L5704 (977)    PROSTHETIC HCPCS (661.1)

Name Value
HCPCS L5704
SHORT NAME CUSTOM SHAPE COVR BELOW KNEE
CPT File: 81, IEN: 104840
ITEM
  • CUSTOM SHAPE COVR BELOW KN/COMMERCIAL
STATUS ACTIVE
NPPD REPAIR CODE R20 C
NPPD NEW CODE 200 I
DESCRIPTION
  • REPLACEMENT, CUSTOM SHAPED PROTECTIVE COVER, BELOW KNEE