L5696 HCPCS Level II code: Addition to lower extremity, above knee or knee disarticulation, pelvic joint
L5696 is the HCPCS code for “Addition to lower extremity, above knee or knee disarticulation, pelvic joint” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
L5696Addition to lower extremity, above knee or knee disarticulation, pelvic joint
Short description: Ak/knee disartic pelvic join
HCPCS · United States
Medicare details
The indicators CMS publishes with L5696 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 L5696 sits
- 1L codesOrthotics and prosthetics
- 2Active code L5696Addition to lower extremity, above knee or knee disarticulation, pelvic joint
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 L5696 mean?
L5696 is the HCPCS code for “Addition to lower extremity, above knee or knee disarticulation, pelvic joint” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover L5696?
CMS lists L5696’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 L5696
All L codesL5686Addition to lower extremity, below knee, back check (extension control)L5688Addition to lower extremity, below knee, waist belt, webbingL5690Addition to lower extremity, below knee, waist belt, padded and linedL5692Addition to lower extremity, above knee, pelvic control belt, lightL5694Addition to lower extremity, above knee, pelvic control belt, padded and linedL5695Addition to lower extremity, above knee, pelvic control, sleeve suspension, neoprene or equal, eachL5697Addition to lower extremity, above knee or knee disarticulation, pelvic bandL5698Addition to lower extremity, above knee or knee disarticulation, silesian bandageL5699All lower extremity prostheses, shoulder harnessL5700Replacement, socket, below knee, molded to patient modelL5701Replacement, socket, above knee/knee disarticulation, including attachment plate, molded to patient modelL5702Replacement, socket, hip disarticulation, including hip joint, molded to patient model