Browse HCPCS Level II 2020 Edition

HCPCS Level II Table of Contents

L5710 - L5780  Prosthetic Procedures - Additions to Exoskeletal Knee-Shin System

L5710
Addition, exoskeletal knee-shin system, single axis, manual lock
shortKne-shin exo sng axi mnl loc
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalCMS Policy
OPH2.02 Date of Service Edit: PolicyAnatomic Consideration
DME2.02 Date of Service Edit: PolicyAnatomic Consideration
L5711
Additions exoskeletal knee-shin system, single axis, manual lock, ultra-light material
shortKnee-shin exo mnl lock ultra
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalCMS Policy
OPH2.02 Date of Service Edit: PolicyAnatomic Consideration
DME2.02 Date of Service Edit: PolicyAnatomic Consideration
L5712
Addition, exoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee)
shortKnee-shin exo frict swg & st
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalCMS Policy
OPH2.02 Date of Service Edit: PolicyAnatomic Consideration
DME2.02 Date of Service Edit: PolicyAnatomic Consideration
L5714
Addition, exoskeletal knee-shin system, single axis, variable friction swing phase control
shortKnee-shin exo variable frict
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalCMS Policy
OPH2.02 Date of Service Edit: PolicyAnatomic Consideration
DME2.02 Date of Service Edit: PolicyAnatomic Consideration
L5716
Addition, exoskeletal knee-shin system, polycentric, mechanical stance phase lock
shortKnee-shin exo mech stance ph
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalCMS Policy
OPH2.02 Date of Service Edit: PolicyAnatomic Consideration
DME2.02 Date of Service Edit: PolicyAnatomic Consideration
L5718
Addition, exoskeletal knee-shin system, polycentric, friction swing and stance phase control
shortKnee-shin exo frct swg & sta
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalCMS Policy
OPH2.02 Date of Service Edit: PolicyAnatomic Consideration
DME2.02 Date of Service Edit: PolicyAnatomic Consideration
L5722
Addition, exoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control
shortKnee-shin pneum swg frct exo
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalCMS Policy
OPH2.02 Date of Service Edit: PolicyAnatomic Consideration
DME2.02 Date of Service Edit: PolicyAnatomic Consideration
L5724
Addition, exoskeletal knee-shin system, single axis, fluid swing phase control
shortKnee-shin exo fluid swing ph
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalCMS Policy
OPH2.02 Date of Service Edit: PolicyAnatomic Consideration
DME2.02 Date of Service Edit: PolicyAnatomic Consideration
L5726
Addition, exoskeletal knee-shin system, single axis, external joints fluid swing phase control
shortKnee-shin ext jnts fld swg e
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalCMS Policy
OPH2.02 Date of Service Edit: PolicyAnatomic Consideration
DME2.02 Date of Service Edit: PolicyAnatomic Consideration
L5728
Addition, exoskeletal knee-shin system, single axis, fluid swing and stance phase control
shortKnee-shin fluid swg & stance
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalCMS Policy
OPH2.02 Date of Service Edit: PolicyAnatomic Consideration
DME2.02 Date of Service Edit: PolicyAnatomic Consideration
L5780
Addition, exoskeletal knee-shin system, single axis, pneumatic/hydra pneumatic swing phase control
shortKnee-shin pneum/hydra pneum
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalCMS Policy
OPH2.02 Date of Service Edit: PolicyAnatomic Consideration
DME2.02 Date of Service Edit: PolicyAnatomic Consideration