L5681 HCPCS Level II code: Addition to lower extremity, below knee/above knee, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or…
L5681 is the HCPCS code for “Addition to lower extremity, below knee/above knee, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking…” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
L5681Addition to lower extremity, below knee/above knee, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code l5673 or l5679)
Short description: Intl custm cong/latyp insert
HCPCS · United States
Medicare details
The indicators CMS publishes with L5681 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, 2004
Where L5681 sits
- 1L codesOrthotics and prosthetics
- 2Active code L5681Addition to lower extremity, below knee/above knee, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code l5673 or l5679)
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 L5681 mean?
L5681 is the HCPCS code for “Addition to lower extremity, below knee/above knee, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code l5673 or l5679)” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover L5681?
CMS lists L5681’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 L5681
All L codesL5673Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric, or equal, with or without…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 or prefabricated, socket insert, silicone gel, elastomeric, or equal, with or without…L5680Addition to lower extremity, below knee, thigh lacer, nonmoldedL5682Addition to lower extremity, below knee, thigh lacer, gluteal/ischial, moldedL5683Addition to lower extremity, below knee/above knee, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal…L5684Addition to lower extremity, below knee, fork strapL5685Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or without valve, any material, eachL5686Addition to lower extremity, below knee, back check (extension control)L5688Addition to lower extremity, below knee, waist belt, webbing