L5643 HCPCS Level II code: Addition to lower extremity, hip disarticulation, flexible inner socket, external frame
L5643 is the HCPCS code for “Addition to lower extremity, hip disarticulation, flexible inner socket, external frame” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
L5643Addition to lower extremity, hip disarticulation, flexible inner socket, external frame
Short description: Hip flex inner socket ext fr
HCPCS · United States
Medicare details
The indicators CMS publishes with L5643 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, 1988
Where L5643 sits
- 1L codesOrthotics and prosthetics
- 2Active code L5643Addition to lower extremity, hip disarticulation, flexible inner socket, external frame
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 L5643 mean?
L5643 is the HCPCS code for “Addition to lower extremity, hip disarticulation, flexible inner socket, external frame” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover L5643?
CMS lists L5643’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 L5643
All L codesL5636Addition 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 socketL5644Addition 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 socket