L5626 HCPCS Level II code: Addition to lower extremity, test socket, hip disarticulation

L5626 is the HCPCS code for “Addition to lower extremity, test socket, hip disarticulation” in CMS’s October 2026 release, in effect from Oct 1, 2026.

Official description

L5626

Addition to lower extremity, test socket, hip disarticulation

Short description: Test socket hip disarticulat

HCPCS · United States

Medicare details

The indicators CMS publishes with L5626 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, 1986

Where L5626 sits

  1. 1L codesOrthotics and prosthetics
  2. 2Active code L5626Addition to lower extremity, test socket, hip disarticulation

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 L5626 mean?

L5626 is the HCPCS code for “Addition to lower extremity, test socket, hip disarticulation” in CMS’s HCPCS Level II October 2026 release.

Does Medicare cover L5626?

CMS lists L5626’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.