Default Fee Schedule Part 5
Code | Price | Type | Description |
K0011 | 0 | HCPCS / CPT® | STND WT PWR WHLCHR W CONTROL |
K0012 | 0 | HCPCS / CPT® | LTWT PORTBL POWER WHLCHR |
K0013 | 0 | HCPCS / CPT® | CUSTOM POWER WHLCHR BASE |
K0014 | 0 | HCPCS / CPT® | OTHER POWER WHLCHR BASE |
K0015 | 0 | HCPCS / CPT® | DETACH NON-ADJ HT ARMRST REP |
K0017 | 0 | HCPCS / CPT® | DETACH ADJUST ARMREST BASE |
K0018 | 0 | HCPCS / CPT® | DETACH ADJUST ARMRST UPPER |
K0019 | 0 | HCPCS / CPT® | ARM PAD REPL, EACH |
K0020 | 0 | HCPCS / CPT® | FIXED ADJUST ARMREST PAIR |
K0037 | 0 | HCPCS / CPT® | HI MOUNT FLIP-UP FTREST REPL |
K0038 | 0 | HCPCS / CPT® | LEG STRAP EACH |
K0039 | 0 | HCPCS / CPT® | LEG STRAP H STYLE EACH |
K0040 | 0 | HCPCS / CPT® | ADJUSTABLE ANGLE FOOTPLATE |
K0041 | 0 | HCPCS / CPT® | LARGE SIZE FOOTPLATE EACH |
K0042 | 0 | HCPCS / CPT® | STANDARD SIZE FTPLATE REP EA |
K0043 | 0 | HCPCS / CPT® | FTRST LOWR EXTEN TUBE REP EA |
K0044 | 0 | HCPCS / CPT® | FTRST UPR HANGER BRAC REP EA |
K0045 | 0 | HCPCS / CPT® | FTRST COMPL ASSEMBLY REPL EA |
K0046 | 0 | HCPCS / CPT® | ELEV LGRST LWR EXTEN REPL EA |
K0047 | 0 | HCPCS / CPT® | ELEV LEGRST UPR HANGR REP EA |
K0050 | 0 | HCPCS / CPT® | RATCHET ASSEMBLY REPLACEMENT |
K0051 | 0 | HCPCS / CPT® | CAM REL ASM FT/LEGRST REP EA |
K0052 | 0 | HCPCS / CPT® | SWINGAWAY DETACH FTREST REPL |
K0053 | 0 | HCPCS / CPT® | ELEVATE FOOTREST ARTICULATE |
K0056 | 0 | HCPCS / CPT® | SEAT HT <17 OR >=21 LTWT WC |
K0065 | 0 | HCPCS / CPT® | SPOKE PROTECTORS |
K0069 | 0 | HCPCS / CPT® | RR WHL COMPL SOL TIRE REP EA |
K0070 | 0 | HCPCS / CPT® | RR WHL COMPL PNE TIRE REP EA |
K0071 | 0 | HCPCS / CPT® | FR CSTR COMP PNE TIRE REP EA |
K0072 | 0 | HCPCS / CPT® | FR CSTR SEMI-PNE TIRE REP EA |
K0073 | 0 | HCPCS / CPT® | CASTER PIN LOCK EACH |
K0077 | 0 | HCPCS / CPT® | FR CSTR ASMB SOL TIRE REP EA |
K0098 | 0 | HCPCS / CPT® | DRIVE BELT FOR PWC, REPL |
K0105 | 0 | HCPCS / CPT® | IV HANGER |
K0108 | 0 | HCPCS / CPT® | W/C COMPONENT-ACCESSORY NOS |
K0195 | 0 | HCPCS / CPT® | ELEVATING WHLCHAIR LEG RESTS |
K0455 | 0 | HCPCS / CPT® | PUMP UNINTERRUPTED INFUSION |
K0462 | 0 | HCPCS / CPT® | TEMPORARY REPLACEMENT EQPMNT |
K0552 | 0 | HCPCS / CPT® | SUP/EXT NON-INS INF PUMP SYR |
K0601 | 0 | HCPCS / CPT® | REPL BATT SILVER OXIDE 1.5 V |
K0602 | 0 | HCPCS / CPT® | REPL BATT SILVER OXIDE 3 V |
K0603 | 0 | HCPCS / CPT® | REPL BATT ALKALINE 1.5 V |
K0604 | 0 | HCPCS / CPT® | REPL BATT LITHIUM 3.6 V |
K0605 | 0 | HCPCS / CPT® | REPL BATT LITHIUM 4.5 V |
K0606 | 0 | HCPCS / CPT® | AED GARMENT W ELEC ANALYSIS |
K0607 | 0 | HCPCS / CPT® | REPL BATT FOR AED |
K0608 | 0 | HCPCS / CPT® | REPL GARMENT FOR AED |
K0609 | 0 | HCPCS / CPT® | REPL ELECTRODE FOR AED |
K0669 | 0 | HCPCS / CPT® | SEAT/BACK CUS NO DMEPDAC VER |
K0672 | 0 | HCPCS / CPT® | REMOVABLE SOFT INTERFACE LE |
K0730 | 0 | HCPCS / CPT® | CTRL DOSE INH DRUG DELIV SYS |
K0733 | 0 | HCPCS / CPT® | 12-24HR SEALED LEAD ACID |
K0738 | 0 | HCPCS / CPT® | PORTABLE GAS OXYGEN SYSTEM |
K0739 | 0 | HCPCS / CPT® | REPAIR/SVC DME NON-OXYGEN EQ |
K0740 | 0 | HCPCS / CPT® | REPAIR/SVC OXYGEN EQUIPMENT |
K0743 | 0 | HCPCS / CPT® | PORTABLE HOME SUCTION PUMP |
K0744 | 0 | HCPCS / CPT® | ABSORP DRG <= 16 SUC PUMP |
K0745 | 0 | HCPCS / CPT® | ABSORP DRG >16<=48 SUC PUMP |
K0746 | 0 | HCPCS / CPT® | ABSORP DRG >48 SUC PUMP |
K0800 | 0 | HCPCS / CPT® | POV GROUP 1 STD UP TO 300LBS |
K0801 | 0 | HCPCS / CPT® | POV GROUP 1 HD 301-450 LBS |
K0802 | 0 | HCPCS / CPT® | POV GROUP 1 VHD 451-600 LBS |
K0806 | 0 | HCPCS / CPT® | POV GROUP 2 STD UP TO 300LBS |
K0807 | 0 | HCPCS / CPT® | POV GROUP 2 HD 301-450 LBS |
K0808 | 0 | HCPCS / CPT® | POV GROUP 2 VHD 451-600 LBS |
K0812 | 0 | HCPCS / CPT® | POWER OPERATED VEHICLE NOC |
K0813 | 0 | HCPCS / CPT® | PWC GP 1 STD PORT SEAT/BACK |
K0814 | 0 | HCPCS / CPT® | PWC GP 1 STD PORT CAP CHAIR |
K0815 | 0 | HCPCS / CPT® | PWC GP 1 STD SEAT/BACK |
K0816 | 0 | HCPCS / CPT® | PWC GP 1 STD CAP CHAIR |
K0820 | 0 | HCPCS / CPT® | PWC GP 2 STD PORT SEAT/BACK |
K0821 | 0 | HCPCS / CPT® | PWC GP 2 STD PORT CAP CHAIR |
K0822 | 0 | HCPCS / CPT® | PWC GP 2 STD SEAT/BACK |
K0823 | 0 | HCPCS / CPT® | PWC GP 2 STD CAP CHAIR |
K0824 | 0 | HCPCS / CPT® | PWC GP 2 HD SEAT/BACK |
K0825 | 0 | HCPCS / CPT® | PWC GP 2 HD CAP CHAIR |
K0826 | 0 | HCPCS / CPT® | PWC GP 2 VHD SEAT/BACK |
K0827 | 0 | HCPCS / CPT® | PWC GP VHD CAP CHAIR |
K0828 | 0 | HCPCS / CPT® | PWC GP 2 XTRA HD SEAT/BACK |
K0829 | 0 | HCPCS / CPT® | PWC GP 2 XTRA HD CAP CHAIR |
K0830 | 0 | HCPCS / CPT® | PWC GP2 STD SEAT ELEVATE S/B |
K0831 | 0 | HCPCS / CPT® | PWC GP2 STD SEAT ELEVATE CAP |
K0835 | 0 | HCPCS / CPT® | PWC GP2 STD SING POW OPT S/B |
K0836 | 0 | HCPCS / CPT® | PWC GP2 STD SING POW OPT CAP |
K0837 | 0 | HCPCS / CPT® | PWC GP 2 HD SING POW OPT S/B |
K0838 | 0 | HCPCS / CPT® | PWC GP 2 HD SING POW OPT CAP |
K0839 | 0 | HCPCS / CPT® | PWC GP2 VHD SING POW OPT S/B |
K0840 | 0 | HCPCS / CPT® | PWC GP2 XHD SING POW OPT S/B |
K0841 | 0 | HCPCS / CPT® | PWC GP2 STD MULT POW OPT S/B |
K0842 | 0 | HCPCS / CPT® | PWC GP2 STD MULT POW OPT CAP |
K0843 | 0 | HCPCS / CPT® | PWC GP2 HD MULT POW OPT S/B |
K0848 | 0 | HCPCS / CPT® | PWC GP 3 STD SEAT/BACK |
K0849 | 0 | HCPCS / CPT® | PWC GP 3 STD CAP CHAIR |
K0850 | 0 | HCPCS / CPT® | PWC GP 3 HD SEAT/BACK |
K0851 | 0 | HCPCS / CPT® | PWC GP 3 HD CAP CHAIR |
K0852 | 0 | HCPCS / CPT® | PWC GP 3 VHD SEAT/BACK |
K0853 | 0 | HCPCS / CPT® | PWC GP 3 VHD CAP CHAIR |
K0854 | 0 | HCPCS / CPT® | PWC GP 3 XHD SEAT/BACK |
K0855 | 0 | HCPCS / CPT® | PWC GP 3 XHD CAP CHAIR |
K0856 | 0 | HCPCS / CPT® | PWC GP3 STD SING POW OPT S/B |
K0857 | 0 | HCPCS / CPT® | PWC GP3 STD SING POW OPT CAP |
K0858 | 0 | HCPCS / CPT® | PWC GP3 HD SING POW OPT S/B |
K0859 | 0 | HCPCS / CPT® | PWC GP3 HD SING POW OPT CAP |
K0860 | 0 | HCPCS / CPT® | PWC GP3 VHD SING POW OPT S/B |
K0861 | 0 | HCPCS / CPT® | PWC GP3 STD MULT POW OPT S/B |
K0862 | 0 | HCPCS / CPT® | PWC GP3 HD MULT POW OPT S/B |
K0863 | 0 | HCPCS / CPT® | PWC GP3 VHD MULT POW OPT S/B |
K0864 | 0 | HCPCS / CPT® | PWC GP3 XHD MULT POW OPT S/B |
K0868 | 0 | HCPCS / CPT® | PWC GP 4 STD SEAT/BACK |
K0869 | 0 | HCPCS / CPT® | PWC GP 4 STD CAP CHAIR |
K0870 | 0 | HCPCS / CPT® | PWC GP 4 HD SEAT/BACK |
K0871 | 0 | HCPCS / CPT® | PWC GP 4 VHD SEAT/BACK |
K0877 | 0 | HCPCS / CPT® | PWC GP4 STD SING POW OPT S/B |
K0878 | 0 | HCPCS / CPT® | PWC GP4 STD SING POW OPT CAP |
K0879 | 0 | HCPCS / CPT® | PWC GP4 HD SING POW OPT S/B |
K0880 | 0 | HCPCS / CPT® | PWC GP4 VHD SING POW OPT S/B |
K0884 | 0 | HCPCS / CPT® | PWC GP4 STD MULT POW OPT S/B |
K0885 | 0 | HCPCS / CPT® | PWC GP4 STD MULT POW OPT CAP |
K0886 | 0 | HCPCS / CPT® | PWC GP4 HD MULT POW S/B |
K0890 | 0 | HCPCS / CPT® | PWC GP5 PED SING POW OPT S/B |
K0891 | 0 | HCPCS / CPT® | PWC GP5 PED MULT POW OPT S/B |
K0898 | 0 | HCPCS / CPT® | POWER WHEELCHAIR NOC |
K0899 | 0 | HCPCS / CPT® | POW MOBIL DEV NO DMEPDAC |
K0900 | 0 | HCPCS / CPT® | CSTM DME OTHER THAN WHEELCHR |
L0112 | 0 | HCPCS / CPT® | CRANIAL CERVICAL ORTHOSIS |
L0113 | 0 | HCPCS / CPT® | CRANIAL CERVICAL TORTICOLLIS |
L0120 | 0 | HCPCS / CPT® | CERV FLEX N/ADJ FOAM PRE OTS |
L0130 | 0 | HCPCS / CPT® | FLEX THERMOPLASTIC COLLAR MO |
L0140 | 0 | HCPCS / CPT® | CERVICAL SEMI-RIGID ADJUSTAB |
L0150 | 0 | HCPCS / CPT® | CERV SEMI-RIG ADJ MOLDED CHN |
L0160 | 0 | HCPCS / CPT® | CERV SR WIRE OCC/MAN PRE OTS |
L0170 | 0 | HCPCS / CPT® | CERVICAL COLLAR MOLDED TO PT |
L0172 | 37 | HCPCS / CPT® | CERV COL SR FOAM 2PC PRE OTS |
L0174 | 0 | HCPCS / CPT® | CERV SR 2PC THOR EXT PRE OTS |
L0180 | 0 | HCPCS / CPT® | CER POST COL OCC/MAN SUP ADJ |
L0190 | 0 | HCPCS / CPT® | CERV COLLAR SUPP ADJ CERV BA |
L0200 | 0 | HCPCS / CPT® | CERV COL SUPP ADJ BAR & THOR |
L0220 | 0 | HCPCS / CPT® | THOR RIB BELT CUSTOM FABRICA |
L0450 | 0 | HCPCS / CPT® | TLSO FLEX TRUNK/THOR PRE OTS |
L0452 | 0 | HCPCS / CPT® | TLSO FLEX CUSTOM FAB THORACI |
L0454 | 0 | HCPCS / CPT® | TLSO TRNK SJ-T9 PRE CST |
L0455 | 0 | HCPCS / CPT® | TLSO FLEX TRNK SJ-T9 PRE OTS |
L0456 | 0 | HCPCS / CPT® | TLSO FLEX TRNK SJ-SS PRE CST |
L0457 | 0 | HCPCS / CPT® | TLSO FLEX TRNK SJ-SS PRE OTS |
L0458 | 0 | HCPCS / CPT® | TLSO 2MOD SYMPHIS-XIPHO PRE |
L0460 | 0 | HCPCS / CPT® | TLSO 2 SHL SYMPHYS-STERN CST |
L0462 | 0 | HCPCS / CPT® | TLSO 3MOD SACRO-SCAP PRE |
L0464 | 0 | HCPCS / CPT® | TLSO 4MOD SACRO-SCAP PRE |
L0466 | 0 | HCPCS / CPT® | TLSO R FRAM SOFT ANT PRE CST |
L0467 | 0 | HCPCS / CPT® | TLSO R FRAM SOFT PRE OTS |
L0468 | 0 | HCPCS / CPT® | TLSO RIG FRAM PELVIC PRE CST |
L0469 | 0 | HCPCS / CPT® | TLSO RIG FRAM PELVIC PRE OTS |
L0470 | 0 | HCPCS / CPT® | TLSO RIGID FRAME PRE SUBCLAV |
L0472 | 0 | HCPCS / CPT® | TLSO RIGID FRAME HYPEREX PRE |
L0480 | 0 | HCPCS / CPT® | TLSO RIGID PLASTIC CUSTOM FA |
L0482 | 0 | HCPCS / CPT® | TLSO RIGID LINED CUSTOM FAB |
L0484 | 0 | HCPCS / CPT® | TLSO RIGID PLASTIC CUST FAB |
L0486 | 0 | HCPCS / CPT® | TLSO RIGIDLINED CUST FAB TWO |
L0488 | 0 | HCPCS / CPT® | TLSO RIGID LINED PRE ONE PIE |
L0490 | 0 | HCPCS / CPT® | TLSO RIGID PLASTIC PRE ONE |
L0491 | 0 | HCPCS / CPT® | TLSO 2 PIECE RIGID SHELL |
L0492 | 0 | HCPCS / CPT® | TLSO 3 PIECE RIGID SHELL |
L0621 | 0 | HCPCS / CPT® | SIO FLEX PELVIC/SACR PRE OTS |
L0622 | 0 | HCPCS / CPT® | SIO FLEX PELVISACRAL CUSTOM |
L0623 | 0 | HCPCS / CPT® | SIO RIG PNL PELV/SAC PRE OTS |
L0624 | 0 | HCPCS / CPT® | SIO PANEL CUSTOM |
L0625 | 0 | HCPCS / CPT® | LO FLEX L1-BELOW L5 PRE OTS |
L0626 | 0 | HCPCS / CPT® | LO SAG RIG PNL STAYS PRE CST |
L0627 | 0 | HCPCS / CPT® | LO SAG RI AN/POS PNL PRE CST |
L0628 | 0 | HCPCS / CPT® | LSO FLEX NO RI STAYS PRE OTS |
L0629 | 0 | HCPCS / CPT® | LSO FLEX W/RIGID STAYS CUST |
L0630 | 0 | HCPCS / CPT® | LSO R POST PNL SJ-T9 PRE CST |
L0631 | 0 | HCPCS / CPT® | LSO SAG R AN/POS PNL PRE CST |
L0632 | 0 | HCPCS / CPT® | LSO SAG RIGID FRAME CUST |
L0633 | 0 | HCPCS / CPT® | LSO SC R POS/LAT PNL PRE CST |
L0634 | 0 | HCPCS / CPT® | LSO FLEXION CONTROL CUSTOM |
L0635 | 0 | HCPCS / CPT® | LSO SAGIT RIGID PANEL PREFAB |
L0636 | 0 | HCPCS / CPT® | LSO SAGITTAL RIGID PANEL CUS |
L0637 | 0 | HCPCS / CPT® | LSO SC R ANT/POS PNL PRE CST |
L0638 | 0 | HCPCS / CPT® | LSO SAG-CORONAL PANEL CUSTOM |
L0639 | 0 | HCPCS / CPT® | LSO S/C SHELL/PANEL PREFAB |
L0640 | 0 | HCPCS / CPT® | LSO S/C SHELL/PANEL CUSTOM |
L0641 | 0 | HCPCS / CPT® | LO RIG POS PNL L1-L5 PRE OTS |
L0642 | 0 | HCPCS / CPT® | LO SAG RI AN/POS PNL PRE OTS |
L0643 | 0 | HCPCS / CPT® | LSO SAG CTR RIGI POS PRE OTS |
L0648 | 0 | HCPCS / CPT® | LSO SAG R AN/POS PNL PRE OTS |
L0649 | 0 | HCPCS / CPT® | LSO SC R POS/LAT PNL PRE OTS |
L0650 | 0 | HCPCS / CPT® | LSO SC R ANT/POS PNL PRE OTS |
L0651 | 0 | HCPCS / CPT® | LSO SAG-CO SHELL PNL PRE OTS |
L0700 | 0 | HCPCS / CPT® | CTLSO A-P-L CONTROL MOLDED |
L0710 | 0 | HCPCS / CPT® | CTLSO A-P-L CONTROL W/ INTER |
L0810 | 0 | HCPCS / CPT® | HALO CERVICAL INTO JCKT VEST |
L0820 | 0 | HCPCS / CPT® | HALO CERVICAL INTO BODY JACK |
L0830 | 0 | HCPCS / CPT® | HALO CERV INTO MILWAUKEE TYP |
L0859 | 0 | HCPCS / CPT® | MRI COMPATIBLE SYSTEM |
L0861 | 0 | HCPCS / CPT® | HALO REPL LINER/INTERFACE |
L0970 | 0 | HCPCS / CPT® | TLSO CORSET FRONT |
L0972 | 0 | HCPCS / CPT® | LSO CORSET FRONT |
L0974 | 0 | HCPCS / CPT® | TLSO FULL CORSET |
L0976 | 0 | HCPCS / CPT® | LSO FULL CORSET |
L0978 | 0 | HCPCS / CPT® | AXILLARY CRUTCH EXTENSION |
L0980 | 0 | HCPCS / CPT® | PERONEAL STRAPS PAIR PRE OTS |
L0982 | 0 | HCPCS / CPT® | STOCKING SUP GRIPS 4 PRE OTS |
L0984 | 0 | HCPCS / CPT® | PROTECT BODY SOCK EA PRE OTS |
L0999 | 0 | HCPCS / CPT® | ADD TO SPINAL ORTHOSIS NOS |
L1000 | 0 | HCPCS / CPT® | CTLSO MILWAUKE INITIAL MODEL |
L1001 | 0 | HCPCS / CPT® | CTLSO INFANT IMMOBILIZER |
L1005 | 0 | HCPCS / CPT® | TENSION BASED SCOLIOSIS ORTH |
L1010 | 0 | HCPCS / CPT® | CTLSO AXILLA SLING |
L1020 | 0 | HCPCS / CPT® | KYPHOSIS PAD |
L1025 | 0 | HCPCS / CPT® | KYPHOSIS PAD FLOATING |
L1030 | 0 | HCPCS / CPT® | LUMBAR BOLSTER PAD |
L1040 | 0 | HCPCS / CPT® | LUMBAR OR LUMBAR RIB PAD |
L1050 | 0 | HCPCS / CPT® | STERNAL PAD |
L1060 | 0 | HCPCS / CPT® | THORACIC PAD |
L1070 | 0 | HCPCS / CPT® | TRAPEZIUS SLING |
L1080 | 0 | HCPCS / CPT® | OUTRIGGER |
L1085 | 0 | HCPCS / CPT® | OUTRIGGER BIL W/ VERT EXTENS |
L1090 | 0 | HCPCS / CPT® | LUMBAR SLING |
L1100 | 0 | HCPCS / CPT® | RING FLANGE PLASTIC/LEATHER |
L1110 | 0 | HCPCS / CPT® | RING FLANGE PLAS/LEATHER MOL |
L1120 | 0 | HCPCS / CPT® | COVERS FOR UPRIGHT EACH |
L1200 | 0 | HCPCS / CPT® | FURNSH INITIAL ORTHOSIS ONLY |
L1210 | 0 | HCPCS / CPT® | LATERAL THORACIC EXTENSION |
L1220 | 0 | HCPCS / CPT® | ANTERIOR THORACIC EXTENSION |
L1230 | 0 | HCPCS / CPT® | MILWAUKEE TYPE SUPERSTRUCTUR |
L1240 | 0 | HCPCS / CPT® | LUMBAR DEROTATION PAD |
L1250 | 0 | HCPCS / CPT® | ANTERIOR ASIS PAD |
L1260 | 0 | HCPCS / CPT® | ANTERIOR THORACIC DEROTATION |
L1270 | 0 | HCPCS / CPT® | ABDOMINAL PAD |
L1280 | 0 | HCPCS / CPT® | RIB GUSSET (ELASTIC) EACH |
L1290 | 0 | HCPCS / CPT® | LATERAL TROCHANTERIC PAD |
L1300 | 0 | HCPCS / CPT® | BODY JACKET MOLD TO PATIENT |
L1310 | 0 | HCPCS / CPT® | POST-OPERATIVE BODY JACKET |
L1499 | 0 | HCPCS / CPT® | SPINAL ORTHOSIS NOS |
L1600 | 0 | HCPCS / CPT® | HO FLEX FREJKA W/COV PRE CST |
L1610 | 0 | HCPCS / CPT® | HO FREJKA COV ONLY PRE CST |
L1620 | 0 | HCPCS / CPT® | HO FLEX PAVLIK HARNS PRE CST |
L1630 | 0 | HCPCS / CPT® | ABDUCT CONTROL HIP SEMI-FLEX |
L1640 | 0 | HCPCS / CPT® | PELV BAND/SPREAD BAR THIGH C |
L1650 | 0 | HCPCS / CPT® | HO ABDUCTION HIP ADJUSTABLE |
L1652 | 0 | HCPCS / CPT® | HO BI THIGHCUFFS W SPRDR BAR |
L1660 | 0 | HCPCS / CPT® | HO ABDUCTION STATIC PLASTIC |
L1680 | 0 | HCPCS / CPT® | PELVIC & HIP CONTROL THIGH C |
L1685 | 0 | HCPCS / CPT® | POST-OP HIP ABDUCT CUSTOM FA |
L1686 | 0 | HCPCS / CPT® | HO POST-OP HIP ABDUCTION |
L1690 | 0 | HCPCS / CPT® | COMBINATION BILATERAL HO |
L1700 | 0 | HCPCS / CPT® | LEG PERTHES ORTH TORONTO TYP |
L1710 | 0 | HCPCS / CPT® | LEGG PERTHES ORTH NEWINGTON |
L1720 | 0 | HCPCS / CPT® | LEGG PERTHES ORTHOSIS TRILAT |
L1730 | 0 | HCPCS / CPT® | LEGG PERTHES ORTH SCOTTISH R |
L1755 | 0 | HCPCS / CPT® | LEGG PERTHES PATTEN BOTTOM T |
L1810 | 0 | HCPCS / CPT® | KO ELASTIC WITH JOINTS |
L1812 | 0 | HCPCS / CPT® | KO ELASTIC W/JOINTS PRE OTS |
L1820 | 0 | HCPCS / CPT® | KO ELAS W/ CONDYLE PADS & JO |
L1830 | 42 | HCPCS / CPT® | KO IMMOB CANVAS LONG PRE OTS |
L1831 | 0 | HCPCS / CPT® | KNEE ORTH POS LOCKING JOINT |
L1832 | 0 | HCPCS / CPT® | KO ADJ JNT POS R SUP PRE CST |
L1833 | 0 | HCPCS / CPT® | KO ADJ JNT POS R SUP PRE OTS |
L1834 | 0 | HCPCS / CPT® | KO W/0 JOINT RIGID MOLDED TO |
L1836 | 0 | HCPCS / CPT® | KO RIGID W/O JOINTS PRE OTS |
L1840 | 0 | HCPCS / CPT® | KO DEROT ANT CRUCIATE CUSTOM |
L1843 | 0 | HCPCS / CPT® | KO SINGLE UPRIGHT PRE CST |
L1844 | 0 | HCPCS / CPT® | KO W/ADJ JT ROT CNTRL MOLDED |
L1845 | 0 | HCPCS / CPT® | KO DOUBLE UPRIGHT PRE CST |
L1846 | 0 | HCPCS / CPT® | KO W ADJ FLEX/EXT ROTAT MOLD |
L1847 | 0 | HCPCS / CPT® | KO DBL UPRIGHT W/AIR PRE CST |
L1848 | 0 | HCPCS / CPT® | KO DBL UPRIGHT W/AIR PRE OTS |
L1850 | 0 | HCPCS / CPT® | KO SWEDISH TYPE PRE OTS |
L1851 | 0 | HCPCS / CPT® | KO SINGLE UPRIGHT PREFAB OTS |
L1852 | 0 | HCPCS / CPT® | KO DOUBLE UPRIGHT PREFAB OTS |
L1860 | 0 | HCPCS / CPT® | KO SUPRACONDYLAR SOCKET MOLD |
L1900 | 0 | HCPCS / CPT® | AFO SPRNG WIR DRSFLX CALF BD |
L1902 | 0 | HCPCS / CPT® | AFO ANKLE GAUNTLET PRE OTS |
L1904 | 0 | HCPCS / CPT® | AFO MOLDED ANKLE GAUNTLET |
L1906 | 121 | HCPCS / CPT® | AFO MULTILIG ANK SUP PRE OTS |
L1907 | 0 | HCPCS / CPT® | AFO SUPRAMALLEOLAR CUSTOM |
L1910 | 0 | HCPCS / CPT® | AFO SING BAR CLASP ATTACH SH |
L1920 | 0 | HCPCS / CPT® | AFO SING UPRIGHT W/ ADJUST S |
L1930 | 0 | HCPCS / CPT® | AFO PLASTIC |
L1932 | 0 | HCPCS / CPT® | AFO RIG ANT TIB PREFAB TCF/= |
L1940 | 0 | HCPCS / CPT® | AFO MOLDED TO PATIENT PLASTI |
L1945 | 0 | HCPCS / CPT® | AFO MOLDED PLAS RIG ANT TIB |
L1950 | 0 | HCPCS / CPT® | AFO SPIRAL MOLDED TO PT PLAS |
L1951 | 0 | HCPCS / CPT® | AFO SPIRAL PREFABRICATED |
L1960 | 0 | HCPCS / CPT® | AFO POS SOLID ANK PLASTIC MO |
L1970 | 0 | HCPCS / CPT® | AFO PLASTIC MOLDED W/ANKLE J |
L1971 | 0 | HCPCS / CPT® | AFO W/ANKLE JOINT, PREFAB |
L1980 | 0 | HCPCS / CPT® | AFO SING SOLID STIRRUP CALF |
L1990 | 0 | HCPCS / CPT® | AFO DOUB SOLID STIRRUP CALF |
L2000 | 0 | HCPCS / CPT® | KAFO SING FRE STIRR THI/CALF |
L2005 | 0 | HCPCS / CPT® | KAFO SNG/DBL MECHANICAL ACT |
L2010 | 0 | HCPCS / CPT® | KAFO SNG SOLID STIRRUP W/O J |
L2020 | 0 | HCPCS / CPT® | KAFO DBL SOLID STIRRUP BAND/ |
L2030 | 0 | HCPCS / CPT® | KAFO DBL SOLID STIRRUP W/O J |
L2034 | 0 | HCPCS / CPT® | KAFO PLA SIN UP W/WO K/A CUS |
L2035 | 0 | HCPCS / CPT® | KAFO PLASTIC PEDIATRIC SIZE |
L2036 | 0 | HCPCS / CPT® | KAFO PLAS DOUB FREE KNEE MOL |
L2037 | 0 | HCPCS / CPT® | KAFO PLAS SING FREE KNEE MOL |
L2038 | 0 | HCPCS / CPT® | KAFO W/O JOINT MULTI-AXIS AN |
L2040 | 0 | HCPCS / CPT® | HKAFO TORSION BIL ROT STRAPS |
L2050 | 0 | HCPCS / CPT® | HKAFO TORSION CABLE HIP PELV |
L2060 | 0 | HCPCS / CPT® | HKAFO TORSION BALL BEARING J |
L2070 | 0 | HCPCS / CPT® | HKAFO TORSION UNILAT ROT STR |
L2080 | 0 | HCPCS / CPT® | HKAFO UNILAT TORSION CABLE |
L2090 | 0 | HCPCS / CPT® | HKAFO UNILAT TORSION BALL BR |
L2106 | 0 | HCPCS / CPT® | AFO TIB FX CAST PLASTER MOLD |
L2108 | 0 | HCPCS / CPT® | AFO TIB FX CAST MOLDED TO PT |
L2112 | 0 | HCPCS / CPT® | AFO TIBIAL FRACTURE SOFT |
L2114 | 0 | HCPCS / CPT® | AFO TIB FX SEMI-RIGID |
L2116 | 0 | HCPCS / CPT® | AFO TIBIAL FRACTURE RIGID |
L2126 | 0 | HCPCS / CPT® | KAFO FEM FX CAST THERMOPLAS |
L2128 | 0 | HCPCS / CPT® | KAFO FEM FX CAST MOLDED TO P |
L2132 | 0 | HCPCS / CPT® | KAFO FEMORAL FX CAST SOFT |
L2134 | 0 | HCPCS / CPT® | KAFO FEM FX CAST SEMI-RIGID |
L2136 | 0 | HCPCS / CPT® | KAFO FEMORAL FX CAST RIGID |
L2180 | 0 | HCPCS / CPT® | PLAS SHOE INSERT W ANK JOINT |
L2182 | 0 | HCPCS / CPT® | DROP LOCK KNEE |
L2184 | 0 | HCPCS / CPT® | LIMITED MOTION KNEE JOINT |
L2186 | 0 | HCPCS / CPT® | ADJ MOTION KNEE JNT LERMAN T |
L2188 | 0 | HCPCS / CPT® | QUADRILATERAL BRIM |
L2190 | 0 | HCPCS / CPT® | WAIST BELT |
L2192 | 0 | HCPCS / CPT® | PELVIC BAND & BELT THIGH FLA |
L2200 | 0 | HCPCS / CPT® | LIMITED ANKLE MOTION EA JNT |
L2210 | 0 | HCPCS / CPT® | DORSIFLEXION ASSIST EACH JOI |
L2220 | 0 | HCPCS / CPT® | DORSI & PLANTAR FLEX ASS/RES |
L2230 | 0 | HCPCS / CPT® | SPLIT FLAT CALIPER STIRR & P |
L2232 | 0 | HCPCS / CPT® | ROCKER BOTTOM, CONTACT AFO |
L2240 | 0 | HCPCS / CPT® | ROUND CALIPER AND PLATE ATTA |
L2250 | 0 | HCPCS / CPT® | FOOT PLATE MOLDED STIRRUP AT |
L2260 | 0 | HCPCS / CPT® | REINFORCED SOLID STIRRUP |
L2265 | 0 | HCPCS / CPT® | LONG TONGUE STIRRUP |
L2270 | 0 | HCPCS / CPT® | VARUS/VALGUS STRAP PADDED/LI |
L2275 | 0 | HCPCS / CPT® | PLASTIC MOD LOW EXT PAD/LINE |
L2280 | 0 | HCPCS / CPT® | MOLDED INNER BOOT |
L2300 | 0 | HCPCS / CPT® | ABDUCTION BAR JOINTED ADJUST |
L2310 | 0 | HCPCS / CPT® | ABDUCTION BAR-STRAIGHT |
L2320 | 0 | HCPCS / CPT® | NON-MOLDED LACER |
L2330 | 0 | HCPCS / CPT® | LACER MOLDED TO PATIENT MODE |
L2335 | 0 | HCPCS / CPT® | ANTERIOR SWING BAND |
L2340 | 0 | HCPCS / CPT® | PRE-TIBIAL SHELL MOLDED TO P |
L2350 | 0 | HCPCS / CPT® | PROSTHETIC TYPE SOCKET MOLDE |
L2360 | 0 | HCPCS / CPT® | EXTENDED STEEL SHANK |
L2370 | 0 | HCPCS / CPT® | PATTEN BOTTOM |
L2375 | 0 | HCPCS / CPT® | TORSION ANK & HALF SOLID STI |
L2380 | 0 | HCPCS / CPT® | TORSION STRAIGHT KNEE JOINT |
L2385 | 0 | HCPCS / CPT® | STRAIGHT KNEE JOINT HEAVY DU |
L2387 | 0 | HCPCS / CPT® | ADD LE POLY KNEE CUSTOM KAFO |
L2390 | 0 | HCPCS / CPT® | OFFSET KNEE JOINT EACH |
L2395 | 0 | HCPCS / CPT® | OFFSET KNEE JOINT HEAVY DUTY |
L2397 | 0 | HCPCS / CPT® | SUSPENSION SLEEVE LOWER EXT |
L2405 | 0 | HCPCS / CPT® | KNEE JOINT DROP LOCK EA JNT |
L2415 | 0 | HCPCS / CPT® | KNEE JOINT CAM LOCK EACH JOI |
L2425 | 0 | HCPCS / CPT® | KNEE DISC/DIAL LOCK/ADJ FLEX |
L2430 | 0 | HCPCS / CPT® | KNEE JNT RATCHET LOCK EA JNT |
L2492 | 0 | HCPCS / CPT® | KNEE LIFT LOOP DROP LOCK RIN |
L2500 | 0 | HCPCS / CPT® | THI/GLUT/ISCHIA WGT BEARING |
L2510 | 0 | HCPCS / CPT® | TH/WGHT BEAR QUAD-LAT BRIM M |
L2520 | 0 | HCPCS / CPT® | TH/WGHT BEAR QUAD-LAT BRIM C |
L2525 | 0 | HCPCS / CPT® | TH/WGHT BEAR NAR M-L BRIM MO |
L2526 | 0 | HCPCS / CPT® | TH/WGHT BEAR NAR M-L BRIM CU |
L2530 | 0 | HCPCS / CPT® | THIGH/WGHT BEAR LACER NON-MO |
L2540 | 0 | HCPCS / CPT® | THIGH/WGHT BEAR LACER MOLDED |
L2550 | 0 | HCPCS / CPT® | THIGH/WGHT BEAR HIGH ROLL CU |
L2570 | 0 | HCPCS / CPT® | HIP CLEVIS TYPE 2 POSIT JNT |
L2580 | 0 | HCPCS / CPT® | PELVIC CONTROL PELVIC SLING |
L2600 | 0 | HCPCS / CPT® | HIP CLEVIS/THRUST BEARING FR |
L2610 | 0 | HCPCS / CPT® | HIP CLEVIS/THRUST BEARING LO |
L2620 | 0 | HCPCS / CPT® | PELVIC CONTROL HIP HEAVY DUT |
L2622 | 0 | HCPCS / CPT® | HIP JOINT ADJUSTABLE FLEXION |
L2624 | 0 | HCPCS / CPT® | HIP ADJ FLEX EXT ABDUCT CONT |
L2627 | 0 | HCPCS / CPT® | PLASTIC MOLD RECIPRO HIP & C |
L2628 | 0 | HCPCS / CPT® | METAL FRAME RECIPRO HIP & CA |
L2630 | 0 | HCPCS / CPT® | PELVIC CONTROL BAND & BELT U |
L2640 | 0 | HCPCS / CPT® | PELVIC CONTROL BAND & BELT B |
L2650 | 0 | HCPCS / CPT® | PELV & THOR CONTROL GLUTEAL |
L2660 | 0 | HCPCS / CPT® | THORACIC CONTROL THORACIC BA |
L2670 | 0 | HCPCS / CPT® | THORAC CONT PARASPINAL UPRIG |
L2680 | 0 | HCPCS / CPT® | THORAC CONT LAT SUPPORT UPRI |
L2750 | 0 | HCPCS / CPT® | PLATING CHROME/NICKEL PR BAR |
L2755 | 0 | HCPCS / CPT® | CARBON GRAPHITE LAMINATION |
L2760 | 0 | HCPCS / CPT® | EXTENSION PER EXTENSION PER |
L2768 | 0 | HCPCS / CPT® | ORTHO SIDEBAR DISCONNECT |
L2780 | 0 | HCPCS / CPT® | NON-CORROSIVE FINISH |
L2785 | 0 | HCPCS / CPT® | DROP LOCK RETAINER EACH |
L2795 | 0 | HCPCS / CPT® | KNEE CONTROL FULL KNEECAP |
L2800 | 0 | HCPCS / CPT® | KNEE CAP MEDIAL OR LATERAL P |
L2810 | 0 | HCPCS / CPT® | KNEE CONTROL CONDYLAR PAD |
L2820 | 0 | HCPCS / CPT® | SOFT INTERFACE BELOW KNEE SE |
L2830 | 0 | HCPCS / CPT® | SOFT INTERFACE ABOVE KNEE SE |
L2840 | 0 | HCPCS / CPT® | TIBIAL LENGTH SOCK FX OR EQU |
L2850 | 0 | HCPCS / CPT® | FEMORAL LGTH SOCK FX OR EQUA |
L2861 | 0 | HCPCS / CPT® | TORSION MECHANISM KNEE/ANKLE |
L2999 | 0 | HCPCS / CPT® | LOWER EXTREMITY ORTHOSIS NOS |
L3000 | 0 | HCPCS / CPT® | FT INSERT UCB BERKELEY SHELL |
L3001 | 0 | HCPCS / CPT® | FOOT INSERT REMOV MOLDED SPE |
L3002 | 0 | HCPCS / CPT® | FOOT INSERT PLASTAZOTE OR EQ |
L3003 | 0 | HCPCS / CPT® | FOOT INSERT SILICONE GEL EAC |
L3010 | 0 | HCPCS / CPT® | FOOT LONGITUDINAL ARCH SUPPO |
L3020 | 0 | HCPCS / CPT® | FOOT LONGITUD/METATARSAL SUP |
L3030 | 0 | HCPCS / CPT® | FOOT ARCH SUPPORT REMOV PREM |
L3031 | 0 | HCPCS / CPT® | FOOT LAMIN/PREPREG COMPOSITE |
L3040 | 0 | HCPCS / CPT® | FT ARCH SUPRT PREMOLD LONGIT |
L3050 | 0 | HCPCS / CPT® | FOOT ARCH SUPP PREMOLD METAT |
L3060 | 0 | HCPCS / CPT® | FOOT ARCH SUPP LONGITUD/META |
L3070 | 0 | HCPCS / CPT® | ARCH SUPRT ATT TO SHO LONGIT |
L3080 | 0 | HCPCS / CPT® | ARCH SUPP ATT TO SHOE METATA |
L3090 | 0 | HCPCS / CPT® | ARCH SUPP ATT TO SHOE LONG/M |
L3100 | 0 | HCPCS / CPT® | HALLUS-VALGUS NT DYN PRE OTS |
L3140 | 0 | HCPCS / CPT® | ABDUCTION ROTATION BAR SHOE |
L3150 | 0 | HCPCS / CPT® | ABDUCT ROTATION BAR W/O SHOE |
L3160 | 0 | HCPCS / CPT® | SHOE STYLED POSITIONING DEV |
L3170 | 0 | HCPCS / CPT® | FOOT PLAS HEEL STABI PRE OTS |
L3201 | 0 | HCPCS / CPT® | OXFORD W SUPINAT/PRONAT INF |
L3202 | 0 | HCPCS / CPT® | OXFORD W/ SUPINAT/PRONATOR C |
L3203 | 0 | HCPCS / CPT® | OXFORD W/ SUPINATOR/PRONATOR |
L3204 | 0 | HCPCS / CPT® | HIGHTOP W/ SUPP/PRONATOR INF |
L3206 | 0 | HCPCS / CPT® | HIGHTOP W/ SUPP/PRONATOR CHI |
L3207 | 0 | HCPCS / CPT® | HIGHTOP W/ SUPP/PRONATOR JUN |
L3208 | 0 | HCPCS / CPT® | SURGICAL BOOT EACH INFANT |
L3209 | 0 | HCPCS / CPT® | SURGICAL BOOT EACH CHILD |
L3211 | 0 | HCPCS / CPT® | SURGICAL BOOT EACH JUNIOR |
L3212 | 0 | HCPCS / CPT® | BENESCH BOOT PAIR INFANT |
L3213 | 0 | HCPCS / CPT® | BENESCH BOOT PAIR CHILD |
L3214 | 0 | HCPCS / CPT® | BENESCH BOOT PAIR JUNIOR |
L3215 | 0 | HCPCS / CPT® | ORTHOPEDIC FTWEAR LADIES OXF |
L3216 | 0 | HCPCS / CPT® | ORTHOPED LADIES SHOES DPTH I |
L3217 | 0 | HCPCS / CPT® | LADIES SHOES HIGHTOP DEPTH I |
L3219 | 0 | HCPCS / CPT® | ORTHOPEDIC MENS SHOES OXFORD |
L3221 | 0 | HCPCS / CPT® | ORTHOPEDIC MENS SHOES DPTH I |
L3222 | 0 | HCPCS / CPT® | MENS SHOES HIGHTOP DEPTH INL |
L3224 | 0 | HCPCS / CPT® | WOMAN’S SHOE OXFORD BRACE |
L3225 | 0 | HCPCS / CPT® | MAN’S SHOE OXFORD BRACE |
L3230 | 0 | HCPCS / CPT® | CUSTOM SHOES DEPTH INLAY |
L3250 | 0 | HCPCS / CPT® | CUSTOM MOLD SHOE REMOV PROST |
L3251 | 0 | HCPCS / CPT® | SHOE MOLDED TO PT SILICONE S |
L3252 | 0 | HCPCS / CPT® | SHOE MOLDED PLASTAZOTE CUST |
L3253 | 0 | HCPCS / CPT® | SHOE MOLDED PLASTAZOTE CUST |
L3254 | 0 | HCPCS / CPT® | ORTH FOOT NON-STNDARD SIZE/W |
L3255 | 0 | HCPCS / CPT® | ORTH FOOT NON-STANDARD SIZE/ |
L3257 | 0 | HCPCS / CPT® | ORTH FOOT ADD CHARGE SPLIT S |
L3260 | 79 | HCPCS / CPT® | AMBULATORY SURGICAL BOOT EAC |
L3265 | 0 | HCPCS / CPT® | PLASTAZOTE SANDAL EACH |
L3300 | 0 | HCPCS / CPT® | SHO LIFT TAPER TO METATARSAL |
L3310 | 0 | HCPCS / CPT® | SHOE LIFT ELEV HEEL/SOLE NEO |
L3320 | 0 | HCPCS / CPT® | SHOE LIFT ELEV HEEL/SOLE COR |
L3330 | 0 | HCPCS / CPT® | LIFTS ELEVATION METAL EXTENS |
L3332 | 0 | HCPCS / CPT® | SHOE LIFTS TAPERED TO ONE-HA |
L3334 | 0 | HCPCS / CPT® | SHOE LIFTS ELEVATION HEEL /I |
L3340 | 0 | HCPCS / CPT® | SHOE WEDGE SACH |
L3350 | 0 | HCPCS / CPT® | SHOE HEEL WEDGE |
L3360 | 0 | HCPCS / CPT® | SHOE SOLE WEDGE OUTSIDE SOLE |
L3370 | 0 | HCPCS / CPT® | SHOE SOLE WEDGE BETWEEN SOLE |
L3380 | 0 | HCPCS / CPT® | SHOE CLUBFOOT WEDGE |
L3390 | 0 | HCPCS / CPT® | SHOE OUTFLARE WEDGE |
L3400 | 0 | HCPCS / CPT® | SHOE METATARSAL BAR WEDGE RO |
L3410 | 0 | HCPCS / CPT® | SHOE METATARSAL BAR BETWEEN |
L3420 | 0 | HCPCS / CPT® | FULL SOLE/HEEL WEDGE BTWEEN |
L3430 | 0 | HCPCS / CPT® | SHO HEEL COUNT PLAST REINFOR |
L3440 | 0 | HCPCS / CPT® | HEEL LEATHER REINFORCED |
L3450 | 0 | HCPCS / CPT® | SHOE HEEL SACH CUSHION TYPE |
L3455 | 0 | HCPCS / CPT® | SHOE HEEL NEW LEATHER STANDA |
L3460 | 0 | HCPCS / CPT® | SHOE HEEL NEW RUBBER STANDAR |
L3465 | 0 | HCPCS / CPT® | SHOE HEEL THOMAS WITH WEDGE |
L3470 | 0 | HCPCS / CPT® | SHOE HEEL THOMAS EXTEND TO B |
L3480 | 0 | HCPCS / CPT® | SHOE HEEL PAD & DEPRESS FOR |
L3485 | 0 | HCPCS / CPT® | SHOE HEEL PAD REMOVABLE FOR |
L3500 | 0 | HCPCS / CPT® | ORTHO SHOE ADD LEATHER INSOL |
L3510 | 0 | HCPCS / CPT® | ORTHOPEDIC SHOE ADD RUB INSL |
L3520 | 0 | HCPCS / CPT® | O SHOE ADD FELT W LEATH INSL |
L3530 | 0 | HCPCS / CPT® | ORTHO SHOE ADD HALF SOLE |
L3540 | 0 | HCPCS / CPT® | ORTHO SHOE ADD FULL SOLE |
L3550 | 0 | HCPCS / CPT® | O SHOE ADD STANDARD TOE TAP |
L3560 | 0 | HCPCS / CPT® | O SHOE ADD HORSESHOE TOE TAP |
L3570 | 0 | HCPCS / CPT® | O SHOE ADD INSTEP EXTENSION |
L3580 | 0 | HCPCS / CPT® | O SHOE ADD INSTEP VELCRO CLO |
L3590 | 0 | HCPCS / CPT® | O SHOE CONVERT TO SOF COUNTE |
L3595 | 0 | HCPCS / CPT® | ORTHO SHOE ADD MARCH BAR |
L3600 | 0 | HCPCS / CPT® | TRANS SHOE CALIP PLATE EXIST |
L3610 | 0 | HCPCS / CPT® | TRANS SHOE CALIPER PLATE NEW |
L3620 | 0 | HCPCS / CPT® | TRANS SHOE SOLID STIRRUP EXI |
L3630 | 0 | HCPCS / CPT® | TRANS SHOE SOLID STIRRUP NEW |
L3640 | 0 | HCPCS / CPT® | SHOE DENNIS BROWNE SPLINT BO |
L3649 | 0 | HCPCS / CPT® | ORTHOPEDIC SHOE MODIFICA NOS |
L3650 | 0 | HCPCS / CPT® | SO 8 ABD RESTRAINT PRE OTS |
L3660 | 0 | HCPCS / CPT® | SO 8 AB RSTR CAN/WEB PRE OTS |
L3670 | 0 | HCPCS / CPT® | SO ACRO/CLAV CAN WEB PRE OTS |
L3671 | 0 | HCPCS / CPT® | SO CAP DESIGN W/O JNTS CF |
L3674 | 0 | HCPCS / CPT® | SO AIRPLANE W/WO JOINT CF |
L3675 | 0 | HCPCS / CPT® | SO VEST CANVAS/WEB PRE OTS |
L3677 | 0 | HCPCS / CPT® | SO HARD PLAS STABILI PRE CST |
L3678 | 0 | HCPCS / CPT® | SO HARD PLAS STABILI PRE OTS |
L3702 | 0 | HCPCS / CPT® | EO W/O JOINTS CF |
L3710 | 0 | HCPCS / CPT® | EO ELAS W/METAL JNTS PRE OTS |
L3720 | 0 | HCPCS / CPT® | FOREARM/ARM CUFFS FREE MOTIO |
L3730 | 0 | HCPCS / CPT® | FOREARM/ARM CUFFS EXT/FLEX A |
L3740 | 0 | HCPCS / CPT® | CUFFS ADJ LOCK W/ ACTIVE CON |
L3760 | 0 | HCPCS / CPT® | EO WITHJOINT, PREFABRICATED |
L3762 | 0 | HCPCS / CPT® | EO RIGID W/O JOINTS PRE OTS |
L3763 | 0 | HCPCS / CPT® | EWHO RIGID W/O JNTS CF |
L3764 | 0 | HCPCS / CPT® | EWHO W/JOINT(S) CF |
L3765 | 0 | HCPCS / CPT® | EWHFO RIGID W/O JNTS CF |
L3766 | 0 | HCPCS / CPT® | EWHFO W/JOINT(S) CF |
L3806 | 0 | HCPCS / CPT® | WHFO W/JOINT(S) CUSTOM FAB |
L3807 | 0 | HCPCS / CPT® | WHFO W/O JOINTS PRE CST |
L3808 | 0 | HCPCS / CPT® | WHFO, RIGID W/O JOINTS |
L3809 | 0 | HCPCS / CPT® | WHFO W/O JOINTS PRE OTS |
L3891 | 0 | HCPCS / CPT® | TORSION MECHANISM WRIST/ELBO |
L3900 | 0 | HCPCS / CPT® | HINGE EXTENSION/FLEX WRIST/F |
L3901 | 0 | HCPCS / CPT® | HINGE EXT/FLEX WRIST FINGER |
L3904 | 0 | HCPCS / CPT® | WHFO ELECTRIC CUSTOM FITTED |
L3905 | 0 | HCPCS / CPT® | WHO W/NONTORSION JNT(S) CF |
L3906 | 0 | HCPCS / CPT® | WHO W/O JOINTS CF |
L3908 | 79 | HCPCS / CPT® | WHO COCK-UP NONMOLDE PRE OTS |
L3912 | 0 | HCPCS / CPT® | HFO FLEXION GLOVE PRE OTS |
L3913 | 0 | HCPCS / CPT® | HFO W/O JOINTS CF |
L3915 | 0 | HCPCS / CPT® | WHO NONTORSION JNTS PRE CST |
L3916 | 0 | HCPCS / CPT® | WHO NONTORSION JNTS PRE OTS |
L3917 | 0 | HCPCS / CPT® | METACARP FX ORTHOSIS PRE CST |
L3918 | 0 | HCPCS / CPT® | METACARP FX ORTHOSIS PRE OTS |
L3919 | 0 | HCPCS / CPT® | HO W/O JOINTS CF |
L3921 | 0 | HCPCS / CPT® | HFO W/JOINT(S) CF |
L3923 | 0 | HCPCS / CPT® | HFO WITHOUT JOINTS PRE CST |
L3924 | 0 | HCPCS / CPT® | HFO WITHOUT JOINTS PRE OTS |
L3925 | 0 | HCPCS / CPT® | FO PIP DIP JNT/SPRNG PRE OTS |
L3927 | 0 | HCPCS / CPT® | FO PIP DIP NO JT SPR PRE OTS |
L3929 | 0 | HCPCS / CPT® | HFO NONTORSION JNTS PRE CST |
L3930 | 0 | HCPCS / CPT® | HFO NONTORSION JNTS PRE OTS |
L3931 | 0 | HCPCS / CPT® | WHFO NONTORSION JOINT PREFAB |
L3933 | 0 | HCPCS / CPT® | FO W/O JOINTS CF |
L3935 | 0 | HCPCS / CPT® | FO NONTORSION JOINT CF |
L3956 | 0 | HCPCS / CPT® | ADD JOINT UPPER EXT ORTHOSIS |
L3960 | 0 | HCPCS / CPT® | SEWHO AIRPLAN DESIG ABDU POS |
L3961 | 0 | HCPCS / CPT® | SEWHO CAP DESIGN W/O JNTS CF |
L3962 | 0 | HCPCS / CPT® | SEWHO ERBS PALSEY DESIGN ABD |
L3967 | 0 | HCPCS / CPT® | SEWHO AIRPLANE W/O JNTS CF |
L3971 | 0 | HCPCS / CPT® | SEWHO CAP DESIGN W/JNT(S) CF |
L3973 | 0 | HCPCS / CPT® | SEWHO AIRPLANE W/JNT(S) CF |
L3975 | 0 | HCPCS / CPT® | SEWHFO CAP DESIGN W/O JNT CF |
L3976 | 0 | HCPCS / CPT® | SEWHFO AIRPLANE W/O JNTS CF |
L3977 | 0 | HCPCS / CPT® | SEWHFO CAP DESGN W/JNT(S) CF |
L3978 | 0 | HCPCS / CPT® | SEWHFO AIRPLANE W/JNT(S) CF |
L3980 | 0 | HCPCS / CPT® | UP EXT FX ORTHOS HUMERAL NOS |
L3981 | 0 | HCPCS / CPT® | UE FX ORTH SHOUL CAP FOREARM |
L3982 | 0 | HCPCS / CPT® | UPPER EXT FX ORTHOSIS RAD/UL |
L3984 | 0 | HCPCS / CPT® | UPPER EXT FX ORTHOSIS WRIST |
L3995 | 0 | HCPCS / CPT® | SOCK FRACTURE OR EQUAL EACH |
L3999 | 0 | HCPCS / CPT® | UPPER LIMB ORTHOSIS NOS |
L4000 | 0 | HCPCS / CPT® | REPL GIRDLE MILWAUKEE ORTH |
L4002 | 0 | HCPCS / CPT® | REPLACE STRAP, ANY ORTHOSIS |
L4010 | 0 | HCPCS / CPT® | REPLACE TRILATERAL SOCKET BR |
L4020 | 0 | HCPCS / CPT® | REPLACE QUADLAT SOCKET BRIM |
L4030 | 0 | HCPCS / CPT® | REPLACE SOCKET BRIM CUST FIT |
L4040 | 0 | HCPCS / CPT® | REPLACE MOLDED THIGH LACER |
L4045 | 0 | HCPCS / CPT® | REPLACE NON-MOLDED THIGH LAC |
L4050 | 0 | HCPCS / CPT® | REPLACE MOLDED CALF LACER |
L4055 | 0 | HCPCS / CPT® | REPLACE NON-MOLDED CALF LACE |
L4060 | 0 | HCPCS / CPT® | REPLACE HIGH ROLL CUFF |
L4070 | 0 | HCPCS / CPT® | REPLACE PROX & DIST UPRIGHT |
L4080 | 0 | HCPCS / CPT® | REPL MET BAND KAFO-AFO PROX |
L4090 | 0 | HCPCS / CPT® | REPL MET BAND KAFO-AFO CALF/ |
L4100 | 0 | HCPCS / CPT® | REPL LEATH CUFF KAFO PROX TH |
L4110 | 0 | HCPCS / CPT® | REPL LEATH CUFF KAFO-AFO CAL |
L4130 | 0 | HCPCS / CPT® | REPLACE PRETIBIAL SHELL |
L4205 | 0 | HCPCS / CPT® | ORTHO DVC REPAIR PER 15 MIN |
L4210 | 0 | HCPCS / CPT® | ORTH DEV REPAIR/REPL MINOR P |
L4350 | 412 | HCPCS / CPT® | ANKLE CONTROL ORTHO PRE OTS |
L4360 | 106 | HCPCS / CPT® | PNEUMAT WALKING BOOT PRE CST |
L4361 | 0 | HCPCS / CPT® | PNEUMA/VAC WALK BOOT PRE OTS |
L4370 | 0 | HCPCS / CPT® | PNEUM FULL LEG SPLNT PRE OTS |
L4380 | 114 | HCPCS / CPT® | PNEUMATIC KNEE SPLINT |
L4386 | 153 | HCPCS / CPT® | NON-PNEUM WALK BOOT PRE CST |
L4387 | 0 | HCPCS / CPT® | NON-PNEUM WALK BOOT PRE OTS |
L4392 | 0 | HCPCS / CPT® | REPLACE AFO SOFT INTERFACE |
L4394 | 0 | HCPCS / CPT® | REPLACE FOOT DROP SPINT |
L4396 | 0 | HCPCS / CPT® | STATIC OR DYNAMI AFO PRE CST |
L4397 | 0 | HCPCS / CPT® | STATIC OR DYNAMI AFO PRE OTS |
L4398 | 0 | HCPCS / CPT® | FOOT DROP SPLINT PRE OTS |
L4631 | 0 | HCPCS / CPT® | AFO, WALK BOOT TYPE, CUS FAB |
L5000 | 0 | HCPCS / CPT® | SHO INSERT W ARCH TOE FILLER |
L5010 | 0 | HCPCS / CPT® | MOLD SOCKET ANK HGT W/ TOE F |
L5020 | 0 | HCPCS / CPT® | TIBIAL TUBERCLE HGT W/ TOE F |
L5050 | 0 | HCPCS / CPT® | ANK SYMES MOLD SCKT SACH FT |
L5060 | 0 | HCPCS / CPT® | SYMES MET FR LEATH SOCKET AR |
L5100 | 0 | HCPCS / CPT® | MOLDED SOCKET SHIN SACH FOOT |
L5105 | 0 | HCPCS / CPT® | PLAST SOCKET JTS/THGH LACER |
L5150 | 0 | HCPCS / CPT® | MOLD SCKT EXT KNEE SHIN SACH |
L5160 | 0 | HCPCS / CPT® | MOLD SOCKET BENT KNEE SHIN S |
L5200 | 0 | HCPCS / CPT® | KNE SING AXIS FRIC SHIN SACH |
L5210 | 0 | HCPCS / CPT® | NO KNEE/ANKLE JOINTS W/ FT B |
L5220 | 0 | HCPCS / CPT® | NO KNEE JOINT WITH ARTIC ALI |
L5230 | 0 | HCPCS / CPT® | FEM FOCAL DEFIC CONSTANT FRI |
L5250 | 0 | HCPCS / CPT® | HIP CANAD SING AXI CONS FRIC |
L5270 | 0 | HCPCS / CPT® | TILT TABLE LOCKING HIP SING |
L5280 | 0 | HCPCS / CPT® | HEMIPELVECT CANAD SING AXIS |
L5301 | 0 | HCPCS / CPT® | BK MOLD SOCKET SACH FT ENDO |
L5312 | 0 | HCPCS / CPT® | KNEE DISART, SACH FT, ENDO |
L5321 | 0 | HCPCS / CPT® | AK OPEN END SACH |
L5331 | 0 | HCPCS / CPT® | HIP DISART CANADIAN SACH FT |
L5341 | 0 | HCPCS / CPT® | HEMIPELVECTOMY CANADIAN SACH |
L5400 | 0 | HCPCS / CPT® | POSTOP DRESS & 1 CAST CHG BK |
L5410 | 0 | HCPCS / CPT® | POSTOP DSG BK EA ADD CAST CH |
L5420 | 0 | HCPCS / CPT® | POSTOP DSG & 1 CAST CHG AK/D |
L5430 | 0 | HCPCS / CPT® | POSTOP DSG AK EA ADD CAST CH |
L5450 | 0 | HCPCS / CPT® | POSTOP APP NON-WGT BEAR DSG |
L5460 | 0 | HCPCS / CPT® | POSTOP APP NON-WGT BEAR DSG |
L5500 | 0 | HCPCS / CPT® | INIT BK PTB PLASTER DIRECT |
L5505 | 0 | HCPCS / CPT® | INIT AK ISCHAL PLSTR DIRECT |
L5510 | 0 | HCPCS / CPT® | PREP BK PTB PLASTER MOLDED |
L5520 | 0 | HCPCS / CPT® | PERP BK PTB THERMOPLS DIRECT |
L5530 | 0 | HCPCS / CPT® | PREP BK PTB THERMOPLS MOLDED |
L5535 | 0 | HCPCS / CPT® | PREP BK PTB OPEN END SOCKET |
L5540 | 0 | HCPCS / CPT® | PREP BK PTB LAMINATED SOCKET |
L5560 | 0 | HCPCS / CPT® | PREP AK ISCHIAL PLAST MOLDED |
L5570 | 0 | HCPCS / CPT® | PREP AK ISCHIAL DIRECT FORM |
L5580 | 0 | HCPCS / CPT® | PREP AK ISCHIAL THERMO MOLD |
L5585 | 0 | HCPCS / CPT® | PREP AK ISCHIAL OPEN END |
L5590 | 0 | HCPCS / CPT® | PREP AK ISCHIAL LAMINATED |
L5595 | 0 | HCPCS / CPT® | HIP DISARTIC SACH THERMOPLS |
L5600 | 0 | HCPCS / CPT® | HIP DISART SACH LAMINAT MOLD |
L5610 | 0 | HCPCS / CPT® | ABOVE KNEE HYDRACADENCE |
L5611 | 0 | HCPCS / CPT® | AK 4 BAR LINK W/FRIC SWING |
L5613 | 0 | HCPCS / CPT® | AK 4 BAR LING W/HYDRAUL SWIG |
L5614 | 0 | HCPCS / CPT® | 4-BAR LINK ABOVE KNEE W/SWNG |
L5616 | 0 | HCPCS / CPT® | AK UNIV MULTIPLEX SYS FRICT |
L5617 | 0 | HCPCS / CPT® | AK/BK SELF-ALIGNING UNIT EA |
L5618 | 0 | HCPCS / CPT® | TEST SOCKET SYMES |
L5620 | 0 | HCPCS / CPT® | TEST SOCKET BELOW KNEE |
L5622 | 0 | HCPCS / CPT® | TEST SOCKET KNEE DISARTICULA |
L5624 | 0 | HCPCS / CPT® | TEST SOCKET ABOVE KNEE |
L5626 | 0 | HCPCS / CPT® | TEST SOCKET HIP DISARTICULAT |
L5628 | 0 | HCPCS / CPT® | TEST SOCKET HEMIPELVECTOMY |
L5629 | 0 | HCPCS / CPT® | BELOW KNEE ACRYLIC SOCKET |
L5630 | 0 | HCPCS / CPT® | SYME TYP EXPANDABL WALL SCKT |
L5631 | 0 | HCPCS / CPT® | AK/KNEE DISARTIC ACRYLIC SOC |
L5632 | 0 | HCPCS / CPT® | SYMES TYPE PTB BRIM DESIGN S |
L5634 | 0 | HCPCS / CPT® | SYMES TYPE POSTER OPENING SO |
L5636 | 0 | HCPCS / CPT® | SYMES TYPE MEDIAL OPENING SO |
L5637 | 0 | HCPCS / CPT® | BELOW KNEE TOTAL CONTACT |
L5638 | 0 | HCPCS / CPT® | BELOW KNEE LEATHER SOCKET |
L5639 | 0 | HCPCS / CPT® | BELOW KNEE WOOD SOCKET |
L5640 | 0 | HCPCS / CPT® | KNEE DISARTICULAT LEATHER SO |
L5642 | 0 | HCPCS / CPT® | ABOVE KNEE LEATHER SOCKET |
L5643 | 0 | HCPCS / CPT® | HIP FLEX INNER SOCKET EXT FR |
L5644 | 0 | HCPCS / CPT® | ABOVE KNEE WOOD SOCKET |
L5645 | 0 | HCPCS / CPT® | BK FLEX INNER SOCKET EXT FRA |
L5646 | 0 | HCPCS / CPT® | BELOW KNEE CUSHION SOCKET |
L5647 | 0 | HCPCS / CPT® | BELOW KNEE SUCTION SOCKET |
L5648 | 0 | HCPCS / CPT® | ABOVE KNEE CUSHION SOCKET |
L5649 | 0 | HCPCS / CPT® | ISCH CONTAINMT/NARROW M-L SO |
L5650 | 0 | HCPCS / CPT® | TOT CONTACT AK/KNEE DISART S |
L5651 | 0 | HCPCS / CPT® | AK FLEX INNER SOCKET EXT FRA |
L5652 | 0 | HCPCS / CPT® | SUCTION SUSP AK/KNEE DISART |
L5653 | 0 | HCPCS / CPT® | KNEE DISART EXPAND WALL SOCK |
L5654 | 0 | HCPCS / CPT® | SOCKET INSERT SYMES |
L5655 | 0 | HCPCS / CPT® | SOCKET INSERT BELOW KNEE |
L5656 | 0 | HCPCS / CPT® | SOCKET INSERT KNEE ARTICULAT |
L5658 | 0 | HCPCS / CPT® | SOCKET INSERT ABOVE KNEE |
L5661 | 0 | HCPCS / CPT® | MULTI-DUROMETER SYMES |
L5665 | 0 | HCPCS / CPT® | MULTI-DUROMETER BELOW KNEE |
L5666 | 0 | HCPCS / CPT® | BELOW KNEE CUFF SUSPENSION |
L5668 | 0 | HCPCS / CPT® | BK MOLDED DISTAL CUSHION |
L5670 | 0 | HCPCS / CPT® | BK MOLDED SUPRACONDYLAR SUSP |
L5671 | 0 | HCPCS / CPT® | BK/AK LOCKING MECHANISM |
L5672 | 0 | HCPCS / CPT® | BK REMOVABLE MEDIAL BRIM SUS |
L5673 | 0 | HCPCS / CPT® | SOCKET INSERT W LOCK MECH |
L5676 | 0 | HCPCS / CPT® | BK KNEE JOINTS SINGLE AXIS P |
L5677 | 0 | HCPCS / CPT® | BK KNEE JOINTS POLYCENTRIC P |
L5678 | 0 | HCPCS / CPT® | BK JOINT COVERS PAIR |
L5679 | 0 | HCPCS / CPT® | SOCKET INSERT W/O LOCK MECH |
L5680 | 0 | HCPCS / CPT® | BK THIGH LACER NON-MOLDED |
L5681 | 0 | HCPCS / CPT® | INTL CUSTM CONG/LATYP INSERT |
L5682 | 0 | HCPCS / CPT® | BK THIGH LACER GLUT/ISCHIA M |
L5683 | 0 | HCPCS / CPT® | INITIAL CUSTOM SOCKET INSERT |
L5684 | 0 | HCPCS / CPT® | BK FORK STRAP |
L5685 | 0 | HCPCS / CPT® | BELOW KNEE SUS/SEAL SLEEVE |
L5686 | 0 | HCPCS / CPT® | BK BACK CHECK |
L5688 | 0 | HCPCS / CPT® | BK WAIST BELT WEBBING |
L5690 | 0 | HCPCS / CPT® | BK WAIST BELT PADDED AND LIN |
L5692 | 0 | HCPCS / CPT® | AK PELVIC CONTROL BELT LIGHT |
L5694 | 0 | HCPCS / CPT® | AK PELVIC CONTROL BELT PAD/L |
L5695 | 0 | HCPCS / CPT® | AK SLEEVE SUSP NEOPRENE/EQUA |
L5696 | 0 | HCPCS / CPT® | AK/KNEE DISARTIC PELVIC JOIN |
L5697 | 0 | HCPCS / CPT® | AK/KNEE DISARTIC PELVIC BAND |
L5698 | 0 | HCPCS / CPT® | AK/KNEE DISARTIC SILESIAN BA |
L5699 | 0 | HCPCS / CPT® | SHOULDER HARNESS |
L5700 | 0 | HCPCS / CPT® | REPLACE SOCKET BELOW KNEE |
L5701 | 0 | HCPCS / CPT® | REPLACE SOCKET ABOVE KNEE |
L5702 | 0 | HCPCS / CPT® | REPLACE SOCKET HIP |
L5703 | 0 | HCPCS / CPT® | SYMES ANKLE W/O (SACH) FOOT |
L5704 | 0 | HCPCS / CPT® | CUSTOM SHAPE COVER BK |
L5705 | 0 | HCPCS / CPT® | CUSTOM SHAPE COVER AK |
L5706 | 0 | HCPCS / CPT® | CUSTOM SHAPE CVR KNEE DISART |
L5707 | 0 | HCPCS / CPT® | CUSTOM SHAPE CVR HIP DISART |
L5710 | 0 | HCPCS / CPT® | KNE-SHIN EXO SNG AXI MNL LOC |
L5711 | 0 | HCPCS / CPT® | KNEE-SHIN EXO MNL LOCK ULTRA |
L5712 | 0 | HCPCS / CPT® | KNEE-SHIN EXO FRICT SWG & ST |
L5714 | 0 | HCPCS / CPT® | KNEE-SHIN EXO VARIABLE FRICT |
L5716 | 0 | HCPCS / CPT® | KNEE-SHIN EXO MECH STANCE PH |
L5718 | 0 | HCPCS / CPT® | KNEE-SHIN EXO FRCT SWG & STA |
L5722 | 0 | HCPCS / CPT® | KNEE-SHIN PNEUM SWG FRCT EXO |
L5724 | 0 | HCPCS / CPT® | KNEE-SHIN EXO FLUID SWING PH |
L5726 | 0 | HCPCS / CPT® | KNEE-SHIN EXT JNTS FLD SWG E |
L5728 | 0 | HCPCS / CPT® | KNEE-SHIN FLUID SWG & STANCE |
L5780 | 0 | HCPCS / CPT® | KNEE-SHIN PNEUM/HYDRA PNEUM |
L5781 | 0 | HCPCS / CPT® | LOWER LIMB PROS VACUUM PUMP |
L5782 | 0 | HCPCS / CPT® | HD LOW LIMB PROS VACUUM PUMP |
L5785 | 0 | HCPCS / CPT® | EXOSKELETAL BK ULTRALT MATER |
L5790 | 0 | HCPCS / CPT® | EXOSKELETAL AK ULTRA-LIGHT M |
L5795 | 0 | HCPCS / CPT® | EXOSKEL HIP ULTRA-LIGHT MATE |
L5810 | 0 | HCPCS / CPT® | ENDOSKEL KNEE-SHIN MNL LOCK |
L5811 | 0 | HCPCS / CPT® | ENDO KNEE-SHIN MNL LCK ULTRA |
L5812 | 0 | HCPCS / CPT® | ENDO KNEE-SHIN FRCT SWG & ST |
L5814 | 0 | HCPCS / CPT® | ENDO KNEE-SHIN HYDRAL SWG PH |
L5816 | 0 | HCPCS / CPT® | ENDO KNEE-SHIN POLYC MCH STA |
L5818 | 0 | HCPCS / CPT® | ENDO KNEE-SHIN FRCT SWG & ST |
L5822 | 0 | HCPCS / CPT® | ENDO KNEE-SHIN PNEUM SWG FRC |
L5824 | 0 | HCPCS / CPT® | ENDO KNEE-SHIN FLUID SWING P |
L5826 | 0 | HCPCS / CPT® | MINIATURE KNEE JOINT |
L5828 | 0 | HCPCS / CPT® | ENDO KNEE-SHIN FLUID SWG/STA |
L5830 | 0 | HCPCS / CPT® | ENDO KNEE-SHIN PNEUM/SWG PHA |
L5840 | 0 | HCPCS / CPT® | MULTI-AXIAL KNEE/SHIN SYSTEM |
L5845 | 0 | HCPCS / CPT® | KNEE-SHIN SYS STANCE FLEXION |
L5848 | 0 | HCPCS / CPT® | KNEE-SHIN SYS HYDRAUL STANCE |
L5850 | 0 | HCPCS / CPT® | ENDO AK/HIP KNEE EXTENS ASSI |
L5855 | 0 | HCPCS / CPT® | MECH HIP EXTENSION ASSIST |
L5856 | 0 | HCPCS / CPT® | ELEC KNEE-SHIN SWING/STANCE |
L5857 | 0 | HCPCS / CPT® | ELEC KNEE-SHIN SWING ONLY |
L5858 | 0 | HCPCS / CPT® | STANCE PHASE ONLY |
L5859 | 0 | HCPCS / CPT® | KNEE-SHIN PRO FLEX/EXT CONT |
L5910 | 0 | HCPCS / CPT® | ENDO BELOW KNEE ALIGNABLE SY |
L5920 | 0 | HCPCS / CPT® | ENDO AK/HIP ALIGNABLE SYSTEM |
L5925 | 0 | HCPCS / CPT® | ABOVE KNEE MANUAL LOCK |
L5930 | 0 | HCPCS / CPT® | HIGH ACTIVITY KNEE FRAME |
L5940 | 0 | HCPCS / CPT® | ENDO BK ULTRA-LIGHT MATERIAL |
L5950 | 0 | HCPCS / CPT® | ENDO AK ULTRA-LIGHT MATERIAL |
L5960 | 0 | HCPCS / CPT® | ENDO HIP ULTRA-LIGHT MATERIA |
L5961 | 0 | HCPCS / CPT® | ENDO POLY HIP, PNEU/HYD/ROT |
L5962 | 0 | HCPCS / CPT® | BELOW KNEE FLEX COVER SYSTEM |
L5964 | 0 | HCPCS / CPT® | ABOVE KNEE FLEX COVER SYSTEM |
L5966 | 0 | HCPCS / CPT® | HIP FLEXIBLE COVER SYSTEM |
L5968 | 0 | HCPCS / CPT® | MULTIAXIAL ANKLE W DORSIFLEX |
L5969 | 0 | HCPCS / CPT® | AK/FT POWER ASST INCL MOTORS |
L5970 | 0 | HCPCS / CPT® | FOOT EXTERNAL KEEL SACH FOOT |
L5971 | 0 | HCPCS / CPT® | SACH FOOT, REPLACEMENT |
L5972 | 0 | HCPCS / CPT® | FLEXIBLE KEEL FOOT |
L5973 | 0 | HCPCS / CPT® | ANK-FOOT SYS DORS-PLANT FLEX |
L5974 | 0 | HCPCS / CPT® | FOOT SINGLE AXIS ANKLE/FOOT |
L5975 | 0 | HCPCS / CPT® | COMBO ANKLE/FOOT PROSTHESIS |
L5976 | 0 | HCPCS / CPT® | ENERGY STORING FOOT |
L5978 | 0 | HCPCS / CPT® | FT PROSTH MULTIAXIAL ANKL/FT |
L5979 | 0 | HCPCS / CPT® | MULTI-AXIAL ANKLE/FT PROSTH |
L5980 | 0 | HCPCS / CPT® | FLEX FOOT SYSTEM |
L5981 | 0 | HCPCS / CPT® | FLEX-WALK SYS LOW EXT PROSTH |
L5982 | 0 | HCPCS / CPT® | EXOSKELETAL AXIAL ROTATION U |
L5984 | 0 | HCPCS / CPT® | ENDOSKELETAL AXIAL ROTATION |
L5985 | 0 | HCPCS / CPT® | LWR EXT DYNAMIC PROSTH PYLON |
L5986 | 0 | HCPCS / CPT® | MULTI-AXIAL ROTATION UNIT |
L5987 | 0 | HCPCS / CPT® | SHANK FT W VERT LOAD PYLON |
L5988 | 0 | HCPCS / CPT® | VERTICAL SHOCK REDUCING PYLO |
L5990 | 0 | HCPCS / CPT® | USER ADJUSTABLE HEEL HEIGHT |
L5999 | 0 | HCPCS / CPT® | LOWR EXTREMITY PROSTHES NOS |
L6000 | 0 | HCPCS / CPT® | PART HAND THUMB REM |
L6010 | 0 | HCPCS / CPT® | PART HAND LITTLE/RING |
L6020 | 0 | HCPCS / CPT® | PART HAND NO FINGERS |
L6026 | 0 | HCPCS / CPT® | PART HAND MYO EXCLU TERM DEV |
L6050 | 0 | HCPCS / CPT® | WRST MLD SCK FLX HNG TRI PAD |
L6055 | 0 | HCPCS / CPT® | WRST MOLD SOCK W/EXP INTERFA |
L6100 | 0 | HCPCS / CPT® | ELB MOLD SOCK FLEX HINGE PAD |
L6110 | 0 | HCPCS / CPT® | ELBOW MOLD SOCK SUSPENSION T |
L6120 | 0 | HCPCS / CPT® | ELBOW MOLD DOUB SPLT SOC STE |
L6130 | 0 | HCPCS / CPT® | ELBOW STUMP ACTIVATED LOCK H |
L6200 | 0 | HCPCS / CPT® | ELBOW MOLD OUTSID LOCK HINGE |
L6205 | 0 | HCPCS / CPT® | ELBOW MOLDED W/ EXPAND INTER |
L6250 | 0 | HCPCS / CPT® | ELBOW INTER LOC ELBOW FORARM |
L6300 | 0 | HCPCS / CPT® | SHLDER DISART INT LOCK ELBOW |
L6310 | 0 | HCPCS / CPT® | SHOULDER PASSIVE RESTOR COMP |
L6320 | 0 | HCPCS / CPT® | SHOULDER PASSIVE RESTOR CAP |
L6350 | 0 | HCPCS / CPT® | THORACIC INTERN LOCK ELBOW |
L6360 | 0 | HCPCS / CPT® | THORACIC PASSIVE RESTOR COMP |
L6370 | 0 | HCPCS / CPT® | THORACIC PASSIVE RESTOR CAP |
L6380 | 0 | HCPCS / CPT® | POSTOP DSG CAST CHG WRST/ELB |
L6382 | 0 | HCPCS / CPT® | POSTOP DSG CAST CHG ELB DIS/ |
L6384 | 0 | HCPCS / CPT® | POSTOP DSG CAST CHG SHLDER/T |
L6386 | 0 | HCPCS / CPT® | POSTOP EA CAST CHG & REALIGN |
L6388 | 0 | HCPCS / CPT® | POSTOP APPLICAT RIGID DSG ON |
L6400 | 0 | HCPCS / CPT® | BELOW ELBOW PROSTH TISS SHAP |
L6450 | 0 | HCPCS / CPT® | ELB DISART PROSTH TISS SHAP |
L6500 | 0 | HCPCS / CPT® | ABOVE ELBOW PROSTH TISS SHAP |
L6550 | 0 | HCPCS / CPT® | SHLDR DISAR PROSTH TISS SHAP |
L6570 | 0 | HCPCS / CPT® | SCAP THORAC PROSTH TISS SHAP |
L6580 | 0 | HCPCS / CPT® | WRIST/ELBOW BOWDEN CABLE MOL |
L6582 | 0 | HCPCS / CPT® | WRIST/ELBOW BOWDEN CBL DIR F |
L6584 | 0 | HCPCS / CPT® | ELBOW FAIR LEAD CABLE MOLDED |
L6586 | 0 | HCPCS / CPT® | ELBOW FAIR LEAD CABLE DIR FO |
L6588 | 0 | HCPCS / CPT® | SHDR FAIR LEAD CABLE MOLDED |
L6590 | 0 | HCPCS / CPT® | SHDR FAIR LEAD CABLE DIRECT |
L6600 | 0 | HCPCS / CPT® | POLYCENTRIC HINGE PAIR |
L6605 | 0 | HCPCS / CPT® | SINGLE PIVOT HINGE PAIR |
L6610 | 0 | HCPCS / CPT® | FLEXIBLE METAL HINGE PAIR |
L6611 | 0 | HCPCS / CPT® | ADDITIONAL SWITCH, EXT POWER |
L6615 | 0 | HCPCS / CPT® | DISCONNECT LOCKING WRIST UNI |
L6616 | 0 | HCPCS / CPT® | DISCONNECT INSERT LOCKING WR |
L6620 | 0 | HCPCS / CPT® | FLEXION/EXTENSION WRIST UNIT |
L6621 | 0 | HCPCS / CPT® | FLEX/EXT WRIST W/WO FRICTION |
L6623 | 0 | HCPCS / CPT® | SPRING-ASS ROT WRST W/ LATCH |
L6624 | 0 | HCPCS / CPT® | FLEX/EXT/ROTATION WRIST UNIT |
L6625 | 0 | HCPCS / CPT® | ROTATION WRST W/ CABLE LOCK |
L6628 | 0 | HCPCS / CPT® | QUICK DISCONN HOOK ADAPTER O |
L6629 | 0 | HCPCS / CPT® | LAMINATION COLLAR W/ COUPLIN |
L6630 | 0 | HCPCS / CPT® | STAINLESS STEEL ANY WRIST |
L6632 | 0 | HCPCS / CPT® | LATEX SUSPENSION SLEEVE EACH |
L6635 | 0 | HCPCS / CPT® | LIFT ASSIST FOR ELBOW |
L6637 | 0 | HCPCS / CPT® | NUDGE CONTROL ELBOW LOCK |
L6638 | 0 | HCPCS / CPT® | ELEC LOCK ON MANUAL PW ELBOW |
L6640 | 0 | HCPCS / CPT® | SHOULDER ABDUCTION JOINT PAI |
L6641 | 0 | HCPCS / CPT® | EXCURSION AMPLIFIER PULLEY T |
L6642 | 0 | HCPCS / CPT® | EXCURSION AMPLIFIER LEVER TY |
L6645 | 0 | HCPCS / CPT® | SHOULDER FLEXION-ABDUCTION J |
L6646 | 0 | HCPCS / CPT® | MULTIPO LOCKING SHOULDER JNT |
L6647 | 0 | HCPCS / CPT® | SHOULDER LOCK ACTUATOR |
L6648 | 0 | HCPCS / CPT® | EXT PWRD SHLDER LOCK/UNLOCK |
L6650 | 0 | HCPCS / CPT® | SHOULDER UNIVERSAL JOINT |
L6655 | 0 | HCPCS / CPT® | STANDARD CONTROL CABLE EXTRA |
L6660 | 0 | HCPCS / CPT® | HEAVY DUTY CONTROL CABLE |
L6665 | 0 | HCPCS / CPT® | TEFLON OR EQUAL CABLE LINING |
L6670 | 0 | HCPCS / CPT® | HOOK TO HAND CABLE ADAPTER |
L6672 | 0 | HCPCS / CPT® | HARNESS CHEST/SHLDER SADDLE |
L6675 | 0 | HCPCS / CPT® | HARNESS FIGURE OF 8 SING CON |
L6676 | 0 | HCPCS / CPT® | HARNESS FIGURE OF 8 DUAL CON |
L6677 | 0 | HCPCS / CPT® | UE TRIPLE CONTROL HARNESS |
L6680 | 0 | HCPCS / CPT® | TEST SOCK WRIST DISART/BEL E |
L6682 | 0 | HCPCS / CPT® | TEST SOCK ELBW DISART/ABOVE |
L6684 | 0 | HCPCS / CPT® | TEST SOCKET SHLDR DISART/THO |
L6686 | 0 | HCPCS / CPT® | SUCTION SOCKET |
L6687 | 0 | HCPCS / CPT® | FRAME TYP SOCKET BEL ELBOW/W |
L6688 | 0 | HCPCS / CPT® | FRAME TYP SOCK ABOVE ELB/DIS |
L6689 | 0 | HCPCS / CPT® | FRAME TYP SOCKET SHOULDER DI |
L6690 | 0 | HCPCS / CPT® | FRAME TYP SOCK INTERSCAP-THO |
L6691 | 0 | HCPCS / CPT® | REMOVABLE INSERT EACH |
L6692 | 0 | HCPCS / CPT® | SILICONE GEL INSERT OR EQUAL |
L6693 | 0 | HCPCS / CPT® | LOCKINGELBOW FOREARM CNTRBAL |
L6694 | 0 | HCPCS / CPT® | ELBOW SOCKET INS USE W/LOCK |
L6695 | 0 | HCPCS / CPT® | ELBOW SOCKET INS USE W/O LCK |
L6696 | 0 | HCPCS / CPT® | CUS ELBO SKT IN FOR CON/ATYP |
L6697 | 0 | HCPCS / CPT® | CUS ELBO SKT IN NOT CON/ATYP |
L6698 | 0 | HCPCS / CPT® | BELOW/ABOVE ELBOW LOCK MECH |
L6703 | 0 | HCPCS / CPT® | TERM DEV, PASSIVE HAND MITT |
L6704 | 0 | HCPCS / CPT® | TERM DEV, SPORT/REC/WORK ATT |
L6706 | 0 | HCPCS / CPT® | TERM DEV MECH HOOK VOL OPEN |
L6707 | 0 | HCPCS / CPT® | TERM DEV MECH HOOK VOL CLOSE |
L6708 | 0 | HCPCS / CPT® | TERM DEV MECH HAND VOL OPEN |
L6709 | 0 | HCPCS / CPT® | TERM DEV MECH HAND VOL CLOSE |
L6711 | 0 | HCPCS / CPT® | PED TERM DEV, HOOK, VOL OPEN |
L6712 | 0 | HCPCS / CPT® | PED TERM DEV, HOOK, VOL CLOS |
L6713 | 0 | HCPCS / CPT® | PED TERM DEV, HAND, VOL OPEN |
L6714 | 0 | HCPCS / CPT® | PED TERM DEV, HAND, VOL CLOS |
L6715 | 0 | HCPCS / CPT® | TERM DEVICE, MULTI ART DIGIT |
L6721 | 0 | HCPCS / CPT® | HOOK/HAND, HVY DTY, VOL OPEN |
L6722 | 0 | HCPCS / CPT® | HOOK/HAND, HVY DTY, VOL CLOS |
L6805 | 0 | HCPCS / CPT® | TERM DEV MODIFIER WRIST UNIT |
L6810 | 0 | HCPCS / CPT® | TERM DEV PRECISION PINCH DEV |
L6880 | 0 | HCPCS / CPT® | ELEC HAND IND ART DIGITS |
L6881 | 0 | HCPCS / CPT® | TERM DEV AUTO GRASP FEATURE |
L6882 | 0 | HCPCS / CPT® | MICROPROCESSOR CONTROL UPLMB |
L6883 | 0 | HCPCS / CPT® | REPLC SOCKT BELOW E/W DISA |
L6884 | 0 | HCPCS / CPT® | REPLC SOCKT ABOVE ELBOW DISA |
L6885 | 0 | HCPCS / CPT® | REPLC SOCKT SHLDR DIS/INTERC |
L6890 | 0 | HCPCS / CPT® | PREFAB GLOVE FOR TERM DEVICE |
L6895 | 0 | HCPCS / CPT® | CUSTOM GLOVE FOR TERM DEVICE |
L6900 | 0 | HCPCS / CPT® | HAND RESTORAT THUMB/1 FINGER |
L6905 | 0 | HCPCS / CPT® | HAND RESTORATION MULTIPLE FI |
L6910 | 0 | HCPCS / CPT® | HAND RESTORATION NO FINGERS |
L6915 | 0 | HCPCS / CPT® | HAND RESTORATION REPLACMNT G |
L6920 | 0 | HCPCS / CPT® | WRIST DISARTICUL SWITCH CTRL |
L6925 | 0 | HCPCS / CPT® | WRIST DISART MYOELECTRONIC C |
L6930 | 0 | HCPCS / CPT® | BELOW ELBOW SWITCH CONTROL |
L6935 | 0 | HCPCS / CPT® | BELOW ELBOW MYOELECTRONIC CT |
L6940 | 0 | HCPCS / CPT® | ELBOW DISARTICULATION SWITCH |
L6945 | 0 | HCPCS / CPT® | ELBOW DISART MYOELECTRONIC C |
L6950 | 0 | HCPCS / CPT® | ABOVE ELBOW SWITCH CONTROL |
L6955 | 0 | HCPCS / CPT® | ABOVE ELBOW MYOELECTRONIC CT |
L6960 | 0 | HCPCS / CPT® | SHLDR DISARTIC SWITCH CONTRO |
L6965 | 0 | HCPCS / CPT® | SHLDR DISARTIC MYOELECTRONIC |
L6970 | 0 | HCPCS / CPT® | INTERSCAPULAR-THOR SWITCH CT |
L6975 | 0 | HCPCS / CPT® | INTERSCAP-THOR MYOELECTRONIC |
L7007 | 0 | HCPCS / CPT® | ADULT ELECTRIC HAND |
L7008 | 0 | HCPCS / CPT® | PEDIATRIC ELECTRIC HAND |
L7009 | 0 | HCPCS / CPT® | ADULT ELECTRIC HOOK |
L7040 | 0 | HCPCS / CPT® | PREHENSILE ACTUATOR |
L7045 | 0 | HCPCS / CPT® | PEDIATRIC ELECTRIC HOOK |
L7170 | 0 | HCPCS / CPT® | ELECTRONIC ELBOW HOSMER SWIT |
L7180 | 0 | HCPCS / CPT® | ELECTRONIC ELBOW SEQUENTIAL |
L7181 | 0 | HCPCS / CPT® | ELECTRONIC ELBO SIMULTANEOUS |
L7185 | 0 | HCPCS / CPT® | ELECTRON ELBOW ADOLESCENT SW |
L7186 | 0 | HCPCS / CPT® | ELECTRON ELBOW CHILD SWITCH |
L7190 | 0 | HCPCS / CPT® | ELBOW ADOLESCENT MYOELECTRON |
L7191 | 0 | HCPCS / CPT® | ELBOW CHILD MYOELECTRONIC CT |
L7259 | 0 | HCPCS / CPT® | ELECTRONIC WRIST ROTATOR ANY |
L7360 | 0 | HCPCS / CPT® | SIX VOLT BAT OTTO BOCK/EQ EA |
L7362 | 0 | HCPCS / CPT® | BATTERY CHRGR SIX VOLT OTTO |
L7364 | 0 | HCPCS / CPT® | TWELVE VOLT BATTERY UTAH/EQU |
L7366 | 0 | HCPCS / CPT® | BATTERY CHRGR 12 VOLT UTAH/E |
L7367 | 0 | HCPCS / CPT® | REPLACEMNT LITHIUM IONBATTER |
L7368 | 0 | HCPCS / CPT® | LITHIUM ION BATTERY CHARGER |
L7400 | 0 | HCPCS / CPT® | ADD UE PROST BE/WD, ULTLITE |
L7401 | 0 | HCPCS / CPT® | ADD UE PROST A/E ULTLITE MAT |
L7402 | 0 | HCPCS / CPT® | ADD UE PROST S/D ULTLITE MAT |
L7403 | 0 | HCPCS / CPT® | ADD UE PROST B/E ACRYLIC |
L7404 | 0 | HCPCS / CPT® | ADD UE PROST A/E ACRYLIC |
L7405 | 0 | HCPCS / CPT® | ADD UE PROST S/D ACRYLIC |
L7499 | 0 | HCPCS / CPT® | UPPER EXTREMITY PROSTHES NOS |
L7510 | 0 | HCPCS / CPT® | PROSTHETIC DEVICE REPAIR REP |
L7520 | 0 | HCPCS / CPT® | REPAIR PROSTHESIS PER 15 MIN |
L7600 | 0 | HCPCS / CPT® | PROSTHETIC DONNING SLEEVE |
L7900 | 0 | HCPCS / CPT® | MALE VACUUM ERECTION SYSTEM |
L7902 | 0 | HCPCS / CPT® | TENSION RING, VAC ERECT DEV |
L8000 | 0 | HCPCS / CPT® | MASTECTOMY BRA |
L8001 | 0 | HCPCS / CPT® | BREAST PROSTHESIS BRA & FORM |
L8002 | 0 | HCPCS / CPT® | BRST PRSTH BRA & BILAT FORM |
L8010 | 0 | HCPCS / CPT® | MASTECTOMY SLEEVE |
L8015 | 0 | HCPCS / CPT® | EXT BREASTPROSTHESIS GARMENT |
L8020 | 0 | HCPCS / CPT® | MASTECTOMY FORM |
L8030 | 0 | HCPCS / CPT® | BREAST PROSTHES W/O ADHESIVE |
L8031 | 0 | HCPCS / CPT® | BREAST PROSTHESIS W ADHESIVE |
L8032 | 0 | HCPCS / CPT® | REUSABLE NIPPLE PROSTHESIS |
L8035 | 0 | HCPCS / CPT® | CUSTOM BREAST PROSTHESIS |
L8039 | 0 | HCPCS / CPT® | BREAST PROSTHESIS NOS |
L8040 | 0 | HCPCS / CPT® | NASAL PROSTHESIS |
L8041 | 0 | HCPCS / CPT® | MIDFACIAL PROSTHESIS |
L8042 | 0 | HCPCS / CPT® | ORBITAL PROSTHESIS |
L8043 | 0 | HCPCS / CPT® | UPPER FACIAL PROSTHESIS |
L8044 | 0 | HCPCS / CPT® | HEMI-FACIAL PROSTHESIS |
L8045 | 0 | HCPCS / CPT® | AURICULAR PROSTHESIS |
L8046 | 0 | HCPCS / CPT® | PARTIAL FACIAL PROSTHESIS |
L8047 | 0 | HCPCS / CPT® | NASAL SEPTAL PROSTHESIS |
L8048 | 0 | HCPCS / CPT® | UNSPEC MAXILLOFACIAL PROSTH |
L8049 | 0 | HCPCS / CPT® | REPAIR MAXILLOFACIAL PROSTH |
L8300 | 0 | HCPCS / CPT® | TRUSS SINGLE W/ STANDARD PAD |
L8310 | 0 | HCPCS / CPT® | TRUSS DOUBLE W/ STANDARD PAD |
L8320 | 0 | HCPCS / CPT® | TRUSS ADDITION TO STD PAD WA |
L8330 | 0 | HCPCS / CPT® | TRUSS ADD TO STD PAD SCROTAL |
L8400 | 0 | HCPCS / CPT® | SHEATH BELOW KNEE |
L8410 | 0 | HCPCS / CPT® | SHEATH ABOVE KNEE |
L8415 | 0 | HCPCS / CPT® | SHEATH UPPER LIMB |
L8417 | 0 | HCPCS / CPT® | PROS SHEATH/SOCK W GEL CUSHN |
L8420 | 0 | HCPCS / CPT® | PROSTHETIC SOCK MULTI PLY BK |
L8430 | 0 | HCPCS / CPT® | PROSTHETIC SOCK MULTI PLY AK |
L8435 | 0 | HCPCS / CPT® | PROS SOCK MULTI PLY UPPER LM |
L8440 | 0 | HCPCS / CPT® | SHRINKER BELOW KNEE |
L8460 | 0 | HCPCS / CPT® | SHRINKER ABOVE KNEE |
L8465 | 0 | HCPCS / CPT® | SHRINKER UPPER LIMB |
L8470 | 0 | HCPCS / CPT® | PROS SOCK SINGLE PLY BK |
L8480 | 0 | HCPCS / CPT® | PROS SOCK SINGLE PLY AK |
L8485 | 0 | HCPCS / CPT® | PROS SOCK SINGLE PLY UPPER L |
L8499 | 0 | HCPCS / CPT® | UNLISTED MISC PROSTHETIC SER |
L8500 | 0 | HCPCS / CPT® | ARTIFICIAL LARYNX |
L8501 | 0 | HCPCS / CPT® | TRACHEOSTOMY SPEAKING VALVE |
L8505 | 0 | HCPCS / CPT® | ARTIFICIAL LARYNX, ACCESSORY |
L8507 | 0 | HCPCS / CPT® | TRACH-ESOPH VOICE PROS PT IN |
L8509 | 0 | HCPCS / CPT® | TRACH-ESOPH VOICE PROS MD IN |
L8510 | 0 | HCPCS / CPT® | VOICE AMPLIFIER |
L8511 | 0 | HCPCS / CPT® | INDWELLING TRACH INSERT |
L8512 | 0 | HCPCS / CPT® | GEL CAP FOR TRACH VOICE PROS |
L8513 | 0 | HCPCS / CPT® | TRACH PROS CLEANING DEVICE |
L8514 | 0 | HCPCS / CPT® | REPL TRACH PUNCTURE DILATOR |
L8515 | 0 | HCPCS / CPT® | GEL CAP APP DEVICE FOR TRACH |
L8600 | 0 | HCPCS / CPT® | IMPLANT BREAST SILICONE/EQ |
L8603 | 0 | HCPCS / CPT® | COLLAGEN IMP URINARY 2.5 ML |
L8604 | 0 | HCPCS / CPT® | DEXTRANOMER/HYALURONIC ACID |
L8605 | 0 | HCPCS / CPT® | INJ BULKING AGENT ANAL CANAL |
L8606 | 0 | HCPCS / CPT® | SYNTHETIC IMPLNT URINARY 1ML |
L8607 | 0 | HCPCS / CPT® | INJ VOCAL CORD BULKING AGENT |
L8609 | 0 | HCPCS / CPT® | ARTIFICIAL CORNEA |
L8610 | 0 | HCPCS / CPT® | OCULAR IMPLANT |
L8612 | 0 | HCPCS / CPT® | AQUEOUS SHUNT PROSTHESIS |
L8613 | 0 | HCPCS / CPT® | OSSICULAR IMPLANT |
L8614 | 0 | HCPCS / CPT® | COCHLEAR DEVICE |
L8615 | 0 | HCPCS / CPT® | COCH IMPLANT HEADSET REPLACE |
L8616 | 0 | HCPCS / CPT® | COCH IMPLANT MICROPHONE REPL |
L8617 | 0 | HCPCS / CPT® | COCH IMPLANT TRANS COIL REPL |
L8618 | 0 | HCPCS / CPT® | COCH IMPLANT TRAN CABLE REPL |
L8619 | 0 | HCPCS / CPT® | COCH IMP EXT PROC/CONTR RPLC |
L8621 | 0 | HCPCS / CPT® | REPL ZINC AIR BATTERY |
L8622 | 0 | HCPCS / CPT® | REPL ALKALINE BATTERY |
L8623 | 0 | HCPCS / CPT® | LITH ION BATT CID,NON-EARLVL |
L8624 | 0 | HCPCS / CPT® | LITH ION BATT CID, EAR LEVEL |
L8627 | 0 | HCPCS / CPT® | CID EXT SPEECH PROCESS REPL |
L8628 | 0 | HCPCS / CPT® | CID EXT CONTROLLER REPL |
L8629 | 0 | HCPCS / CPT® | CID TRANSMIT COIL AND CABLE |
L8630 | 0 | HCPCS / CPT® | METACARPOPHALANGEAL IMPLANT |
L8631 | 0 | HCPCS / CPT® | MCP JOINT REPL 2 PC OR MORE |
L8641 | 0 | HCPCS / CPT® | METATARSAL JOINT IMPLANT |
L8642 | 0 | HCPCS / CPT® | HALLUX IMPLANT |
L8658 | 0 | HCPCS / CPT® | INTERPHALANGEAL JOINT SPACER |
L8659 | 0 | HCPCS / CPT® | INTERPHALANGEAL JOINT REPL |
L8670 | 0 | HCPCS / CPT® | VASCULAR GRAFT, SYNTHETIC |
L8679 | 0 | HCPCS / CPT® | IMP NEUROSTI PLS GN ANY TYPE |
L8680 | 0 | HCPCS / CPT® | IMPLT NEUROSTIM ELCTR EACH |