L5681 (4019)    PROSTHETIC HCPCS (661.1)

Name Value
HCPCS L5681
SHORT NAME INTL CUST CONG/LATYP INSERT
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 SOCKET
CALCULATION FLAG 1