2025 HCPCS code L5697

Addition to lower extremity, above knee or knee disarticulation, pelvic band.

Use this code to report the addition of a pelvic band to an existing lower extremity prosthesis.

Medical necessity for a pelvic band is established when it's required to improve the stability, function, or comfort of a lower extremity prosthesis for a patient with an above-knee or knee disarticulation amputation.

Prosthetist

IMPORTANT L5696 (Addition to lower extremity, above knee or knee disarticulation, pelvic joint), L5698 (Addition to lower extremity, above knee or knee disarticulation, Silesian bandage)

In simple words: A pelvic band is like a belt that helps hold an artificial leg in place for someone who has had their leg amputated above the knee or at the knee joint. It makes the artificial leg more comfortable and secure.

This code represents the addition of a pelvic band to a lower extremity prosthesis for individuals with above-knee or knee disarticulation amputations. The pelvic band provides additional support and stability to the prosthesis, helping to distribute weight and improve comfort.It is often used in conjunction with a pelvic joint.

Example 1: A patient with a recent above-knee amputation requires a pelvic band to improve the stability and comfort of their new prosthesis., A patient with a knee disarticulation experiences discomfort and instability with their current prosthesis and opts for the addition of a pelvic band., An athlete with an above-knee amputation requires a more secure prosthetic fitting for high-impact activities and benefits from a pelvic band addition.

Documentation should include the medical necessity for the pelvic band, the type of amputation (above-knee or knee disarticulation), and any relevant patient-specific factors affecting the fitting of the prosthesis.

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