L5628 (917) PROSTHETIC HCPCS (661.1)
Name
Value
HCPCS
L5628
SHORT NAME
TEST SOCKET HEMIPELVECTOMY
CPT
File: 81, IEN: 104840
ITEM
TEST SOCKET HEMIPELVECTOMY/COMMERCIAL
STATUS
ACTIVE
NPPD REPAIR CODE
R20 D
NPPD NEW CODE
200 I
DESCRIPTION
ADDITION TO LOWER EXTREMITY, TEST SOCKET, HEMIPELVECTOMY