HCPCS Code L5657
Addition to lower extremity prosthesis, manual/automated adjustable air, fluid, gel or equal socket insert for limb volume management, any materials
| Short Description | Add low ext man aut vol any |
|---|---|
| Year | 2026 |
| Coverage Code | C = Carrier judgment |
| Action Code | P = Payment change (MOG, pricing indicator codes, anesthesia base units, Ambulatory Surgical Centers) |
| Action Effective Date | April 01, 2026 |
| Code Added Date | October 01, 2025 |
| Pricing Indicator | 38 = Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings) |
| Type of Service | P = Lump sum purchase of DME, prosthetics, orthotics |