Orthotic Devices
1,100 codes, page 1 of 6.
Below Knee Orthotic 200
| Code | Name | Status | Hospitals with prices |
|---|---|---|---|
| HCPCS A5500 | For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe | Current code | 12 hospitals |
| HCPCS A5501 | For diabetics only, fitting (including follow-up), custom preparation and supply of shoe molded from cast(s) of patient's foot (custom molded shoe), per shoe | Current code | 12 hospitals |
| HCPCS A5503 | For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with roller or rigid rocker bottom, per shoe | Current code | 12 hospitals |
| HCPCS A5504 | For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with wedge(s), per shoe | Current code | 12 hospitals |
| HCPCS A5505 | For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with metatarsal bar, per shoe | Current code | 12 hospitals |
| HCPCS A5506 | For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with off-set heel(s), per shoe | Current code | 12 hospitals |
| HCPCS A5507 | For diabetics only, not otherwise specified modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe | Current code | 12 hospitals |
| HCPCS A5510 | For diabetics only, direct formed, compression molded to patient's foot without external heat source, multiple-density insert(s) prefabricated, per shoe | Current code | 1 hospital |
| HCPCS A5512 | For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each | Current code | 12 hospitals |
| HCPCS A5513 | For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each | Current code | 12 hospitals |
| HCPCS A5514 | For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each | Current code | 12 hospitals |
| HCPCS E1822 | Dynamic adjustable ankle extension only device, includes soft interface material | Current code | 9 hospitals |
| HCPCS E1823 | Dynamic adjustable ankle flexion only device, includes soft interface material | Current code | 9 hospitals |
| HCPCS E1828 | Dynamic adjustable toe extension only device, includes soft interface material | Current code | 9 hospitals |
| HCPCS E1829 | Dynamic adjustable toe flexion only device, includes soft interface material | Current code | 9 hospitals |
| HCPCS E1830 | Dynamic adjustable toe extension and flexion device, includes soft interface material | Current code | 10 hospitals |
| HCPCS E1831 | Static progressive stretch toe device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories | Current code | 10 hospitals |
| HCPCS L1700 | Legg perthes orthosis, (toronto type), custom fabricated | Current code | 23 hospitals |
| HCPCS L1710 | Legg perthes orthosis, (newington type), custom fabricated | Current code | 23 hospitals |
| HCPCS L1720 | Legg perthes orthosis, trilateral, (tachdijan type), custom fabricated | Current code | 23 hospitals |
| HCPCS L1730 | Legg perthes orthosis, (scottish rite type), custom fabricated | Current code | 23 hospitals |
| HCPCS L1755 | Legg perthes orthosis, (patten bottom type), custom fabricated | Current code | 23 hospitals |
| HCPCS L1900 | Ankle foot orthosis, spring wire, dorsiflexion assist calf band, custom fabricated | Current code | 23 hospitals |
| HCPCS L1902 | Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf | Current code | 29 hospitals |
| HCPCS L1904 | Ankle orthosis, ankle gauntlet or similar, with or without joints, custom fabricated | Current code | 23 hospitals |
| HCPCS L1906 | Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf | Current code | 24 hospitals |
| HCPCS L1907 | Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated | Current code | 24 hospitals |
| HCPCS L1910 | Ankle foot orthosis, posterior, single bar, clasp attachment to shoe counter, prefabricated, includes fitting and adjustment | Current code | 23 hospitals |
| HCPCS L1920 | Ankle foot orthosis, single upright with static or adjustable stop (phelps or perlstein type), custom fabricated | Current code | 23 hospitals |
| HCPCS L1930 | Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment | Current code | 36 hospitals |
| HCPCS L1932 | Ankle foot orthosis, rigid anterior tibial section, total carbon fiber or equal material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | Current code | 24 hospitals |
| HCPCS L1933 | Ankle foot orthosis, rigid anterior tibial section, total carbon fiber or equal material, prefabricated, off-the-shelf | Current code | 16 hospitals |
| HCPCS L1940 | Ankle foot orthosis, plastic or other material, custom fabricated | Current code | 24 hospitals |
| HCPCS L1945 | Ankle foot orthosis, plastic, rigid anterior tibial section (floor reaction), custom fabricated | Current code | 24 hospitals |
| HCPCS L1950 | Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic, custom fabricated | Current code | 23 hospitals |
| HCPCS L1951 | Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic or other material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | Current code | 23 hospitals |
| HCPCS L1952 | Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic or other material, prefabricated, off-the-shelf | Current code | 16 hospitals |
| HCPCS L1960 | Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated | Current code | 28 hospitals |
| HCPCS L1970 | Ankle foot orthosis, plastic with ankle joint, custom fabricated | Current code | 24 hospitals |
| HCPCS L1971 | Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | Current code | 23 hospitals |
| HCPCS L1980 | Ankle foot orthosis, single upright free plantar dorsiflexion, solid stirrup, calf band/cuff (single bar 'bk' orthosis), custom fabricated | Current code | 23 hospitals |
| HCPCS L1990 | Ankle foot orthosis, double upright free plantar dorsiflexion, solid stirrup, calf band/cuff (double bar 'bk' orthosis), custom fabricated | Current code | 26 hospitals |
| HCPCS L2006 | Knee ankle foot device, any material, single or double upright, swing and stance phase microprocessor control with adjustability, includes all components (e.g., sensors, batteries, charger), any type activation, with or without ankle joint(s), custom fabricated | Current code | 13 hospitals |
| HCPCS L2106 | Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, thermoplastic type casting material, custom fabricated | Current code | 23 hospitals |
| HCPCS L2108 | Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, custom fabricated | Current code | 24 hospitals |
| HCPCS L2112 | Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, soft, prefabricated, includes fitting and adjustment | Current code | 24 hospitals |
| HCPCS L2114 | Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, semi-rigid, prefabricated, includes fitting and adjustment | Current code | 34 hospitals |
| HCPCS L2116 | Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, rigid, prefabricated, includes fitting and adjustment | Current code | 23 hospitals |
| HCPCS L2180 | Addition to lower extremity fracture orthosis, plastic shoe insert with ankle joints | Current code | 24 hospitals |
| HCPCS L2200 | Addition to lower extremity, limited ankle motion, each joint | Current code | 24 hospitals |
| HCPCS L2210 | Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint | Current code | 23 hospitals |
| HCPCS L2220 | Addition to lower extremity, dorsiflexion and plantar flexion assist/resist, each joint | Current code | 24 hospitals |
| HCPCS L2230 | Addition to lower extremity, split flat caliper stirrups and plate attachment | Current code | 23 hospitals |
| HCPCS L2232 | Addition to lower extremity orthosis, rocker bottom for total contact ankle foot orthosis, for custom fabricated orthosis only | Current code | 23 hospitals |
| HCPCS L2240 | Addition to lower extremity, round caliper and plate attachment | Current code | 23 hospitals |
| HCPCS L2250 | Addition to lower extremity, foot plate, molded to patient model, stirrup attachment | Current code | 23 hospitals |
| HCPCS L2260 | Addition to lower extremity, reinforced solid stirrup (scott-craig type) | Current code | 23 hospitals |
| HCPCS L2265 | Addition to lower extremity, long tongue stirrup | Current code | 24 hospitals |
| HCPCS L2270 | Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad | Current code | 23 hospitals |
| HCPCS L2275 | Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined | Current code | 24 hospitals |
| HCPCS L2280 | Addition to lower extremity, molded inner boot | Current code | 24 hospitals |
| HCPCS L2320 | Addition to lower extremity, non-molded lacer, for custom fabricated orthosis only | Current code | 23 hospitals |
| HCPCS L2330 | Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only | Current code | 23 hospitals |
| HCPCS L2335 | Addition to lower extremity, anterior swing band | Current code | 23 hospitals |
| HCPCS L2340 | Addition to lower extremity, pre-tibial shell, molded to patient model | Current code | 24 hospitals |
| HCPCS L2350 | Addition to lower extremity, prosthetic type, (bk) socket, molded to patient model, (used for 'ptb' 'afo' orthoses) | Current code | 23 hospitals |
| HCPCS L2360 | Addition to lower extremity, extended steel shank | Current code | 23 hospitals |
| HCPCS L2370 | Addition to lower extremity, patten bottom | Current code | 23 hospitals |
| HCPCS L2375 | Addition to lower extremity, torsion control, ankle joint and half solid stirrup | Current code | 24 hospitals |
| HCPCS L2397 | Addition to lower extremity orthosis, suspension sleeve | Current code | 24 hospitals |
| HCPCS L2820 | Addition to lower extremity orthosis, soft interface for molded plastic, below knee section | Current code | 28 hospitals |
| HCPCS L2840 | Addition to lower extremity orthosis, tibial length sock, fracture or equal, each | Current code | 24 hospitals |
| HCPCS L2850 | Addition to lower extremity orthosis, femoral length sock, fracture or equal, each | Current code | 24 hospitals |
| HCPCS L3000 | Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each | Current code | 26 hospitals |
| HCPCS L3001 | Foot, insert, removable, molded to patient model, spenco, each | Current code | 23 hospitals |
| HCPCS L3002 | Foot, insert, removable, molded to patient model, plastazote or equal, each | Current code | 23 hospitals |
| HCPCS L3003 | Foot, insert, removable, molded to patient model, silicone gel, each | Current code | 23 hospitals |
| HCPCS L3010 | Foot, insert, removable, molded to patient model, longitudinal arch support, each | Current code | 24 hospitals |
| HCPCS L3020 | Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each | Current code | 26 hospitals |
| HCPCS L3030 | Foot, insert, removable, formed to patient foot, each | Current code | 25 hospitals |
| HCPCS L3031 | Foot, insert/plate, removable, addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, each | Current code | 24 hospitals |
| HCPCS L3040 | Foot, arch support, removable, premolded, longitudinal, each | Current code | 25 hospitals |
| HCPCS L3050 | Foot, arch support, removable, premolded, metatarsal, each | Current code | 24 hospitals |
| HCPCS L3060 | Foot, arch support, removable, premolded, longitudinal/ metatarsal, each | Current code | 23 hospitals |
| HCPCS L3070 | Foot, arch support, non-removable attached to shoe, longitudinal, each | Current code | 23 hospitals |
| HCPCS L3080 | Foot, arch support, non-removable attached to shoe, metatarsal, each | Current code | 24 hospitals |
| HCPCS L3090 | Foot, arch support, non-removable attached to shoe, longitudinal/metatarsal, each | Current code | 23 hospitals |
| HCPCS L3100 | Hallus-valgus night dynamic splint, prefabricated, off-the-shelf | Current code | 23 hospitals |
| HCPCS L3140 | Foot, abduction rotation bar, including shoes | Current code | 24 hospitals |
| HCPCS L3150 | Foot, abduction rotation bar, without shoes | Current code | 24 hospitals |
| HCPCS L3160 | Foot, adjustable shoe-styled positioning device | Current code | 1 hospital |
| HCPCS L3170 | Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each | Current code | 23 hospitals |
| HCPCS L3201 | Orthopedic shoe, oxford with supinator or pronator, infant | Current code | 8 hospitals |
| HCPCS L3202 | Orthopedic shoe, oxford with supinator or pronator, child | Current code | 9 hospitals |
| HCPCS L3209 | Surgical boot, each, child | Current code | 9 hospitals |
| HCPCS L3211 | Surgical boot, each, junior | Current code | 9 hospitals |
| HCPCS L3214 | Benesch boot, pair, junior | Current code | 8 hospitals |
| HCPCS L3216 | Orthopedic footwear, ladies shoe, depth inlay, each | Current code | 13 hospitals |
| HCPCS L3221 | Orthopedic footwear, mens shoe, depth inlay, each | Current code | 13 hospitals |
| HCPCS L3224 | Orthopedic footwear, woman's shoe, oxford, used as an integral part of a brace (orthosis) | Current code | 23 hospitals |
| HCPCS L3225 | Orthopedic footwear, man's shoe, oxford, used as an integral part of a brace (orthosis) | Current code | 23 hospitals |
| HCPCS L3230 | Orthopedic footwear, custom shoe, depth inlay, each | Current code | 9 hospitals |
| HCPCS L3250 | Orthopedic footwear, custom molded shoe, removable inner mold, prosthetic shoe, each | Current code | 8 hospitals |
| HCPCS L3252 | Foot, shoe molded to patient model, plastazote (or similar), custom fabricated, each | Current code | 8 hospitals |
| HCPCS L3253 | Foot, molded shoe plastazote (or similar) custom fitted, each | Current code | 8 hospitals |
| HCPCS L3254 | Non-standard size or width | Current code | |
| HCPCS L3255 | Non-standard size or length | Current code | |
| HCPCS L3257 | Orthopedic footwear, additional charge for split size | Current code | 8 hospitals |
| HCPCS L3260 | Surgical boot/shoe, each | Current code | 34 hospitals |
| HCPCS L3265 | Plastazote sandal, each | Current code | 17 hospitals |
| HCPCS L3300 | Lift, elevation, heel, tapered to metatarsals, per inch | Current code | 23 hospitals |
| HCPCS L3310 | Lift, elevation, heel and sole, neoprene, per inch | Current code | 23 hospitals |
| HCPCS L3320 | Lift, elevation, heel and sole, cork, per inch | Current code | 8 hospitals |
| HCPCS L3330 | Lift, elevation, metal extension (skate) | Current code | 23 hospitals |
| HCPCS L3332 | Lift, elevation, inside shoe, tapered, up to one-half inch | Current code | 30 hospitals |
| HCPCS L3334 | Lift, elevation, heel, per inch | Current code | 25 hospitals |
| HCPCS L3340 | Heel wedge, sach | Current code | 23 hospitals |
| HCPCS L3350 | Heel wedge | Current code | 25 hospitals |
| HCPCS L3360 | Sole wedge, outside sole | Current code | 23 hospitals |
| HCPCS L3370 | Sole wedge, between sole | Current code | 23 hospitals |
| HCPCS L3380 | Clubfoot wedge | Current code | 23 hospitals |
| HCPCS L3390 | Outflare wedge | Current code | 23 hospitals |
| HCPCS L3400 | Metatarsal bar wedge, rocker | Current code | 24 hospitals |
| HCPCS L3410 | Metatarsal bar wedge, between sole | Current code | 24 hospitals |
| HCPCS L3420 | Full sole and heel wedge, between sole | Current code | 30 hospitals |
| HCPCS L3430 | Heel, counter, plastic reinforced | Current code | 24 hospitals |
| HCPCS L3440 | Heel, counter, leather reinforced | Current code | 23 hospitals |
| HCPCS L3450 | Heel, sach cushion type | Current code | 23 hospitals |
| HCPCS L3455 | Heel, new leather, standard | Current code | 23 hospitals |
| HCPCS L3460 | Heel, new rubber, standard | Current code | 23 hospitals |
| HCPCS L3465 | Heel, thomas with wedge | Current code | 23 hospitals |
| HCPCS L3470 | Heel, thomas extended to ball | Current code | 23 hospitals |
| HCPCS L3480 | Heel, pad and depression for spur | Current code | 23 hospitals |
| HCPCS L3485 | Heel, pad, removable for spur | Current code | 12 hospitals |
| HCPCS L3500 | Orthopedic shoe addition, insole, leather | Current code | 23 hospitals |
| HCPCS L3510 | Orthopedic shoe addition, insole, rubber | Current code | 23 hospitals |
| HCPCS L3520 | Orthopedic shoe addition, insole, felt covered with leather | Current code | 23 hospitals |
| HCPCS L3530 | Orthopedic shoe addition, sole, half | Current code | 23 hospitals |
| HCPCS L3540 | Orthopedic shoe addition, sole, full | Current code | 23 hospitals |
| HCPCS L3550 | Orthopedic shoe addition, toe tap standard | Current code | 23 hospitals |
| HCPCS L3560 | Orthopedic shoe addition, toe tap, horseshoe | Current code | 23 hospitals |
| HCPCS L3570 | Orthopedic shoe addition, special extension to instep (leather with eyelets) | Current code | 23 hospitals |
| HCPCS L3580 | Orthopedic shoe addition, convert instep to velcro closure | Current code | 23 hospitals |
| HCPCS L3590 | Orthopedic shoe addition, convert firm shoe counter to soft counter | Current code | 23 hospitals |
| HCPCS L3595 | Orthopedic shoe addition, march bar | Current code | 23 hospitals |
| HCPCS L3600 | Transfer of an orthosis from one shoe to another, caliper plate, existing | Current code | 23 hospitals |
| HCPCS L3610 | Transfer of an orthosis from one shoe to another, caliper plate, new | Current code | 23 hospitals |
| HCPCS L3620 | Transfer of an orthosis from one shoe to another, solid stirrup, existing | Current code | 23 hospitals |
| HCPCS L3630 | Transfer of an orthosis from one shoe to another, solid stirrup, new | Current code | 23 hospitals |
| HCPCS L3640 | Transfer of an orthosis from one shoe to another, dennis browne splint (riveton), both shoes | Current code | 23 hospitals |
| HCPCS L3649 | Orthopedic shoe, modification, addition or transfer, not otherwise specified | Current code | 1 hospital |
| HCPCS L4050 | Replace molded calf lacer, for custom fabricated orthosis only | Current code | 23 hospitals |
| HCPCS L4055 | Replace non-molded calf lacer, for custom fabricated orthosis only | Current code | 23 hospitals |
| HCPCS L4090 | Replace metal bands kafo-afo, calf or distal thigh | Current code | 23 hospitals |
| HCPCS L4110 | Replace leather cuff kafo-afo, calf or distal thigh | Current code | 23 hospitals |
| HCPCS L4130 | Replace pretibial shell | Current code | 24 hospitals |
| HCPCS L4350 | Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf | Current code | 39 hospitals |
| HCPCS L4360 | Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | Current code | 39 hospitals |
| HCPCS L4361 | Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf | Current code | 35 hospitals |
| HCPCS L4386 | Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | Current code | 37 hospitals |
| HCPCS L4387 | Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf | Current code | 30 hospitals |
| HCPCS L4394 | Replace soft interface material, foot drop splint | Current code | 23 hospitals |
| HCPCS L4396 | Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | Current code | 29 hospitals |
| HCPCS L4397 | Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf | Current code | 31 hospitals |
| HCPCS L4398 | Foot drop splint, recumbent positioning device, prefabricated, off-the-shelf | Current code | 23 hospitals |
| HCPCS L4631 | Ankle foot orthosis, walking boot type, varus/valgus correction, rocker bottom, anterior tibial shell, soft interface, custom arch support, plastic or other material, includes straps and closures, custom fabricated | Current code | 23 hospitals |
| HCPCS L5000 | Partial foot, shoe insert with longitudinal arch, toe filler | Current code | 24 hospitals |
| HCPCS L5010 | Partial foot, molded socket, ankle height, with toe filler | Current code | 24 hospitals |
| HCPCS L5020 | Partial foot, molded socket, tibial tubercle height, with toe filler | Current code | 24 hospitals |
| HCPCS L5050 | Ankle, symes, molded socket, sach foot | Current code | 24 hospitals |
| HCPCS L5060 | Ankle, symes, metal frame, molded leather socket, articulated ankle/foot | Current code | 23 hospitals |
| HCPCS L5100 | Below knee, molded socket, shin, sach foot | Current code | 24 hospitals |
| HCPCS L5105 | Below knee, plastic socket, joints and thigh lacer, sach foot | Current code | 24 hospitals |
| HCPCS L5150 | Knee disarticulation (or through knee), molded socket, external knee joints, shin, sach foot | Current code | 24 hospitals |
| HCPCS L5160 | Knee disarticulation (or through knee), molded socket, bent knee configuration, external knee joints, shin, sach foot | Current code | 23 hospitals |
| HCPCS L5301 | Below knee, molded socket, shin, sach foot, endoskeletal system | Current code | 24 hospitals |
| HCPCS L5400 | Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment, suspension, and one cast change, below knee | Current code | 24 hospitals |
| HCPCS L5410 | Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension, below knee, each additional cast change and realignment | Current code | 24 hospitals |
| HCPCS L5450 | Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, below knee | Current code | 35 hospitals |
| HCPCS L5500 | Initial, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, plaster socket, direct formed | Current code | 23 hospitals |
| HCPCS L5510 | Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, plaster socket, molded to model | Current code | 23 hospitals |
| HCPCS L5520 | Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, direct formed | Current code | 23 hospitals |
| HCPCS L5530 | Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, molded to model | Current code | 24 hospitals |
| HCPCS L5535 | Preparatory, below knee 'ptb' type socket, non-alignable system, no cover, sach foot, prefabricated, adjustable open end socket | Current code | 24 hospitals |
| HCPCS L5540 | Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, laminated socket, molded to model | Current code | 24 hospitals |
| HCPCS L5620 | Addition to lower extremity, test socket, below knee | Current code | 24 hospitals |
| HCPCS L5629 | Addition to lower extremity, below knee, acrylic socket | Current code | 24 hospitals |
| HCPCS L5637 | Addition to lower extremity, below knee, total contact | Current code | 25 hospitals |
| HCPCS L5638 | Addition to lower extremity, below knee, leather socket | Current code | 23 hospitals |
| HCPCS L5639 | Addition to lower extremity, below knee, wood socket | Current code | 23 hospitals |
| HCPCS L5645 | Addition to lower extremity, below knee, flexible inner socket, external frame | Current code | 24 hospitals |
| HCPCS L5646 | Addition to lower extremity, below knee, air, fluid, gel or equal, cushion socket | Current code | 23 hospitals |
| HCPCS L5647 | Addition to lower extremity, below knee suction socket | Current code | 24 hospitals |
| HCPCS L5655 | Addition to lower extremity, socket insert, below knee (kemblo, pelite, aliplast, plastazote or equal) | Current code | 24 hospitals |
| HCPCS L5665 | Addition to lower extremity, socket insert, multi-durometer, below knee | Current code | 24 hospitals |
| HCPCS L5666 | Addition to lower extremity, below knee, cuff suspension | Current code | 24 hospitals |
| HCPCS L5668 | Addition to lower extremity, below knee, molded distal cushion | Current code | 24 hospitals |
| HCPCS L5670 | Addition to lower extremity, below knee, molded supracondylar suspension ('pts' or similar) | Current code | 24 hospitals |
| HCPCS L5671 | Addition to lower extremity, below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert | Current code | 24 hospitals |
| HCPCS L5672 | Addition to lower extremity, below knee, removable medial brim suspension | Current code | 24 hospitals |