L5631 HCPCS Level II code: Addition to lower extremity, above knee or knee disarticulation, acrylic socket
L5631 is the HCPCS code for “Addition to lower extremity, above knee or knee disarticulation, acrylic socket” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
L5631Addition to lower extremity, above knee or knee disarticulation, acrylic socket
Short description: Ak/knee disartic acrylic soc
HCPCS · United States
Medicare details
The indicators CMS publishes with L5631 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, 1989
Where L5631 sits
- 1L codesOrthotics and prosthetics
- 2Active code L5631Addition to lower extremity, above knee or knee disarticulation, acrylic socket
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 L5631 mean?
L5631 is the HCPCS code for “Addition to lower extremity, above knee or knee disarticulation, acrylic socket” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover L5631?
CMS lists L5631’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 L5631
All L codesL5622Addition 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 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 socket