L5595 (905)    PROSTHETIC HCPCS (661.1)

Name Value
HCPCS L5595
SHORT NAME HIP DISARTIC SACH THERMOPLS
CPT File: 81, IEN: 104840
ITEM
  • HIP DISARTIC SACH THERMOPL/COMMERCIAL
STATUS ACTIVE
NPPD REPAIR CODE R20 D
NPPD NEW CODE 200 B
DESCRIPTION
  • PREPARATORY, HIP DISARTICULATION-HEMIPELVECTOMY, PYLON, NO COVER, SACH FOOT,
  • THERMOPLASTIC OR EQUAL, MOLDED TO PATIENT MODEL
CALCULATION FLAG 1