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 |
|---|---|---|---|---|
| L5785 | Addition, exoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal) | — | Jan 1, 1988 | Active |
| L5790 | Addition, exoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal) | — | Jan 1, 1988 | Active |
| L5795 | Addition, exoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal) | — | Jan 1, 1988 | Active |
| L5810 | Addition, endoskeletal knee-shin system, single axis, manual lock | — | Jan 1, 1988 | Active |
| L5811 | Addition, endoskeletal knee-shin system, single axis, manual lock, ultra-light material | — | Jan 1, 1988 | Active |
| L5812 | Addition, endoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee) | — | Jan 1, 1988 | Active |
| L5814 | Addition, endoskeletal knee-shin system, polycentric, hydraulic swing phase control, mechanical stance phase lock | — | Jan 1, 1997 | Active |
| L5816 | Addition, endoskeletal knee-shin system, polycentric, mechanical stance phase lock | — | Jan 1, 1988 | Active |
| L5818 | Addition, endoskeletal knee-shin system, polycentric, friction swing, and stance phase control | — | Jan 1, 1988 | Active |
| L5822 | Addition, endoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control | — | Jan 1, 1988 | Active |
| L5824 | Addition, endoskeletal knee-shin system, single axis, fluid swing phase control | — | Jan 1, 1988 | Active |
| L5826 | Addition, endoskeletal knee-shin system, single axis, hydraulic swing phase control, with miniature high activity frame | — | Jan 1, 1998 | Active |
| L5827 | Endoskeletal knee-shin system, single axis, electromechanical swing and stance phase control, with or without shock absorption and stance extension damping | — | Apr 1, 2025 | Active |
| L5828 | Addition, endoskeletal knee-shin system, single axis, fluid swing and stance phase control | — | Jan 1, 1988 | Active |
| L5830 | Addition, endoskeletal knee-shin system, single axis, pneumatic/ swing phase control | — | Jan 1, 1988 | Active |
| L5840 | Addition, endoskeletal knee/shin system, 4-bar linkage or multiaxial, pneumatic swing phase control | — | Jan 1, 1994 | Active |
| L5841 | Addition, endoskeletal knee-shin system, polycentric, pneumatic swing, and stance phase control | — | Apr 1, 2024 | Active |
| L5845 | Addition, endoskeletal, knee-shin system, stance flexion feature, adjustable | — | Jan 1, 1996 | Active |
| L5848 | Addition to endoskeletal knee-shin system, fluid stance extension, dampening feature, with or without adjustability | — | Jan 1, 2003 | Active |
| L5850 | Addition, endoskeletal system, above knee or hip disarticulation, knee extension assist | — | Jan 1, 1988 | Active |
| L5855 | Addition, endoskeletal system, hip disarticulation, mechanical hip extension assist | — | Jan 1, 1994 | Active |
| L5856 | Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type | — | Jan 1, 2005 | Active |
| L5857 | Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing phase only, includes electronic sensor(s), any type | — | Jan 1, 2005 | Active |
| L5858 | Addition to lower extremity prosthesis, endoskeletal knee shin system, microprocessor control feature, stance phase only, includes electronic sensor(s), any type | — | Jan 1, 2006 | Active |
| L5859 | Addition to lower extremity prosthesis, endoskeletal knee-shin system, powered and programmable flexion/extension assist control, includes any type motor(s) | — | Jan 1, 2013 | Active |
| L5910 | Addition, endoskeletal system, below knee, alignable system | — | Jan 1, 1988 | Active |
| L5920 | Addition, endoskeletal system, above knee or hip disarticulation, alignable system | — | Jan 1, 1988 | Active |
| L5925 | Addition, endoskeletal system, above knee, knee disarticulation or hip disarticulation, manual lock | — | Jan 1, 1994 | Active |
| L5926 | Addition to lower extremity prosthesis, endoskeletal, knee disarticulation, above knee, hip disarticulation, positional rotation unit, any type | — | Jan 1, 2024 | Active |
| L5930 | Addition, endoskeletal system, high activity knee control frame | — | Jan 1, 1996 | Active |
| L5940 | Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal) | — | Jan 1, 1988 | Active |
| L5950 | Addition, endoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal) | — | Jan 1, 1988 | Active |
| L5960 | Addition, endoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal) | — | Jan 1, 1988 | Active |
| L5961 | Addition, endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control | — | Jan 1, 2011 | Active |
| L5962 | Addition, endoskeletal system, below knee, flexible protective outer surface covering system | — | Jan 1, 1994 | Active |
| L5964 | Addition, endoskeletal system, above knee, flexible protective outer surface covering system | — | Jan 1, 1994 | Active |
| L5966 | Addition, endoskeletal system, hip disarticulation, flexible protective outer surface covering system | — | Jan 1, 1994 | Active |
| L5968 | Addition to lower limb prosthesis, multiaxial ankle with swing phase active dorsiflexion feature | — | Jan 1, 1999 | Active |
| L5969 | Addition, endoskeletal ankle-foot or ankle system, power assist, includes any type motor(s) | — | Jan 1, 2014 | Active |
| L5970 | All lower extremity prostheses, foot, external keel, sach foot | — | Jan 1, 1989 | Active |
| L5971 | All lower extremity prosthesis, solid ankle cushion heel (sach) foot, replacement only | — | Jan 1, 2006 | Active |
| L5972 | All lower extremity prostheses, foot, flexible keel | — | Jan 1, 1989 | Active |
| L5973 | Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source | — | Jan 1, 2010 | Active |
| L5974 | All lower extremity prostheses, foot, single axis ankle/foot | — | Jan 1, 1989 | Active |
| L5975 | All lower extremity prosthesis, combination single axis ankle and flexible keel foot | — | Jan 1, 1999 | Active |
| L5976 | All lower extremity prostheses, energy storing foot (seattle carbon copy ii or equal) | — | Jan 1, 1989 | Active |
| L5978 | All lower extremity prostheses, foot, multiaxial ankle/foot | — | Jan 1, 1989 | Active |
| L5979 | All lower extremity prosthesis, multi-axial ankle, dynamic response foot, one piece system | — | Jan 1, 1994 | Active |
| L5980 | All lower extremity prostheses, flex foot system | — | Jan 1, 1989 | Active |
| L5981 | All lower extremity prostheses, flex-walk system or equal | — | Jan 1, 1994 | Active |
| L5982 | All exoskeletal lower extremity prostheses, axial rotation unit | — | Jan 1, 1989 | Active |
| L5984 | All endoskeletal lower extremity prosthesis, axial rotation unit, with or without adjustability | — | Jan 1, 1989 | Active |
| L5985 | All endoskeletal lower extremity prostheses, dynamic prosthetic pylon | — | Jan 1, 1996 | Active |
| L5986 | All lower extremity prostheses, multi-axial rotation unit ('mcp' or equal) | — | Jan 1, 1989 | Active |
| L5987 | All lower extremity prosthesis, shank foot system with vertical loading pylon | — | Jan 1, 1997 | Active |
| L5988 | Addition to lower limb prosthesis, vertical shock reducing pylon feature | — | Jan 1, 1999 | Active |
| L5990 | Addition to lower extremity prosthesis, user adjustable heel height | — | Jan 1, 2002 | Active |
| L5991 | Addition to lower extremity prostheses, osseointegrated external prosthetic connector | — | Oct 1, 2023 | Active |
| L5992 | All lower extremity prosthesis, foot shell for modular foot/non-solid ankle cushion heel (sach) replacement only | — | Apr 1, 2026 | Active |
| L5999 | Lower extremity prosthesis, not otherwise specifiedNOC / NOS | — | Jan 1, 1982 | Active |
| L6000 | Partial hand, thumb remaining | — | Jan 1, 1982 | Ended Mar 31, 2026 |
| L6010 | Partial hand, little and/or ring finger remaining | — | Jan 1, 1982 | Ended Mar 31, 2026 |
| L6020 | Partial hand, no finger remaining | — | Jan 1, 1982 | Ended Mar 31, 2026 |
| L6025 | Transcarpal/metacarpal or partial hand disarticulation prosthesis, external power, self-suspended, inner socket with removable forearm section, electrodes and cables, two batteries, charger, myoelectric control of terminal device | — | Jan 1, 2003 | Ended Dec 31, 2014 |
| L6026 | Transcarpal/metacarpal or partial hand disarticulation prosthesis, external power, self-suspended, inner socket with removable forearm section, electrodes and cables, two batteries, charger, myoelectric control of terminal device, excludes terminal device(s) | — | Jan 1, 2015 | Active |
| L6028 | Partial hand, finger, and thumb prosthesis without prosthetic digit(s) /thumb, amputation at metacarpal level, including flexible or non-flexible interface, molded to patient model, for use without external power and/or passive prosthetic digit/thumb, not including inserts described by l6692 | — | Apr 1, 2025 | Active |
| L6029 | Upper extremity addition, test socket/interface, partial hand including fingers | — | Apr 1, 2025 | Active |
| L6030 | Upper extremity addition, external frame, partial hand including fingers | — | Apr 1, 2025 | Active |
| L6031 | Replacement socket/interface, partial hand including fingers, molded to patient model, for use with or without external power | — | Apr 1, 2025 | Active |
| L6032 | Addition to upper extremity prosthesis, partial hand including fingers, ultralight material (titanium, carbon fiber or equal) | — | Apr 1, 2025 | Active |
| L6033 | Addition to upper extremity prosthesis, partial hand including fingers, acrylic material | — | Apr 1, 2025 | Active |
| L6034 | Partial hand, finger, and thumb prosthesis without prosthetic digit(s)/thumb, amputation at distal to metacarpal joint, including flexible or non-flexible interface, molded to patient model, for use without external power and/or passive prosthetic digit/thumb, not including inserts described by l6692 | — | Oct 1, 2025 | Active |
| L6035 | Single prosthetic digit, mechanical, can include metacarpophalangeal (mcp), proximal interphalangeal (pip), and/or distal interphalangeal (dip) joint(s), with or without locking mechanism, can include flexion or extension assist, any material, attachment, initial issue or replacement | — | Oct 1, 2025 | Active |
| L6036 | Prosthetic thumb, mechanical, can include metacarpophalangeal (mcp), interphalangeal (ip) joint(s), with or without locking mechanism, can include flexion or extension assist, any material, attachment, initial issue or replacement | — | Oct 1, 2025 | Active |
| L6037 | Immediate post-surgical or early fitting, application of initial rigid dressing, including fitting alignment and suspension of components, and one cast change, partial hand including fingers | — | Apr 1, 2025 | Active |
| L6038 | Addition to single prosthetic digit or thumb, mechanical, attachment, multiaxial and/or internal/external rotation/abduction/adduction mechanism, with or without locking feature, any material | — | Oct 1, 2025 | Active |
| L6039 | Passive prosthetic digit or thumb prosthesis not including hand restoration partial hand, full or partial, custom made, any material, initial or replacement, per single passive prosthetic digit or thumb | — | Oct 1, 2025 | Active |
| L6050 | Wrist disarticulation, molded socket, flexible elbow hinges, triceps pad | — | Jan 1, 1982 | Active |
| L6055 | Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad | — | Jan 1, 1988 | Active |
| L6100 | Below elbow, molded socket, flexible elbow hinge, triceps pad | — | Jan 1, 1982 | Active |
| L6110 | Below elbow, molded socket, (muenster or northwestern suspension types) | — | Jan 1, 1982 | Active |
| L6120 | Below elbow, molded double wall split socket, step-up hinges, half cuff | — | Jan 1, 1982 | Active |
| L6130 | Below elbow, molded double wall split socket, stump activated locking hinge, half cuff | — | Jan 1, 1982 | Active |
| L6200 | Elbow disarticulation, molded socket, outside locking hinge, forearm | — | Jan 1, 1982 | Active |
| L6205 | Elbow disarticulation, molded socket with expandable interface, outside locking hinges, forearm | — | Jan 1, 1988 | Active |
| L6250 | Above elbow, molded double wall socket, internal locking elbow, forearm | — | Jan 1, 1982 | Active |
| L6300 | Shoulder disarticulation, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm | — | Jan 1, 1982 | Active |
| L6310 | Shoulder disarticulation, passive restoration (complete prosthesis) | — | Jan 1, 1982 | Active |
| L6320 | Shoulder disarticulation, passive restoration (shoulder cap only) | — | Jan 1, 1982 | Active |
| L6350 | Interscapular thoracic, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm | — | Jan 1, 1984 | Active |
| L6360 | Interscapular thoracic, passive restoration (complete prosthesis) | — | Jan 1, 1986 | Active |
| L6370 | Interscapular thoracic, passive restoration (shoulder cap only) | — | Jan 1, 1986 | Active |
| L6380 | Immediate post surgical or early fitting, application of initial rigid dressing, including fitting alignment and suspension of components, and one cast change, wrist disarticulation or below elbow | — | Jan 1, 1988 | Active |
| L6382 | Immediate post surgical or early fitting, application of initial rigid dressing including fitting alignment and suspension of components, and one cast change, elbow disarticulation or above elbow | — | Jan 1, 1988 | Active |
| L6384 | Immediate post surgical or early fitting, application of initial rigid dressing including fitting alignment and suspension of components, and one cast change, shoulder disarticulation or interscapular thoracic | — | Jan 1, 1988 | Active |
| L6386 | Immediate post surgical or early fitting, each additional cast change and realignment | — | Jan 1, 1988 | Active |
| L6388 | Immediate post surgical or early fitting, application of rigid dressing only | — | Jan 1, 1988 | Active |
| L6400 | Below elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping | — | Jan 1, 1982 | Active |
| L6450 | Elbow disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping | — | Jan 1, 1982 | Active |
| L6500 | Above elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping | — | Jan 1, 1982 | Active |