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HCPCS Range Endoskeletal Knee or Hip System Additions

• 1 Addition, endoskeletal knee-shin system, single axis, manual lock ( L5810 )

• 2 Addition, endoskeletal knee-shin system, single axis, manual lock, ultra-light material ( L5811 )

• 3 Addition, endoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee) ( L5812 )

• 4 Addition, endoskeletal knee-shin system, polycentric, hydraulic swing phase control, mechanical stance phase lock ( L5814 )

• 5 Addition, endoskeletal knee-shin system, polycentric, mechanical stance phase lock ( L5816 )

• 6 Addition, endoskeletal knee-shin system, polycentric, friction swing, and stance phase control ( L5818 )

• 7 Addition, endoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control ( L5822 )

• 8 Addition, endoskeletal knee-shin system, single axis, fluid swing phase control ( L5824 )

• 9 Addition, endoskeletal knee-shin system, single axis, hydraulic swing phase control, with miniature high activity frame ( L5826 )

• 10 Addition, endoskeletal knee-shin system, single axis, fluid swing and stance phase control ( L5828 )

• 11 Addition, endoskeletal knee-shin system, single axis, pneumatic/ swing phase control ( L5830 )

• 12 Addition, endoskeletal knee/shin system, 4-bar linkage or multiaxial, pneumatic swing phase control ( L5840 )

• 13 Addition, endoskeletal, knee-shin system, stance flexion feature, adjustable ( L5845 )

• 14 Addition to endoskeletal knee-shin system, fluid stance extension, dampening feature, with or without adjustability ( L5848 )

• 15 Addition, endoskeletal system, above knee or hip disarticulation, knee extension assist ( L5850 )

• 16 Addition, endoskeletal system, hip disarticulation, mechanical hip extension assist ( L5855 )

• 17 Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type ( L5856 )

• 18 Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing phase only, includes electronic sensor(s), any type ( L5857 )

• 19 Addition to lower extremity prosthesis, endoskeletal knee shin system, microprocessor control feature, stance phase only, includes electronic sensor(s), any type ( L5858 )

• 20 Addition to lower extremity prosthesis, endoskeletal knee-shin system, powered and programmable flexion/extension assist control, includes any type motor(s) ( L5859 )

• 21 Addition, endoskeletal system, below knee, alignable system ( L5910 )

• 22 Addition, endoskeletal system, above knee or hip disarticulation, alignable system ( L5920 )

• 23 Addition, endoskeletal system, above knee, knee disarticulation or hip disarticulation, manual lock ( L5925 )

• 24 Addition, endoskeletal system, high activity knee control frame ( L5930 )

• 25 Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal) ( L5940 )

• 26 Addition, endoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal) ( L5950 )

• 27 Addition, endoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal) ( L5960 )

• 28 Addition, endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control ( L5961 )

• 29 Addition, endoskeletal system, belowknee, flexible protective outer surface covering system ( L5962 )

• 30 Addition, endoskeletal system, above knee, flexible protective outer surface covering system ( L5964 )

• 31 Addition, endoskeletal system, hip disarticulation, flexible protective outer surface covering system ( L5966 )

• 32 Addition to lower extremity prosthesis, endoskeletal, knee disarticulation, above knee, hip disarticulation, positional rotation unit, any type ( L5926 )

• 33 Addition, endoskeletal knee-shin system, polycentric, pneumatic swing, and stance phase control ( L5841 )