L5658 (943) PROSTHETIC HCPCS (661.1)
Name
Value
HCPCS
L5658
SHORT NAME
SOCKET INSERT ABOVE KNEE
CPT
File: 81, IEN: 104840
ITEM
SOCKET INSERT ABOVE KNEE/COMMERCIAL
STATUS
ACTIVE
NPPD REPAIR CODE
R20 A
NPPD NEW CODE
200 I
DESCRIPTION
ADDITION TO LOWER EXTREMITY, SOCKET INSERT, ABOVE KNEE (KEMBLO, PELITE,
ALIPLAST, PLASTAZOTE OR EQUAL)