HCPCS Code L5679
Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric, or equal, with or without perforations, with or without breathable material, not for use with locking mechanism
| Short Description | Socket insert w/o lock mech |
|---|---|
| Year | 2026 |
| Coverage Code | C = Carrier judgment |
| Action Code | C = Change in long description of procedure or modifier code |
| Action Effective Date | October 01, 2025 |
| Code Added Date | January 01, 2004 |
| 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 |