L5505 (894)    PROSTHETIC HCPCS (661.1)

Name Value
HCPCS L5505
SHORT NAME INIT AK ISCHAL PLSTR DIRECT
CPT File: 81, IEN: 104840
ITEM
  • INIT AK ISCHAL PLSTR DIREC/COMMERCIAL
STATUS ACTIVE
NPPD REPAIR CODE R20 A
NPPD NEW CODE 200 B
DESCRIPTION
  • INITIAL, ABOVE KNEE - KNEE DISARTICULATION, ISCHIAL LEVEL SOCKET, NON-ALIGNABLE
  • SYSTEM, PYLON, NO COVER, SACH FOOT, PLASTER SOCKET, DIRECT FORMED
CALCULATION FLAG 1