L5200 HCPCS Level II code: Above knee, molded socket, single axis constant friction knee, shin, sach foot
L5200 is the HCPCS code for “Above knee, molded socket, single axis constant friction knee, shin, sach foot” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
L5200Above knee, molded socket, single axis constant friction knee, shin, sach foot
Short description: Kne sing axis fric shin sach
HCPCS · United States
Medicare details
The indicators CMS publishes with L5200 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Carrier judgment
- Medicare pricing
- DMEPOS fee schedule – Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)
- Type of service
- Lump sum purchase of DME, prosthetics, orthotics
- BETOS category
- Prosthetic/Orthotic devices
- Added
- Jan 1, 1982
Where L5200 sits
- 1L codesOrthotics and prosthetics
- 2Active code L5200Above knee, molded socket, single axis constant friction knee, shin, sach foot
Source and release
- Data release
- HCPCS Level II · October 2026
- Effective date
- Oct 1, 2026
- Publisher
- CMS
This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.
Frequently asked questions
What does HCPCS code L5200 mean?
L5200 is the HCPCS code for “Above knee, molded socket, single axis constant friction knee, shin, sach foot” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover L5200?
CMS lists L5200’s Medicare coverage as “Carrier judgment” and its pricing as “DMEPOS fee schedule – Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.
Which HCPCS Level II release does this page use?
It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.
Codes beside L5200
All L codesL5050Ankle, 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 footL5160Knee disarticulation (or through knee), molded socket, bent knee configuration, external knee joints, shin, sach footL5210Above knee, short prosthesis, no knee joint ('stubbies'), with foot blocks, no ankle joints, eachL5220Above knee, short prosthesis, no knee joint ('stubbies'), with articulated ankle/foot, dynamically aligned, eachL5230Above knee, for proximal femoral focal deficiency, constant friction knee, shin, sach footL5250Hip disarticulation, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach footL5270Hip disarticulation, tilt table type; molded socket, locking hip joint, single axis constant friction knee, shin, sach footL5280Hemipelvectomy, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach foot