HCPCS Code L5694

Addition to lower extremity, above knee, pelvic control belt, padded and lined
Short DescriptionAk pelvic control belt pad/l
Year2026
Coverage CodeC = Carrier judgment
Action CodeN = No maintenance for this code
Action Effective Date
Code Added DateJanuary 01, 1986
Pricing Indicator38 = Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)
Type of ServiceP = Lump sum purchase of DME, prosthetics, orthotics