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2025 HCPCS code L5450

Immediate postsurgical or early fitting, application of nonweightbearing rigid dressing, below knee.

The application of a non-weightbearing rigid dressing after below-knee amputation is medically necessary to facilitate wound healing, control edema, shape the residual limb, and protect the surgical site. This prepares the limb for later prosthetic fitting and optimizes the patient's functional outcome.

In simple words: This code describes the application of a rigid dressing after surgery for a below-knee amputation. The dressing isn't meant for walking on, but helps the limb heal and get ready for an artificial leg.

Application of a non-weightbearing rigid dressing following a below-knee amputation during the immediate postsurgical or early fitting phase. This dressing helps to control swelling, protect the surgical site, and shape the residual limb in preparation for a prosthesis.

Example 1: A patient undergoes a below-knee amputation due to complications from diabetes. Immediately following the surgery, a non-weightbearing rigid dressing is applied to the residual limb (L5450)., A patient has a traumatic below-knee amputation following a car accident. In the operating room, after the amputation is completed, a non-weightbearing rigid dressing (L5450) is applied. , A patient with peripheral vascular disease requires a below-knee amputation. During the immediate postoperative period, the surgeon applies a non-weightbearing rigid dressing (L5450) to prepare the limb for eventual prosthetic fitting.

Documentation should support the medical necessity of the amputation and the application of the rigid dressing. Operative notes, post-operative progress notes, and the physician's order for the dressing should be included in the patient's record.

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