L-code: Orthotics and prosthetics Orthotics and prosthetics
943 codes
Billing context
L-codes describe orthotic and prosthetic procedures and devices.
| Code | Long descriptor | Payment limit (Q4 2026) | Added | Status |
|---|---|---|---|---|
| L5530 | Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, molded to model | — | Jan 1, 1986 | Active |
| L5535 | Preparatory, below knee 'ptb' type socket, non-alignable system, no cover, sach foot, prefabricated, adjustable open end socket | — | Jan 1, 1989 | Active |
| L5540 | Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, laminated socket, molded to model | — | Jan 1, 1986 | Active |
| L5560 | Preparatory, above knee- knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, plaster socket, molded to model | — | Jan 1, 1986 | Active |
| L5570 | Preparatory, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, direct formed | — | Jan 1, 1986 | Active |
| L5580 | Preparatory, above knee - knee disarticulation ischial level socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, molded to model | — | Jan 1, 1986 | Active |
| L5585 | Preparatory, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, prefabricated adjustable open end socket | — | Jan 1, 1988 | Active |
| L5590 | Preparatory, above knee - knee disarticulation ischial level socket, non-alignable system, pylon no cover, sach foot, laminated socket, molded to model | — | Jan 1, 1986 | Active |
| L5595 | Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot, thermoplastic or equal, molded to patient model | — | Jan 1, 1989 | Active |
| L5600 | Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot, laminated socket, molded to patient model | — | Jan 1, 1989 | Active |
| L5610 | Addition to lower extremity, endoskeletal system, above knee, hydracadence system | — | Jan 1, 1986 | Active |
| L5611 | Addition to lower extremity, endoskeletal system, above knee - knee disarticulation, 4 bar linkage, with friction swing phase control | — | Jan 1, 1989 | Active |
| L5613 | Addition to lower extremity, endoskeletal system, above knee-knee disarticulation, 4 bar linkage, with hydraulic swing phase control | — | Jan 1, 1989 | Active |
| L5614 | Addition to lower extremity, exoskeletal system, above knee-knee disarticulation, 4 bar linkage, with pneumatic swing phase control | — | Jan 1, 1994 | Active |
| L5615 | Addition, endoskeletal knee-shin system, 4 bar linkage or multiaxial, fluid swing and stance phase control | — | Jan 1, 2024 | Active |
| L5616 | Addition to lower extremity, endoskeletal system, above knee, universal multiplex system, friction swing phase control | — | Jan 1, 1986 | Active |
| L5617 | Addition to lower extremity, quick change self-aligning unit, above knee or below knee, each | — | Jan 1, 1996 | Active |
| L5618 | Addition to lower extremity, test socket, symes | — | Jan 1, 1986 | Active |
| L5620 | Addition to lower extremity, test socket, below knee | — | Jan 1, 1986 | Active |
| L5622 | Addition to lower extremity, test socket, knee disarticulation | — | Jan 1, 1986 | Active |
| L5624 | Addition to lower extremity, test socket, above knee | — | Jan 1, 1986 | Active |
| L5626 | Addition to lower extremity, test socket, hip disarticulation | — | Jan 1, 1986 | Active |
| L5628 | Addition to lower extremity, test socket, hemipelvectomy | — | Jan 1, 1986 | Active |
| L5629 | Addition to lower extremity, below knee, acrylic socket | — | Jan 1, 1989 | Active |
| L5630 | Addition to lower extremity, symes type, expandable wall socket | — | Jan 1, 1986 | Active |
| L5631 | Addition to lower extremity, above knee or knee disarticulation, acrylic socket | — | Jan 1, 1989 | Active |
| L5632 | Addition to lower extremity, symes type, 'ptb' brim design socket | — | Jan 1, 1986 | Active |
| L5634 | Addition to lower extremity, symes type, posterior opening (canadian) socket | — | Jan 1, 1986 | Active |
| L5636 | Addition to lower extremity, symes type, medial opening socket | — | Jan 1, 1986 | Active |
| L5637 | Addition to lower extremity, below knee, total contact | — | Jan 1, 1989 | Active |
| L5638 | Addition to lower extremity, below knee, leather socket | — | Jan 1, 1986 | Active |
| L5639 | Addition to lower extremity, below knee, wood socket | — | Jan 1, 1989 | Active |
| L5640 | Addition to lower extremity, knee disarticulation, leather socket | — | Jan 1, 1986 | Active |
| L5642 | Addition to lower extremity, above knee, leather socket | — | Jan 1, 1986 | Active |
| L5643 | Addition to lower extremity, hip disarticulation, flexible inner socket, external frame | — | Jan 1, 1988 | Active |
| L5644 | Addition to lower extremity, above knee, wood socket | — | Jan 1, 1986 | Active |
| L5645 | Addition to lower extremity, below knee, flexible inner socket, external frame | — | Jan 1, 1988 | Active |
| L5646 | Addition to lower extremity, below knee, air, fluid, gel or equal, cushion socket | — | Jan 1, 1986 | Active |
| L5647 | Addition to lower extremity, below knee suction socket | — | Jan 1, 1988 | Active |
| L5648 | Addition to lower extremity, above knee, air, fluid, gel or equal, cushion socket | — | Jan 1, 1986 | Active |
| L5649 | Addition to lower extremity, ischial containment/narrow m-l socket | — | Jan 1, 1988 | Active |
| L5650 | Additions to lower extremity, total contact, above knee or knee disarticulation socket | — | Jan 1, 1986 | Active |
| L5651 | Addition to lower extremity, above knee, flexible inner socket, external frame | — | Jan 1, 1988 | Active |
| L5652 | Addition to lower extremity, suction suspension, above knee or knee disarticulation socket | — | Jan 1, 1986 | Active |
| L5653 | Addition to lower extremity, knee disarticulation, expandable wall socket | — | Jan 1, 1986 | Active |
| L5654 | Addition to lower extremity, socket insert, symes, (kemblo, pelite, aliplast, plastazote or equal) | — | Jan 1, 1986 | Active |
| L5655 | Addition to lower extremity, socket insert, below knee (kemblo, pelite, aliplast, plastazote or equal) | — | Jan 1, 1986 | Active |
| L5656 | Addition to lower extremity, socket insert, knee disarticulation (kemblo, pelite, aliplast, plastazote or equal) | — | Jan 1, 1986 | Active |
| L5657 | Addition to lower extremity prosthesis, manual/automated adjustable air, fluid, gel or equal socket insert for limb volume management, any materials | — | Oct 1, 2025 | Active |
| L5658 | Addition to lower extremity, socket insert, above knee (kemblo, pelite, aliplast, plastazote or equal) | — | Jan 1, 1986 | Active |
| L5661 | Addition to lower extremity, socket insert, multi-durometer symes | — | Jan 1, 1988 | Active |
| L5665 | Addition to lower extremity, socket insert, multi-durometer, below knee | — | Jan 1, 1988 | Active |
| L5666 | Addition to lower extremity, below knee, cuff suspension | — | Jan 1, 1986 | Active |
| L5668 | Addition to lower extremity, below knee, molded distal cushion | — | Jan 1, 1986 | Active |
| L5670 | Addition to lower extremity, below knee, molded supracondylar suspension ('pts' or similar) | — | Jan 1, 1986 | Active |
| L5671 | Addition to lower extremity, below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert | — | Jan 1, 2002 | Active |
| L5672 | Addition to lower extremity, below knee, removable medial brim suspension | — | Jan 1, 1986 | Active |
| L5673 | Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric, or equal, with or without perforations, with or without breathable material, for use with locking mechanism | — | Jan 1, 2004 | Active |
| L5676 | Additions to lower extremity, below knee, knee joints, single axis, pair | — | Jan 1, 1986 | Active |
| L5677 | Additions to lower extremity, below knee, knee joints, polycentric, pair | — | Jan 1, 1988 | Active |
| L5678 | Additions to lower extremity, below knee, joint covers, pair | — | Jan 1, 1984 | Active |
| L5679 | Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric, or equal, with or without perforations, with or without breathable material, not for use with locking mechanism | — | Jan 1, 2004 | Active |
| L5680 | Addition to lower extremity, below knee, thigh lacer, nonmolded | — | Jan 1, 1986 | Active |
| L5681 | 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) | — | Jan 1, 2004 | Active |
| L5682 | Addition to lower extremity, below knee, thigh lacer, gluteal/ischial, molded | — | Jan 1, 1986 | Active |
| L5683 | Addition to lower extremity, below knee/above knee, custom fabricated socket insert for other than 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) | — | Jan 1, 2004 | Active |
| L5684 | Addition to lower extremity, below knee, fork strap | — | Jan 1, 1986 | Active |
| L5685 | Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or without valve, any material, each | — | Jan 1, 2005 | Active |
| L5686 | Addition to lower extremity, below knee, back check (extension control) | — | Jan 1, 1986 | Active |
| L5688 | Addition to lower extremity, below knee, waist belt, webbing | — | Jan 1, 1986 | Active |
| L5690 | Addition to lower extremity, below knee, waist belt, padded and lined | — | Jan 1, 1986 | Active |
| L5692 | Addition to lower extremity, above knee, pelvic control belt, light | — | Jan 1, 1986 | Active |
| L5694 | Addition to lower extremity, above knee, pelvic control belt, padded and lined | — | Jan 1, 1986 | Active |
| L5695 | Addition to lower extremity, above knee, pelvic control, sleeve suspension, neoprene or equal, each | — | Jan 1, 1989 | Active |
| L5696 | Addition to lower extremity, above knee or knee disarticulation, pelvic joint | — | Jan 1, 1986 | Active |
| L5697 | Addition to lower extremity, above knee or knee disarticulation, pelvic band | — | Jan 1, 1986 | Active |
| L5698 | Addition to lower extremity, above knee or knee disarticulation, silesian bandage | — | Jan 1, 1986 | Active |
| L5699 | All lower extremity prostheses, shoulder harness | — | Jan 1, 1986 | Active |
| L5700 | Replacement, socket, below knee, molded to patient model | — | Jan 1, 1994 | Active |
| L5701 | Replacement, socket, above knee/knee disarticulation, including attachment plate, molded to patient model | — | Jan 1, 1994 | Active |
| L5702 | Replacement, socket, hip disarticulation, including hip joint, molded to patient model | — | Jan 1, 1994 | Active |
| L5703 | Ankle, symes, molded to patient model, socket without solid ankle cushion heel (sach) foot, replacement only | — | Jan 1, 2006 | Active |
| L5704 | Custom shaped protective cover, below knee | — | Jan 1, 1994 | Active |
| L5705 | Custom shaped protective cover, above knee | — | Jan 1, 1994 | Active |
| L5706 | Custom shaped protective cover, knee disarticulation | — | Jan 1, 1994 | Active |
| L5707 | Custom shaped protective cover, hip disarticulation | — | Jan 1, 1994 | Active |
| L5710 | Addition, exoskeletal knee-shin system, single axis, manual lock | — | Jan 1, 1986 | Active |
| L5711 | Additions exoskeletal knee-shin system, single axis, manual lock, ultra-light material | — | Jan 1, 1988 | Active |
| L5712 | Addition, exoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee) | — | Jan 1, 1986 | Active |
| L5714 | Addition, exoskeletal knee-shin system, single axis, variable friction swing phase control | — | Jan 1, 1986 | Active |
| L5716 | Addition, exoskeletal knee-shin system, polycentric, mechanical stance phase lock | — | Jan 1, 1986 | Active |
| L5718 | Addition, exoskeletal knee-shin system, polycentric, friction swing and stance phase control | — | Jan 1, 1986 | Active |
| L5722 | Addition, exoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control | — | Jan 1, 1986 | Active |
| L5724 | Addition, exoskeletal knee-shin system, single axis, fluid swing phase control | — | Jan 1, 1986 | Active |
| L5726 | Addition, exoskeletal knee-shin system, single axis, external joints fluid swing phase control | — | Jan 1, 1986 | Active |
| L5728 | Addition, exoskeletal knee-shin system, single axis, fluid swing and stance phase control | — | Jan 1, 1986 | Active |
| L5780 | Addition, exoskeletal knee-shin system, single axis, pneumatic/hydra pneumatic swing phase control | — | Jan 1, 1986 | Active |
| L5781 | Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system | — | Jan 1, 2003 | Active |
| L5782 | Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system, heavy duty | — | Jan 1, 2003 | Active |
| L5783 | Addition to lower extremity, user adjustable, mechanical, residual limb volume management system (with or without lamination kit) | — | Apr 1, 2024 | Active |