a non-physicianL8049Repair or modification of maxillofacial prosthesis, labor component, 15 minute…L8300Truss, single with standard padL8310Truss, double with standard padsL8320Truss, addition to standard pad, water padL8330Truss, addition to standard pad, scrotal padL8400Prosthetic sheath, below knee, eachL8410Prosthetic sheath, above knee, eachL8415Prosthetic sheath, upper limb, eachL8417Prosthetic sheath/sock, including a gel cushion layer, below knee or above knee, eachL8420Prosthetic sock, multiple ply, below knee, eachL8430Prosthetic sock, multiple ply, above knee, eachL8435Prosthetic sock, multiple ply, upper limb, eachL8440Prosthetic shrinker, below knee, eachL8460Prosthetic shrinker, above knee, eachL8465Prosthetic shrinker, upper limb, eachL8470Prosthetic sock, single ply, fitting, below knee, eachL8480Prosthetic sock, single ply, fitting, above knee, eachL8485Prosthetic sock, single ply, fitting, upper limb, eachL8499Unlisted procedure for miscellaneous prosthetic servicesL8500Artificial larynx, any typeL8501Tracheostomy speaking valveL8505Artificial larynx replacement battery / accessory, any typeL8507Tracheo-esophageal voice prosthesis, patient inserted, any type, eachL8509Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any typeL8510Voice amplifierL8511Insert for indwelling tracheoesophageal prosthesis, with or without valve, replacement…L8512Gelatin capsules or equivalent, for use with tracheoesophageal voice prosthesis…L8513Cleaning device used with tracheoesophageal voice prosthesis, pipet, brush, or equal…L8514Tracheoesophageal puncture dilator, replacement only, eachL8515Gelatin capsule, application device for use with tracheoesophageal voice prosthesis, eachL8600Implantable breast prosthesis, silicone or equalL8603Injectable bulking agent, collagen implant, urinary tract, 2.5 ml syringe, includes…L8604Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, urinary tract…L8605Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, anal canal, 1…L8606Injectable bulking agent, synthetic implant, urinary tract, 1 ml syringe, includes…L8607Injectable bulking agent for vocal cord medialization, 0.1 ml, includes shipping and…L8608Miscellaneous external component, supply or accessory for use with the argus ii retinal…L8609Artificial corneaL8610Ocular implantL8612Aqueous shuntL8613Ossicula implantL8614Cochlear device, includes all internal and external componentsL8615Headset/headpiece for use with cochlear implant device, replacementL8616Microphone for use with cochlear implant device, replacementL8617Transmitting coil for use with cochlear implant device, replacementL8618Transmitter cable for use with cochlear implant device or auditory osseointegrated…L8619Cochlear implant, external speech processor and controller, integrated system, replacementL8621Zinc air battery for use with cochlear implant device and auditory osseointegrated sound…L8622Alkaline battery for use with cochlear implant device, any size, replacement, eachL8623Lithium ion battery for use with cochlear implant device speech processor, other than…L8624Lithium ion battery for use with cochlear implant or auditory osseointegrated device…L8625External recharging system for battery for use with cochlear implant or auditory…L8627Cochlear implant, external speech processor, component, replacementL8628Cochlear implant, external controller component, replacementL8629Transmitting coil and cable, integrated, for use with cochlear implant device, replacementL8630Metacarpophalangeal joint implantL8631Metacarpal phalangeal joint replacement, two or more pieces, metal (e.g., stainless…L8641Metatarsal joint implantL8642Hallux implantL8658Interphalangeal joint spacer, silicone or equal, eachL8659Interphalangeal finger joint replacement, 2 or more pieces, metal (e.g., stainless steel…L8670Vascular graft material, synthetic, implantL8678Electrical stimulator supplies (external) for use with implantable neurostimulator, per…L8679Implantable neurostimulator, pulse generator, any typeL8680Implantable neurostimulator electrode, eachL8681Patient programmer (external) for use with implantable programmable neurostimulator…L8682Implantable neurostimulator radiofrequency receiverL8683Radiofrequency transmitter (external) for use with implantable neurostimulator…L8684Radiofrequency transmitter (external) for use with implantable sacral root…L8685Implantable neurostimulator pulse generator, single array, rechargeable, includes…L8686Implantable neurostimulator pulse generator, single array, non-rechargeable, includes…L8687Implantable neurostimulator pulse generator, dual array, rechargeable, includes extensionL8688Implantable neurostimulator pulse generator, dual array, non-rechargeable, includes…L8689External recharging system for battery (internal) for use with implantable…L8690Auditory osseointegrated device, includes all internal and external componentsL8691Auditory osseointegrated device, external sound processor, excludes transducer/actuator…L8692Auditory osseointegrated device, external sound processor, used without…L8693Auditory osseointegrated device abutment, any length, replacement onlyL8694Auditory osseointegrated device, transducer/actuator, replacement only, eachL8695External recharging system for battery (external) for use with implantable…L8697External accessory for use with implantable phrenic nerve stimulation device…L8698Miscellaneous component, supply or accessory for use with total artificial heart systemL8699Prosthetic implant, not otherwise specifiedL8701Powered upper extremity range of motion assist device, elbow, wrist, hand with single or…L8702Powered upper extremity range of motion assist device, elbow, wrist, hand, finger…L8720External lower extremity sensory prosthetic device, cutaneous stimulation of…L8721Receptor sole for use with l8720, replacement, eachL9900Orthotic and prosthetic supply, accessory, and/or service component of another hcpcs "l"…
Terminated HCPCS L codes
Codes CMS has ended, kept for looking up older claims. Each page gives its last date of service.
Source and release
- Data release
- HCPCS Level II · October 2026
- Effective date
- Oct 1, 2026
- Publisher
- CMS
This list is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes, imported from CMS’s October 2026 HCPCS file and checked against it.
Frequently asked questions
What are HCPCS L codes?
HCPCS L codes cover orthotic and prosthetic devices, their additions, components and repairs.
How many HCPCS L codes are there?
CMS’s October 2026 HCPCS file lists 935 active HCPCS L codes, and 8 more that it has terminated.
Are terminated HCPCS L codes listed?
Yes, after the active codes, each with its last date of service, for looking up older claims. A terminated code can’t be used for newer services.