HCPCS Level IIprostheticsActive
L5681
Intl custm cong/latyp insert
BETOS: D1F
Effective: 2004-01-01
Referenced in 3 policies
Description
Addition to lower extremity, below knee/above knee, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code l5673 or l5679)
Coverage Policies
This code is referenced in 3 Medicare coverage policies
Sample Policies
AETNA-CPB-0399PayerPolicy