L5673 (4016) PROSTHETIC HCPCS (661.1)
Name
Value
HCPCS
L5673
SHORT NAME
AD LE BK/AK SOC IN W LOCK MECH
CPT
File: 81, IEN: 104840
STATUS
ACTIVE
NPPD REPAIR CODE
R20 D
NPPD NEW CODE
200 I
DESCRIPTION
ADDITION TO LOWER EXTREMITY, BELOW KNEE/ABOVE KNEE, CUSTOM FABRICATED FROM
CALCULATION FLAG
1