L5613 (909)    PROSTHETIC HCPCS (661.1)

Name Value
HCPCS L5613
SHORT NAME AK 4 BAR LING W/HYDRAUL SWIG
CPT File: 81, IEN: 104840
ITEM
  • AK 4 BAR LING W/HYDRAUL SW/COMMERCIAL
STATUS ACTIVE
NPPD REPAIR CODE R20 A
NPPD NEW CODE 200 I
DESCRIPTION
  • ADDITION TO LOWER EXTREMITY, ENDOSKELETAL SYSTEM, ABOVE KNEE-KNEE
  • DISARTICULATION, 4 BAR LINKAGE, WITH HYDRAULIC SWING PHASE CONTROL