L5675 (957)    PROSTHETIC HCPCS (661.1)

Name Value
HCPCS L5675
SHORT NAME ADDITION/BK SUSPENSION SL HD
CPT File: 81, IEN: 104840
ITEM
  • BK LATEX SLEEVE SUSP/EQ HV/COMMERCIAL
STATUS ACTIVE
NPPD REPAIR CODE R20 C
NPPD NEW CODE 200 I
DESCRIPTION
  • ADDITION TO LOWER EXTREMITY, BELOW KNEE, LATEX SLEEVE SUSPENSION OR EQUAL,
  • HEAVY DUTY, EACH
  • ADDITION TO LE, BK SUSPE SL, HD, ANY MATERIAL