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HCPCS Range Prosthetic Procedures

• 1 Partial Foot Prosthetics (L5000-L5020)

• 2 Ankle Prosthetics (L5050-L5060)

• 3 Below the Knee Prosthetics (L5100-L5105)

• 4 Knee Disarticulation Prosthetics (L5150-L5160)

• 5 Above the Knee Prosthetics (L5200-L5230)

• 6 Hip Disarticulation Prosthetics (L5250-L5270)

• 7 Endoskeletal Prosthetics, Lower Limbs (L5280-L5341)

• 8 Prosthetic Fitting, Immediate Postsurgical or Early, Lower Limbs (L5400-L5460)

• 9 Supply, Initial Prosthesis (L5500-L5505)

• 10 Supply, Preparatory Prosthesis (L5510-L5600)

• 11 Endoskeletal Prosthetic Additions, Lower Extremities (L5610-L5617)

• 12 Test Socket Prosthetic Additions, Lower Extremities (L5618-L5628)

• 13 Various Prosthetic Sockets (L5629-L5653)

• 14 Socket Insert, Suspensions, and Other Prosthetic Additions (L5654-L5699)

• 15 Replacement Sockets (L5700-L5703)

• 16 Custom-shaped Protective Covers (L5704-L5707)

• 17 Exoskeletal Knee-shin System Additions (L5710-L5780)

• 18 Vacuum Pumps, Lower Limb Prosthetic Additions (L5781-L5783)

• 19 Other Exoskeletal Additions (L5785-L5795)

• 20 Endoskeletal Knee or Hip System Additions (L5810-L5966)

• 21 Ankle and/or Foot Prosthetics and Additions (L5968-L5999)

• 22 Partial Hand Prosthetics (L6000-L6026)

• 23 Wrist Disarticulation, Hand Prosthetics (L6050-L6055)

• 24 Below Elbow, Forearm and Hand Prosthetics (L6100-L6130)

• 25 Elbow Disarticulation, Forearm and Hand Prosthetics (L6200-L6205)

• 26 Above Elbow, Forearm and Hand Prosthetics (L6250-L6250)

• 27 Shoulder Disarticulation, Arm and Hand Prosthetics (L6300-L6320)

• 28 Interscapular Thoracic, Arm, and Hand Prosthetics (L6350-L6370)

• 29 Prosthetic Fitting, Immediate Postsurgical or Early, Upper Limbs (L6380-L6388)

• 30 Molded Socket Endoskeletal Prosthetic System, Upper Limbs (L6400-L6570)

• 31 Preparatory Prosthetic, Upper Limbs (L6580-L6590)

• 32 Upper Extremity Prosthetic Additions (L6600-L6698)

• 33 Terminal Devices and Additions (L6703-L6882)

• 34 Replacement Sockets, Upper Limbs (L6883-L6885)

• 35 Hand Restoration Prosthetics and Additions (L6890-L6915)

• 36 External Power Upper Limb Prosthetics (L6920-L6975)

• 37 Electric Hand or Hook and Additions (L7007-L7045)

• 38 Electronic Elbow and Additions (L7170-L7259)

• 39 Batteries and Accessories (L7360-L7368)

• 40 Additions for Upper Extremity Prosthetics (L7400-L7405)

• 41 Upper Extremity Prosthetics, Not Otherwise Specified (NOS) (L7499-L7499)

• 42 Prosthetic Repair (L7510-L7520)

• 43 Prosthetic Donning Sleeve (L7600-L7600)

• 44 Penile Prosthetics (L7900-L7902)

• 45 Breast Prosthetics and Accessories (L8000-L8039)

• 46 Facial and External Ear Prosthetics (L8040-L8049)

• 47 Hernia Trusses (L8300-L8330)

• 48 Prosthetic Sheaths, Socks, and Shrinkers (L8400-L8485)

• 49 Unlisted Prosthetic Procedures (L8499-L8499)

• 50 Voice Prosthetics and Accessories (L8500-L8515)

• 51 Prosthetic Breast Implant (L8600-L8600)

• 52 Bulking Agents (L8603-L8607)

• 53 Implantable Eye and Ear Prosthetics and Accessories (L8608-L8629)

• 54 Implantable Hand and Feet Prosthetics (L8630-L8659)

• 55 Vascular Implants (L8670-L8670)

• 56 Implantable Neurostimulators and Components (L8678-L8689)

• 57 Miscellaneous Orthotic and Prosthetic Services and Supplies (L8690-L9900)

• 58 Gasket or Seal with Prosthetic (L7700-L7700)