HCPCS Code L5707

Custom shaped protective cover, hip disarticulation
Short DescriptionCustom shape cvr hip disart
Year2026
Coverage CodeC = Carrier judgment
Action CodeN = No maintenance for this code
Action Effective DateJanuary 01, 2002
Code Added DateJanuary 01, 1994
Pricing Indicator38 = Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)
Type of ServiceP = Lump sum purchase of DME, prosthetics, orthotics