L5300 (882) PROSTHETIC HCPCS (661.1)
Name
Value
HCPCS
L5300
SHORT NAME
BK SACH SOFT COVER & FINISH
CPT
File: 81, IEN: 104840
ITEM
BK SACH SOFT COVER & FINIS/COMMERCIAL
STATUS
INACTIVE
NPPD REPAIR CODE
R20 B
NPPD NEW CODE
200 F
DESCRIPTION
BELOW KNEE, MOLDED SOCKET, SACH FOOT, ENDOSKELETAL SYSTEM, INCLUDING SOFT COVER
AND FINISHING
CALCULATION FLAG
1