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Addition to lower extremity, below knee, waist belt, webbing.
2025 HCPCS code L5704
Custom shaped protective cover, below knee.
2025 HCPCS code L7040
Prehensile actuator, switch controlled. This device is used in prosthetics to enable grasping and holding functions.
2025 HCPCS code L8400
Prosthetic sheath, below knee, each.
2025 HCPCS code V2623
Supply of a custom-made plastic prosthetic eye.
2025 HCPCS code L5500
Supply of an initial below-knee prosthesis with a PTB plaster socket, non-alignable system, pylon, SACH foot, and no cover.
2025 HCPCS code L6882
Microprocessor control feature, addition to upper limb prosthetic terminal device. This code represents the supply of a microprocessor for an upper limb terminal device, enhancing control and allowing more natural motion.
2025 HCPCS code L8485
Supply of a single-ply prosthetic sock for the upper limb, including fitting and adjustment.
2025 HCPCS code L5999
Lower extremity prosthesis, not otherwise specified.
2025 HCPCS code L6910
Partial hand restoration prosthesis for patients with all fingers amputated.
2025 HCPCS code L5680
Addition to lower extremity, below knee, thigh lacer, non-molded.
2025 HCPCS code L5684
Addition to lower extremity, below knee, fork strap.
Rechargeable replacement lithium ion battery for prosthetic devices.
2025 HCPCS code L5980
All lower extremity prostheses, flex foot system.
2025 HCPCS code L5981
Flex-Walk System or equal, lower extremity prosthesis.
2025 HCPCS code L6810
Addition to terminal device, precision pinch device.
2025 HCPCS code L6616
Additional disconnect insert for a locking wrist unit of an upper extremity prosthesis.
2025 HCPCS code L8480
Supply of a single-ply prosthetic sock for above-knee amputees, including fitting and adjustment.
2025 HCPCS code L8460
Supply of an above-knee prosthetic shrinker, including fitting and adjustment.
2025 HCPCS code L6638
Supply of an electric lock for a manually powered elbow joint on an upper extremity prosthesis.
2025 HCPCS code L8465
Supply of an upper limb prosthetic shrinker, including fitting and adjustment.
2025 HCPCS code L6684
Supply of a test socket for a prosthesis for patients with shoulder disarticulation or interscapular thoracic amputation.
2025 HCPCS code L6970
Supply of an externally powered upper extremity prosthesis for interscapular thoracic amputation.
2025 HCPCS code V2629
Supply of an ocular prosthesis not otherwise specified.
2025 HCPCS code L5270
Supply of a tilt-table type lower extremity prosthesis with hip joint, single-axis constant friction knee, shin, and SACH foot.
2025 HCPCS code L8417
Supply of a below or above knee prosthetic sheath or sock with a gel cushion layer; includes fitting and adjustment.
2025 HCPCS code L8509
Supply of a tracheoesophageal voice prosthesis inserted by a licensed healthcare provider.
2025 HCPCS code L5972
All lower extremity prostheses, foot, flexible keel.
2025 HCPCS code L6905
Provision of a partial hand restoration prosthesis for patients with multiple remaining fingers, including casting, shading, measurements, and a glove.
2025 HCPCS code L6805
Addition to terminal device, modifier wrist unit.
2025 HCPCS code L6370
Shoulder cap prosthesis for patients with interscapular thoracic amputation, providing passive restoration of motion.
2025 HCPCS code L8045
Auricular prosthesis, provided by a non-physician.
2025 HCPCS code L5970
All lower extremity prostheses, foot, external keel, solid ankle cushion heel (SACH) foot.
2025 HCPCS code L5974
Single axis ankle/foot prosthesis for lower extremity.
2025 HCPCS code L5703
Replacement molded ankle socket for a Syme amputation, without a SACH foot.
2025 HCPCS code L5570
Knee disarticulation, ischial level preparatory thermoplastic, direct formed socket for above knee amputation. Includes socket, pylon, and SACH foot.
2025 HCPCS code L8041
Midfacial prosthesis, provided by a non-physician.
2025 HCPCS code L8031
Breast prosthesis made of silicone or similar material, with built-in adhesive.
2025 HCPCS code L5682
Addition to lower extremity, below knee, thigh lacer, gluteal/ischial, molded.
2025 HCPCS code L6610
Pair of flexible metal hinges for an upper extremity prosthesis, enabling flexion and extension of the upper limb.
2025 HCPCS code L6925
Externally powered prosthetic device for wrist disarticulation, with a self-suspended inner socket, removable forearm shell, myoelectronic control, and necessary components (electrodes, cables, batteries, charger).
Electric hand, switch or myoelectric controlled, pediatric.
2025 HCPCS code L6955
Externally powered upper limb prosthesis with a molded inner socket, removable humeral shell, internal locking elbow, and myoelectric control of terminal device for above-elbow amputations.
2025 HCPCS code L6697
Addition to upper extremity prosthesis, below elbow or above elbow, custom fabricated socket insert, silicone gel, elastomeric, or equivalent, for use with or without locking mechanism, initial only.
2025 HCPCS code L7186
Supply of a switch-controlled, electronic elbow prosthesis for a child, similar to the Variety Village model.
2025 HCPCS code L8033
Custom fabricated, reusable nipple prosthesis of any material and type.
2025 HCPCS code L5986
Multi-axial rotation unit for lower extremity prostheses.
2025 HCPCS code L8001
Mastectomy bra with unilateral integrated breast prosthesis, any size, any type.
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