Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)
Every HCPCS Level II code priced by Part B as "Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)".
Part B pricingCMS code 38975 codes
By series
These 975 codes span 5 series, split as below. Opening one shows that whole series, not just the codes listed here.
All codes 975
All code series- A4280Brst prsths adhsv attchmnt
- A4337Incontinent rectal insert
- A4438Adhesive clip ext ens contr
- A4453Rec cath any transanal, each
- A4459Transanal irrigation, any
- A4479Electro pump enema, reusable
- A4561Pessary reusable rub anytype
- A4562Pessary reusable nonrubber
- A4563Vag inser rectal control sys
- A5500Diab shoe for density insert
- A5501Diabetic custom molded shoe
- A5503Diabetic shoe w/roller/rockr
- A5504Diabetic shoe with wedge
- A5505Diab shoe w/metatarsal bar
- A5506Diabetic shoe w/off set heel
- A5507Modification diabetic shoe
- A5508Diabetic deluxe shoe
- A5510Compression form shoe insert
- A5512Multi den insert direct form
- A5513Multi den insert custom mold
- A5514Mult den insert dir carv/cam
- A7040One way chest drain valve
- A7041Water seal drain container
- A7042Implanted pleural catheter
- A7043Vacuum drainagebottle/tubing
- A7048Vacuum drain bottle/tube kit
- K0672Removable soft interface le
- K0901Ko single upright pre ots
- K0902Ko double upright pre ots
- K0903Mult den insert dir carv/cam
- K1007Bil hkaf pc s/d micro sensor
- K1014Ak 4 bar link hydl swg/stanc
- K1022Endoskel posit rotat unit
- L0112Cranial cervical orthosis
- L0113Cranial cervical torticollis
- L0120Cerv flex n/adj foam pre ots
- L0130Flex thermoplastic collar mo
- L0140Cervical semi-rigid adjustab
- L0150Cerv semi-rig adj molded chn
- L0160Cerv sr wire occ/man pre ots
- L0170Cervical collar molded to pt
- L0172Cerv col sr foam 2pc pre ots
- L0174Cerv sr 2pc thor ext pre ots
- L0180Cer post col occ/man sup adj
- L0190Cerv collar supp adj cerv ba
- L0200Cerv col supp adj bar & thor
- L0220Thor rib belt custom fabrica
- L0450Tlso flex trunk/thor pre ots
- L0452Tlso flex custom fab thoraci
- L0454Tlso trnk sj-t9 pre cst
- L0455Tlso flex trnk sj-t9 pre ots
- L0456Tlso flex trnk sj-ss pre cst
- L0457Tlso flex trnk sj-ss pre ots
- L0458Tlso 2mod symphis-xipho pre
- L0460Tlso 2 shl symphys-stern cst
- L0462Tlso 3mod sacro-scap pre
- L0464Tlso 4mod sacro-scap pre
- L0466Tlso r fram soft ant pre cst
- L0467Tlso r fram soft pre ots
- L0468Tlso rig fram pelvic pre cst
- L0469Tlso rig fram pelvic pre ots
- L0470Tlso rigid frame pre subclav
- L0472Tlso rigid frame hyperex pre
- L0480Tlso rigid plastic custom fa
- L0482Tlso rigid lined custom fab
- L0484Tlso rigid plastic cust fab
- L0486Tlso rigidlined cust fab two
- L0488Tlso rigid lined pre one pie
- L0490Tlso rigid plastic pre one
- L0491Tlso 2 piece rigid shell
- L0492Tlso 3 piece rigid shell
- L0621Sio flex pelvic/sacr pre ots
- L0622Sio flex pelvisacral custom
- L0623Sio rig pnl pelv/sac pre ots
- L0624Sio panel custom
- L0625Lo flex l1-below l5 pre ots
- L0626Lo sag rig pnl stays pre cst
- L0627Lo sag ri an/pos pnl pre cst
- L0628Lso flex no ri stays pre ots
- L0629Lso flex w/rigid stays cust
- L0630Lso r post pnl sj-t9 pre cst
- L0631Lso sag r an/pos pnl pre cst
- L0632Lso sag rigid frame cust
- L0633Lso sc r pos/lat pnl pre cst
- L0634Lso flexion control custom
- L0635Lso sagit rigid panel prefab
- L0636Lso sagittal rigid panel cus
- L0637Lso sc r ant/pos pnl pre cst
- L0638Lso sag-coronal panel custom
- L0639Lso s/c shell/panel prefab
- L0640Lso s/c shell/panel custom
- L0641Lo rig pos pnl l1-l5 pre ots
- L0642Lo sag ri an/pos pnl pre ots
- L0643Lso sag ctr rigi pos pre ots
- L0648Lso sag r an/pos pnl pre ots
- L0649Lso sc r pos/lat pnl pre ots
- L0650Lso sc r ant/pos pnl pre ots
- L0651Lso sag-co shell pnl pre ots
- L0700Ctlso a-p-l control molded
- L0710Ctlso a-p-l control w/ inter
- L0720Ctlso a-p-l control custom
- L0810Halo cervical into jckt vest
- L0820Halo cervical into body jack
- L0830Halo cerv into milwaukee typ
- L0859Mri compatible system
- L0861Halo repl liner/interface
- L0970Tlso corset front
- L0972Lso corset front
- L0974Tlso full corset
- L0976Lso full corset
- L0978Axillary crutch extension
- L0980Peroneal straps pair pre ots
- L0982Stocking sup grips 4 pre ots
- L0984Protect body sock ea pre ots
- L1000Ctlso milwauke initial model
- L1001Ctlso infant immobilizer
- L1005Tension based scoliosis orth
- L1006Scoliosis orth sag/ cor
- L1010Ctlso axilla sling
- L1020Kyphosis pad
- L1025Kyphosis pad floating
- L1030Lumbar bolster pad
- L1040Lumbar or lumbar rib pad
- L1050Sternal pad
- L1060Thoracic pad
- L1070Trapezius sling
- L1080Outrigger
- L1085Outrigger bil w/ vert extens
- L1090Lumbar sling
- L1100Ring flange plastic/leather
- L1110Ring flange plas/leather mol
- L1120Covers for upright each
- L1200Furnsh initial orthosis only
- L1210Lateral thoracic extension
- L1220Anterior thoracic extension
- L1230Milwaukee type superstructur
- L1240Lumbar derotation pad
- L1250Anterior asis pad
- L1260Anterior thoracic derotation
- L1270Abdominal pad
- L1280Rib gusset (elastic) each
- L1290Lateral trochanteric pad
- L1300Body jacket mold to patient
- L1310Post-operative body jacket
- L1600Ho flex frejka w/cov pre cst
- L1610Ho frejka cov only pre cst
- L1620Ho flex pavlik harns pre cst
- L1630Abduct control hip semi-flex
- L1640Pelv band/spread bar thigh c
- L1650Ho abduction hip adjustable
- L1652Ho bi thighcuffs w sprdr bar
- L1653Ho abduction static ots
- L1660Ho abduction static plastic
- L1680Pelvic & hip control thigh c
- L1681Ho bilateral hip abduction
- L1685Post-op hip abduct custom fa
- L1686Ho post-op hip abduction
- L1690Combination bilateral ho
- L1700Leg perthes orth toronto typ
- L1710Legg perthes orth newington
- L1720Legg perthes orthosis trilat
- L1730Legg perthes orth scottish r
- L1755Legg perthes patten bottom t
- L1810Ko elastic with joints
- L1812Ko elastic w/joints pre ots
- L1820Ko elas w/ condyle pads & jo
- L1821Ko elas w/ condyle pads otf
- L1830Ko immob canvas long pre ots
- L1831Knee orth pos locking joint
- L1832Ko adj jnt pos r sup pre cst
- L1833Ko adj jnt pos r sup pre ots
- L1834Ko w/0 joint rigid molded to
- L1836Ko rigid w/o joints pre ots
- L1840Ko derot ant cruciate custom
- L1843Ko single upright pre cst
- L1844Ko w/adj jt rot cntrl molded
- L1845Ko double upright pre cst
- L1846Ko w adj flex/ext rotat mold
- L1847Ko dbl upright w/air pre cst
- L1848Ko dbl upright w/air pre ots
- L1850Ko swedish type pre ots
- L1851Ko single upright prefab ots
- L1852Ko double upright prefab ots
- L1860Ko supracondylar socket mold
- L1900Afo sprng wir drsflx calf bd
- L1902Afo ankle gauntlet pre ots
- L1904Afo molded ankle gauntlet
- L1906Afo multilig ank sup pre ots
- L1907Afo supramalleolar custom
- L1910Afo sing bar clasp attach sh
- L1920Afo sing upright w/ adjust s
- L1930Afo plastic
- L1932Afo rig ant tib tcf/= custom
- L1933Afo rig ant tib tcf/= ots
- L1940Afo molded to patient plasti
- L1945Afo molded plas rig ant tib
- L1950Afo spiral molded to pt plas
- L1951Afo spiral prefab custom
- L1952Afo spiral prefab ots
- L1960Afo pos solid ank plastic mo
- L1970Afo plastic molded w/ankle j
- L1971Afo w/ankle joint, prefab
- L1980Afo sing solid stirrup calf
- L1990Afo doub solid stirrup calf
- L2000Kafo sing fre stirr thi/calf
- L2005Kafo sng/dbl mechanical act
- L2006Kaf sng/dbl swg/stn mcpr cus
- L2010Kafo sng solid stirrup w/o j
- L2020Kafo dbl solid stirrup band/
- L2030Kafo dbl solid stirrup w/o j
- L2034Kafo pla sin up w/wo k/a cus
- L2035Kafo plastic pediatric size
- L2036Kafo plas doub free knee mol
- L2037Kafo plas sing free knee mol
- L2038Kafo w/o joint multi-axis an
- L2040Hkafo torsion bil rot straps
- L2050Hkafo torsion cable hip pelv
- L2060Hkafo torsion ball bearing j
- L2070Hkafo torsion unilat rot str
- L2080Hkafo unilat torsion cable
- L2090Hkafo unilat torsion ball br
- L2106Afo tib fx cast plaster mold
- L2108Afo tib fx cast molded to pt
- L2112Afo tibial fracture soft
- L2114Afo tib fx semi-rigid
- L2116Afo tibial fracture rigid
- L2126Kafo fem fx cast thermoplas
- L2128Kafo fem fx cast molded to p
- L2132Kafo femoral fx cast soft
- L2134Kafo fem fx cast semi-rigid
- L2136Kafo femoral fx cast rigid
- L2180Plas shoe insert w ank joint
- L2182Drop lock knee
- L2184Limited motion knee joint
- L2186Adj motion knee jnt lerman t
- L2188Quadrilateral brim
- L2190Waist belt
- L2192Pelvic band & belt thigh fla
- L2200Limited ankle motion ea jnt
- L2210Dorsiflexion assist each joi
- L2220Dorsi & plantar flex ass/res
- L2221Ank mcrop plant & dorsi flex
- L2230Split flat caliper stirr & p
- L2232Rocker bottom, contact afo
- L2240Round caliper and plate atta
- L2250Foot plate molded stirrup at
- L2260Reinforced solid stirrup
- L2265Long tongue stirrup
- L2270Varus/valgus strap padded/li
- L2275Plastic mod low ext pad/line
- L2280Molded inner boot
- L2300Abduction bar jointed adjust
- L2310Abduction bar-straight
- L2320Non-molded lacer
- L2330Lacer molded to patient mode
- L2335Anterior swing band
- L2340Pre-tibial shell molded to p
- L2350Prosthetic type socket molde
- L2360Extended steel shank
- L2370Patten bottom
- L2375Torsion ank & half solid sti
- L2380Torsion straight knee joint
- L2385Straight knee joint heavy du
- L2387Add le poly knee custom kafo
- L2390Offset knee joint each
- L2395Offset knee joint heavy duty
- L2397Suspension sleeve lower ext
- L2405Knee joint drop lock ea jnt
- L2415Knee joint cam lock each joi
- L2425Knee disc/dial lock/adj flex
- L2430Knee jnt ratchet lock ea jnt
- L2492Knee lift loop drop lock rin
- L2500Thi/glut/ischia wgt bearing
- L2510Th/wght bear quad-lat brim m
- L2520Th/wght bear quad-lat brim c
- L2525Th/wght bear nar m-l brim mo
- L2526Th/wght bear nar m-l brim cu
- L2530Thigh/wght bear lacer non-mo
- L2540Thigh/wght bear lacer molded
- L2550Thigh/wght bear high roll cu
- L2570Hip clevis type 2 posit jnt
- L2580Pelvic control pelvic sling
- L2600Hip clevis/thrust bearing fr
- L2610Hip clevis/thrust bearing lo
- L2620Pelvic control hip heavy dut
- L2622Hip joint adjustable flexion
- L2624Hip adj flex ext abduct cont
- L2627Plastic mold recipro hip & c
- L2628Metal frame recipro hip & ca
- L2630Pelvic control band & belt u
- L2640Pelvic control band & belt b
- L2650Pelv & thor control gluteal
- L2660Thoracic control thoracic ba
- L2670Thorac cont paraspinal uprig
- L2680Thorac cont lat support upri
- L2750Plating chrome/nickel pr bar
- L2755Carbon graphite lamination
- L2760Extension per extension per
- L2768Ortho sidebar disconnect
- L2780Non-corrosive finish
- L2785Drop lock retainer each
- L2795Knee control full kneecap
- L2800Knee cap medial or lateral p
- L2810Knee control condylar pad
- L2820Soft interface below knee se
- L2830Soft interface above knee se
- L2840Tibial length sock fx or equ
- L2850Femoral lgth sock fx or equa
- L3224Woman's shoe oxford brace
- L3225Man's shoe oxford brace
- L3650So 8 abd restraint pre ots
- L3660So 8 ab rstr can/web pre ots
- L3670So acro/clav can web pre ots
- L3671So cap design w/o jnts cf
- L3674So airplane w/wo joint cf
- L3675So vest canvas/web pre ots
- L3678So hard plas stabili pre ots
- L3702Eo w/o joints cf
- L3710Eo elas w/metal jnts pre ots
- L3720Forearm/arm cuffs free motio
- L3730Forearm/arm cuffs ext/flex a
- L3740Cuffs adj lock w/ active con
- L3760Eo adj jt prefab custom fit
- L3761Eo, adj lock joint prefab ot
- L3762Eo rigid w/o joints pre ots
- L3763Ewho rigid w/o jnts cf
- L3764Ewho w/joint(s) cf
- L3765Ewhfo rigid w/o jnts cf
- L3766Ewhfo w/joint(s) cf
- L3806Whfo w/joint(s) custom fab
- L3807Whfo w/o joints pre cst
- L3808Whfo, rigid w/o joints
- L3809Whfo w/o joints pre ots
- L3900Hinge extension/flex wrist/f
- L3901Hinge ext/flex wrist finger
- L3904Whfo electric custom fitted
- L3905Who w/nontorsion jnt(s) cf
- L3906Who w/o joints cf
- L3908Who cock-up nonmolde pre ots
- L3912Hfo flexion glove pre ots
- L3913Hfo w/o joints cf
- L3915Who nontorsion jnts pre cst
- L3916Who nontorsion jnts pre ots
- L3917Metacarp fx orthosis pre cst
- L3918Metacarp fx orthosis pre ots
- L3919Ho w/o joints cf
- L3921Hfo w/joint(s) cf
- L3923Hfo without joints pre cst
- L3924Hfo without joints pre ots
- L3925Fo pip dip jnt/sprng pre ots
- L3927Fo pip dip no jt spr pre ots
- L3929Hfo nontorsion jnts pre cst
- L3930Hfo nontorsion jnts pre ots
- L3931Whfo nontorsion joint prefab
- L3933Fo w/o joints cf
- L3935Fo nontorsion joint cf
- L3956Add joint upper ext orthosis
- L3960Sewho airplan desig abdu pos
- L3961Sewho cap design w/o jnts cf
- L3962Sewho erbs palsey design abd
- L3967Sewho airplane w/o jnts cf
- L3971Sewho cap design w/jnt(s) cf
- L3973Sewho airplane w/jnt(s) cf
- L3975Sewhfo cap design w/o jnt cf
- L3976Sewhfo airplane w/o jnts cf
- L3977Sewhfo cap desgn w/jnt(s) cf
- L3978Sewhfo airplane w/jnt(s) cf
- L3980Up ext fx orthos humeral nos
- L3981Ue fx orth shoul cap forearm
- L3982Upper ext fx orthosis rad/ul
- L3984Upper ext fx orthosis wrist
- L3995Sock fracture or equal each
- L4000Repl girdle milwaukee orth
- L4002Replace strap, any orthosis
- L4010Replace trilateral socket br
- L4020Replace quadlat socket brim
- L4030Replace socket brim cust fit
- L4040Replace molded thigh lacer
- L4045Replace non-molded thigh lac
- L4050Replace molded calf lacer
- L4055Replace non-molded calf lace
- L4060Replace high roll cuff
- L4070Replace prox & dist upright
- L4080Repl met band kafo-afo prox
- L4090Repl met band kafo-afo calf/
- L4100Repl leath cuff kafo prox th
- L4110Repl leath cuff kafo-afo cal
- L4130Replace pretibial shell
- L4350Ankle control ortho pre ots
- L4360Pneumat walking boot pre cst
- L4361Pneuma/vac walk boot pre ots
- L4370Pneum full leg splnt pre ots
- L4386Non-pneum walk boot pre cst
- L4387Non-pneum walk boot pre ots
- L4392Replace afo soft interface
- L4394Replace foot drop spint
- L4396Static or dynami afo pre cst
- L4397Static or dynami afo pre ots
- L4398Foot drop splint pre ots
- L4631Afo, walk boot type, cus fab
- L5000Sho insert w arch toe filler
- L5010Mold socket ank hgt w/ toe f
- L5020Tibial tubercle hgt w/ toe f
- L5050Ank symes mold sckt sach ft
- L5060Symes met fr leath socket ar
- L5100Molded socket shin sach foot
- L5105Plast socket jts/thgh lacer
- L5150Mold sckt ext knee shin sach
- L5160Mold socket bent knee shin s
- L5200Kne sing axis fric shin sach
- L5210No knee/ankle joints w/ ft b
- L5220No knee joint with artic ali
- L5230Fem focal defic constant fri
- L5250Hip canad sing axi cons fric
- L5270Tilt table locking hip sing
- L5280Hemipelvect canad sing axis
- L5301Bk mold socket sach ft endo
- L5312Knee disart, sach ft, endo
- L5321Ak open end sach
- L5331Hip disart canadian sach ft
- L5341Hemipelvectomy canadian sach
- L5400Postop dress & 1 cast chg bk
- L5410Postop dsg bk ea add cast ch
- L5420Postop dsg & 1 cast chg ak/d
- L5430Postop dsg ak ea add cast ch
- L5450Postop app non-wgt bear dsg
- L5460Postop app non-wgt bear dsg
- L5500Init bk ptb plaster direct
- L5505Init ak ischal plstr direct
- L5510Prep bk ptb plaster molded
- L5520Perp bk ptb thermopls direct
- L5530Prep bk ptb thermopls molded
- L5535Prep bk ptb open end socket
- L5540Prep bk ptb laminated socket
- L5560Prep ak ischial plast molded
- L5570Prep ak ischial direct form
- L5580Prep ak ischial thermo mold
- L5585Prep ak ischial open end
- L5590Prep ak ischial laminated
- L5595Hip disartic sach thermopls
- L5600Hip disart sach laminat mold
- L5610Above knee hydracadence
- L5611Ak 4 bar link w/fric swing
- L5613Ak 4 bar ling w/hydraul swig
- L56144-bar link above knee w/swng
- L5615Ak 4 bar link hydl swg/stanc
- L5616Ak univ multiplex sys frict
- L5617Ak/bk self-aligning unit ea
- L5618Test socket symes
- L5620Test socket below knee
- L5622Test socket knee disarticula
- L5624Test socket above knee
- L5626Test socket hip disarticulat
- L5628Test socket hemipelvectomy
- L5629Below knee acrylic socket
- L5630Syme typ expandabl wall sckt
- L5631Ak/knee disartic acrylic soc
- L5632Symes type ptb brim design s
- L5634Symes type poster opening so
- L5636Symes type medial opening so
- L5637Below knee total contact
- L5638Below knee leather socket
- L5639Below knee wood socket
- L5640Knee disarticulat leather so
- L5642Above knee leather socket
- L5643Hip flex inner socket ext fr
- L5644Above knee wood socket
- L5645Bk flex inner socket ext fra
- L5646Below knee cushion socket
- L5647Below knee suction socket
- L5648Above knee cushion socket
- L5649Isch containmt/narrow m-l so
- L5650Tot contact ak/knee disart s
- L5651Ak flex inner socket ext fra
- L5652Suction susp ak/knee disart
- L5653Knee disart expand wall sock
- L5654Socket insert symes
- L5655Socket insert below knee
- L5656Socket insert knee articulat
- L5657Add low ext man aut vol any
- L5658Socket insert above knee
- L5661Multi-durometer symes
- L5665Multi-durometer below knee
- L5666Below knee cuff suspension
- L5668Bk molded distal cushion
- L5670Bk molded supracondylar susp
- L5671Bk/ak locking mechanism
- L5672Bk removable medial brim sus
- L5673Socket insert w lock mech
- L5676Bk knee joints single axis p
- L5677Bk knee joints polycentric p
- L5678Bk joint covers pair
- L5679Socket insert w/o lock mech
- L5680Bk thigh lacer non-molded
- L5681Intl custm cong/latyp insert
- L5682Bk thigh lacer glut/ischia m
- L5683Initial custom socket insert
- L5684Bk fork strap
- L5685Below knee sus/seal sleeve
- L5686Bk back check
- L5688Bk waist belt webbing
- L5690Bk waist belt padded and lin
- L5692Ak pelvic control belt light
- L5694Ak pelvic control belt pad/l
- L5695Ak sleeve susp neoprene/equa
- L5696Ak/knee disartic pelvic join
- L5697Ak/knee disartic pelvic band
- L5698Ak/knee disartic silesian ba
- L5699Shoulder harness
- L5700Replace socket below knee
- L5701Replace socket above knee
- L5702Replace socket hip
- L5703Symes ankle w/o (sach) foot
- L5704Custom shape cover bk
- L5705Custom shape cover ak
- L5706Custom shape cvr knee disart
- L5707Custom shape cvr hip disart
- L5710Kne-shin exo sng axi mnl loc
- L5711Knee-shin exo mnl lock ultra
- L5712Knee-shin exo frict swg & st
- L5714Knee-shin exo variable frict
- L5716Knee-shin exo mech stance ph
- L5718Knee-shin exo frct swg & sta
- L5722Knee-shin pneum swg frct exo
- L5724Knee-shin exo fluid swing ph
- L5726Knee-shin ext jnts fld swg e
- L5728Knee-shin fluid swg & stance
- L5780Knee-shin pneum/hydra pneum
- L5781Lower limb pros vacuum pump
- L5782Hd low limb pros vacuum pump
- L5783Add low ext mec limb vol lam
- L5785Exoskeletal bk ultralt mater
- L5790Exoskeletal ak ultra-light m
- L5795Exoskel hip ultra-light mate
- L5810Endoskel knee-shin mnl lock
- L5811Endo knee-shin mnl lck ultra
- L5812Endo knee-shin frct swg & st
- L5814Endo knee-shin hydral swg ph
- L5816Endo knee-shin polyc mch sta
- L5818Endo knee-shin frct swg & st
- L5822Endo knee-shin pneum swg frc
- L5824Endo knee-shin fluid swing p
- L5826Miniature knee joint
- L5827Endo knee shin single axis
- L5828Endo knee-shin fluid swg/sta
- L5830Endo knee-shin pneum/swg pha
- L5840Multi-axial knee/shin system
- L5841Addition endoskletl knee-shi
- L5845Knee-shin sys stance flexion
- L5848Knee-shin sys hydraul stance
- L5850Endo ak/hip knee extens assi
- L5855Mech hip extension assist
- L5856Elec knee-shin swing/stance
- L5857Elec knee-shin swing only
- L5858Stance phase only
- L5859Knee-shin pro flex/ext cont
- L5910Endo below knee alignable sy
- L5920Endo ak/hip alignable system
- L5925Above knee manual lock
- L5926Endoskel posit rotat unit
- L5930High activity knee frame
- L5940Endo bk ultra-light material
- L5950Endo ak ultra-light material
- L5960Endo hip ultra-light materia
- L5961Endo poly hip, pneu/hyd/rot
- L5962Below knee flex cover system
- L5964Above knee flex cover system
- L5966Hip flexible cover system
- L5968Multiaxial ankle w dorsiflex
- L5969Ak/ft power asst incl motors
- L5970Foot external keel sach foot
- L5971Sach foot, replacement
- L5972Flexible keel foot
- L5973Ank-foot sys dors-plant flex
- L5974Foot single axis ankle/foot
- L5975Combo ankle/foot prosthesis
- L5976Energy storing foot
- L5978Ft prosth multiaxial ankl/ft
- L5979Multi-axial ankle/ft prosth
- L5980Flex foot system
- L5981Flex-walk sys low ext prosth
- L5982Exoskeletal axial rotation u
- L5984Endoskeletal axial rotation
- L5985Lwr ext dynamic prosth pylon
- L5986Multi-axial rotation unit
- L5987Shank ft w vert load pylon
- L5988Vertical shock reducing pylo
- L5990User adjustable heel height
- L5991Low pros ext osseo connector
- L5992Low prosth foot shell repl
- L6000Part hand thumb rem
- L6010Part hand little/ring
- L6020Part hand no fingers
- L6025Part hand disart myoelectric
- L6026Part hand myo exclu term dev
- L6028Part hand finger metacar amp
- L6029Test interface part handfing
- L6030External frame part handfing
- L6031Rep interface handfng molded
- L6032Part handfng ultralite tcf/=
- L6033Part handfing acrylic
- L6034Part hand finger distal amp
- L6035Prosthetic digit mechanical
- L6036Prosthetic thumb mechanical
- L6037Postop dsg cast chg handfing
- L6038Multiax rotation attachment
- L6039Passive custom digit/thumb
- L6050Wrst mld sck flx hng tri pad
- L6055Wrst mold sock w/exp interfa
- L6100Elb mold sock flex hinge pad
- L6110Elbow mold sock suspension t
- L6120Elbow mold doub splt soc ste
- L6130Elbow stump activated lock h
- L6200Elbow mold outsid lock hinge
- L6205Elbow molded w/ expand inter
- L6250Elbow inter loc elbow forarm
- L6300Shlder disart int lock elbow
- L6310Shoulder passive restor comp
- L6320Shoulder passive restor cap
- L6350Thoracic intern lock elbow
- L6360Thoracic passive restor comp
- L6370Thoracic passive restor cap
- L6380Postop dsg cast chg wrst/elb
- L6382Postop dsg cast chg elb dis/
- L6384Postop dsg cast chg shlder/t
- L6386Postop ea cast chg & realign
- L6388Postop applicat rigid dsg on
- L6400Below elbow prosth tiss shap
- L6450Elb disart prosth tiss shap
- L6500Above elbow prosth tiss shap
- L6550Shldr disar prosth tiss shap
- L6570Scap thorac prosth tiss shap
- L6580Wrist/elbow bowden cable mol
- L6582Wrist/elbow bowden cbl dir f
- L6584Elbow fair lead cable molded
- L6586Elbow fair lead cable dir fo
- L6588Shdr fair lead cable molded
- L6590Shdr fair lead cable direct
- L6600Polycentric hinge pair
- L6605Single pivot hinge pair
- L6610Flexible metal hinge pair
- L6611Additional switch, ext power
- L6615Disconnect locking wrist uni
- L6616Disconnect insert locking wr
- L6620Flexion/extension wrist unit
- L6621Flex/ext wrist w/wo friction
- L6623Spring-ass rot wrst w/ latch
- L6624Flex/ext/rotation wrist unit
- L6625Rotation wrst w/ cable lock
- L6628Quick disconn hook adapter o
- L6629Lamination collar w/ couplin
- L6630Stainless steel any wrist
- L6632Latex suspension sleeve each
- L6635Lift assist for elbow
- L6637Nudge control elbow lock
- L6638Elec lock on manual pw elbow
- L6640Shoulder abduction joint pai
- L6641Excursion amplifier pulley t
- L6642Excursion amplifier lever ty
- L6645Shoulder flexion-abduction j
- L6646Multipo locking shoulder jnt
- L6647Shoulder lock actuator
- L6648Ext pwrd shlder lock/unlock
- L6650Shoulder universal joint
- L6655Standard control cable extra
- L6660Heavy duty control cable
- L6665Teflon or equal cable lining
- L6670Hook to hand cable adapter
- L6672Harness chest/shlder saddle
- L6675Harness figure of 8 sing con
- L6676Harness figure of 8 dual con
- L6677Ue triple control harness
- L6680Test sock wrist disart/bel e
- L6682Test sock elbw disart/above
- L6684Test socket shldr disart/tho
- L6686Suction socket
- L6687Frame typ socket bel elbow/w
- L6688Frame typ sock above elb/dis
- L6689Frame typ socket shoulder di
- L6690Frame typ sock interscap-tho
- L6691Removable insert each
- L6692Silicon gel insert w/wo lock
- L6693Lockingelbow forearm cntrbal
- L6694Elbow socket ins use w/lock
- L6695Elbow socket ins use w/o lck
- L6696Cus elbo skt in for con/atyp
- L6697Cus elbo skt in not con/atyp
- L6698Add up-ex prosthes lock mech
- L6700Ue add ext power myoel
- L6703Term dev, passive hand mitt
- L6704Term dev, sport/rec/work att
- L6706Term dev mech hook vol open
- L6707Term dev mech hook vol close
- L6708Term dev mech hand vol open
- L6709Term dev mech hand vol close
- L6711Ped term dev, hook, vol open
- L6712Ped term dev, hook, vol clos
- L6713Ped term dev, hand, vol open
- L6714Ped term dev, hand, vol clos
- L6715Term device, multi art digit
- L6721Hook/hand, hvy dty, vol open
- L6722Hook/hand, hvy dty, vol clos
- L6805Term dev modifier wrist unit
- L6810Term dev precision pinch dev
- L6880Elec hand ind art digits
- L6881Term dev auto grasp feature
- L6882Microprocessor control uplmb
- L6883Replc sockt below e/w disa
- L6884Replc sockt above elbow disa
- L6885Replc sockt shldr dis/interc
- L6890Prefab glove for term device
- L6895Custom glove for term device
- L6900Hand restorat thumb/1 finger
- L6905Hand restoration multiple fi
- L6910Hand restoration no fingers
- L6915Hand restoration replacmnt g
- L6920Wrist disarticul switch ctrl
- L6925Wrist disart myoelectronic c
- L6930Below elbow switch control
- L6935Below elbow myoelectronic ct
- L6940Elbow disarticulation switch
- L6945Elbow disart myoelectronic c
- L6950Above elbow switch control
- L6955Above elbow myoelectronic ct
- L6960Shldr disartic switch contro
- L6965Shldr disartic myoelectronic
- L6970Interscapular-thor switch ct
- L6975Interscap-thor myoelectronic
- L7007Adult electric hand
- L7008Pediatric electric hand
- L7009Adult electric hook
- L7040Prehensile actuator
- L7045Pediatric electric hook
- L7170Electronic elbow hosmer swit
- L7180Electronic elbow sequential
- L7181Electronic elbo simultaneous
- L7185Electron elbow adolescent sw
- L7186Electron elbow child switch
- L7190Elbow adolescent myoelectron
- L7191Elbow child myoelectronic ct
- L7259Electronic wrist rotator any
- L7260Electron wrist rotator otto
- L7261Electron wrist rotator utah
- L7360Six volt bat otto bock/eq ea
- L7362Battery chrgr six volt otto
- L7364Twelve volt battery utah/equ
- L7366Battery chrgr 12 volt utah/e
- L7367Replacemnt lithium ionbatter
- L7368Lithium ion battery charger
- L7400Add ue prost be/wd, ultlite
- L7401Add ue prost a/e ultlite mat
- L7402Add ue prost s/d ultlite mat
- L7403Add ue prost b/e acrylic
- L7404Add ue prost a/e acrylic
- L7405Add ue prost s/d acrylic
- L7406Add upp ext mec limb vol lam
- L7700Pros soc insert gasket/seal
- L8000Mastectomy bra
- L8001Breast prosthesis bra & form
- L8002Brst prsth bra & bilat form
- L8015Ext breastprosthesis garment
- L8020Mastectomy form
- L8030Breast prosthes w/o adhesive
- L8031Breast prosthesis w adhesive
- L8032Reusable nipple prosthesis
- L8033Nipple prosthesis custom, ea
- L8035Custom breast prosthesis
- L8040Nasal prosthesis
- L8041Midfacial prosthesis
- L8042Orbital prosthesis
- L8043Upper facial prosthesis
- L8044Hemi-facial prosthesis
- L8045Auricular prosthesis
- L8046Partial facial prosthesis
- L8047Nasal septal prosthesis
- L8300Truss single w/ standard pad
- L8310Truss double w/ standard pad
- L8320Truss addition to std pad wa
- L8330Truss add to std pad scrotal
- L8400Sheath below knee
- L8410Sheath above knee
- L8415Sheath upper limb
- L8417Pros sheath/sock w gel cushn
- L8420Prosthetic sock multi ply bk
- L8430Prosthetic sock multi ply ak
- L8435Pros sock multi ply upper lm
- L8440Shrinker below knee
- L8460Shrinker above knee
- L8465Shrinker upper limb
- L8470Pros sock single ply bk
- L8480Pros sock single ply ak
- L8485Pros sock single ply upper l
- L8500Artificial larynx
- L8501Tracheostomy speaking valve
- L8507Trach-esoph voice pros pt in
- L8509Trach-esoph voice pros md in
- L8510Voice amplifier
- L8511Indwelling trach insert
- L8512Gel cap for trach voice pros
- L8513Trach pros cleaning device
- L8514Repl trach puncture dilator
- L8600Implant breast silicone/eq
- L8603Collagen imp urinary 2.5 ml
- L8605Inj bulking agent anal canal
- L8606Synthetic implnt urinary 1ml
- L8607Inj vocal cord bulking agent
- L8609Artificial cornea
- L8610Ocular implant
- L8612Aqueous shunt prosthesis
- L8613Ossicular implant
- L8614Cochlear device
- L8615Coch implant headset replace
- L8616Coch implant microphone repl
- L8617Coch implant trans coil repl
- L8618Coch implant tran cable repl
- L8619Coch imp ext proc/contr rplc
- L8621Repl zinc air battery
- L8622Repl alkaline battery
- L8623Lith ion batt cid,non-earlvl
- L8624Lith ion batt cid, ear level
- L8625Charger coch impl/aoi battry
- L8627Cid ext speech process repl
- L8628Cid ext controller repl
- L8629Cid transmit coil and cable
- L8630Metacarpophalangeal implant
- L8631Mcp joint repl 2 pc or more
- L8641Metatarsal joint implant
- L8642Hallux implant
- L8658Interphalangeal joint spacer
- L8659Interphalangeal joint repl
- L8670Vascular graft, synthetic
- L8678Ext sply implt neurostim
- L8679Imp neurosti pls gn any type
- L8681Pt prgrm for implt neurostim
- L8682Implt neurostim radiofq rec
- L8683Radiofq trsmtr for implt neu
- L8684Radiof trsmtr implt scrl neu
- L8689External recharg sys intern
- L8690Aud osseo dev, int/ext comp
- L8691Aoi snd proc repl excl actua
- L8693Aud osseo dev, abutment
- L8694Aoi transducer/actuator repl
- L8695External recharg sys extern
- L8696Ext antenna phren nerve stim
- L8701Ewh s/d uprt micro sensor
- L8702Ewhf s/d uprt micro sensor
- Q0477Pwr module pt cable lvad rpl
- Q0478Power adapter, combo vad
- Q0479Power module combo vad, rep
- Q0480Driver pneumatic vad, rep
- Q0481Microprcsr cu elec vad, rep
- Q0482Microprcsr cu combo vad, rep
- Q0483Monitor elec vad, rep
- Q0484Monitor elec or comb vad rep
- Q0485Monitor cable elec vad, rep
- Q0486Mon cable elec/pneum vad rep
- Q0487Leads any type vad, rep only
- Q0488Pwr pack base elec vad, rep
- Q0489Pwr pck base combo vad, rep
- Q0490Emr pwr source elec vad, rep
- Q0491Emr pwr source combo vad rep
- Q0492Emr pwr cbl elec vad, rep
- Q0493Emr pwr cbl combo vad, rep
- Q0494Emr hd pmp elec/combo, rep
- Q0495Charger elec/combo vad, rep
- Q0496Battery elec/combo vad, rep
- Q0497Bat clps elec/comb vad, rep
- Q0498Holster elec/combo vad, rep
- Q0499Belt/vest elec/combo vad rep
- Q0500Filters elec/combo vad, rep
- Q0501Shwr cov elec/combo vad, rep
- Q0502Mobility cart pneum vad, rep
- Q0503Battery pneum vad replacemnt
- Q0504Pwr adpt pneum vad, rep veh
- Q0506Lith-ion batt elec/pneum vad
- V2020Vision svcs frames purchases
- V2100Lens spher single plano 4.00
- V2101Single visn sphere 4.12-7.00
- V2102Singl visn sphere 7.12-20.00
- V2103Spherocylindr 4.00d/12-2.00d
- V2104Spherocylindr 4.00d/2.12-4d
- V2105Spherocylinder 4.00d/4.25-6d
- V2106Spherocylinder 4.00d/>6.00d
- V2107Spherocylinder 4.25d/12-2d
- V2108Spherocylinder 4.25d/2.12-4d
- V2109Spherocylinder 4.25d/4.25-6d
- V2110Spherocylinder 4.25d/over 6d
- V2111Spherocylindr 7.25d/.25-2.25
- V2112Spherocylindr 7.25d/2.25-4d
- V2113Spherocylindr 7.25d/4.25-6d
- V2114Spherocylinder over 12.00d
- V2115Lens lenticular bifocal
- V2118Lens aniseikonic single
- V2121Lenticular lens, single
- V2200Lens spher bifoc plano 4.00d
- V2201Lens sphere bifocal 4.12-7.0
- V2202Lens sphere bifocal 7.12-20.
- V2203Lens sphcyl bifocal 4.00d/.1
- V2204Lens sphcy bifocal 4.00d/2.1
- V2205Lens sphcy bifocal 4.00d/4.2
- V2206Lens sphcy bifocal 4.00d/ove
- V2207Lens sphcy bifocal 4.25-7d/.
- V2208Lens sphcy bifocal 4.25-7/2.
- V2209Lens sphcy bifocal 4.25-7/4.
- V2210Lens sphcy bifocal 4.25-7/ov
- V2211Lens sphcy bifo 7.25-12/.25-
- V2212Lens sphcyl bifo 7.25-12/2.2
- V2213Lens sphcyl bifo 7.25-12/4.2
- V2214Lens sphcyl bifocal over 12.
- V2215Lens lenticular bifocal
- V2218Lens aniseikonic bifocal
- V2219Lens bifocal seg width over
- V2220Lens bifocal add over 3.25d
- V2221Lenticular lens, bifocal
- V2300Lens sphere trifocal 4.00d
- V2301Lens sphere trifocal 4.12-7.
- V2302Lens sphere trifocal 7.12-20
- V2303Lens sphcy trifocal 4.0/.12-
- V2304Lens sphcy trifocal 4.0/2.25
- V2305Lens sphcy trifocal 4.0/4.25
- V2306Lens sphcyl trifocal 4.00/>6
- V2307Lens sphcy trifocal 4.25-7/.
- V2308Lens sphc trifocal 4.25-7/2.
- V2309Lens sphc trifocal 4.25-7/4.
- V2310Lens sphc trifocal 4.25-7/>6
- V2311Lens sphc trifo 7.25-12/.25-
- V2312Lens sphc trifo 7.25-12/2.25
- V2313Lens sphc trifo 7.25-12/4.25
- V2314Lens sphcyl trifocal over 12
- V2315Lens lenticular trifocal
- V2318Lens aniseikonic trifocal
- V2319Lens trifocal seg width > 28
- V2320Lens trifocal add over 3.25d
- V2321Lenticular lens, trifocal
- V2410Lens variab asphericity sing
- V2430Lens variable asphericity bi
- V2500Contact lens pmma spherical
- V2501Cntct lens pmma-toric/prism
- V2502Contact lens pmma bifocal
- V2503Cntct lens pmma color vision
- V2510Cntct gas permeable sphericl
- V2511Cntct toric prism ballast
- V2512Cntct lens gas permbl bifocl
- V2513Contact lens extended wear
- V2520Contact lens hydrophilic
- V2521Cntct lens hydrophilic toric
- V2522Cntct lens hydrophil bifocl
- V2523Cntct lens hydrophil extend
- V2524Cntct lens hydrophil photoch
- V2530Contact lens gas impermeable
- V2531Contact lens gas permeable
- V2623Plastic eye prosth custom
- V2624Polishing artifical eye
- V2625Enlargemnt of eye prosthesis
- V2626Reduction of eye prosthesis
- V2627Scleral cover shell
- V2628Fabrication & fitting
- V2700Balance lens
- V2710Glass/plastic slab off prism
- V2715Prism lens/es
- V2718Fresnell prism press-on lens
- V2730Special base curve
- V2744Tint photochromatic lens/es
- V2745Tint, any color/solid/grad
- V2750Anti-reflective coating
- V2755Uv lens/es
- V2760Scratch resistant coating
- V2761Mirror coating
- V2762Polarization, any lens
- V2770Occluder lens/es
- V2780Oversize lens/es
- V2782Lens, 1.54-1.65 p/1.60-1.79g
- V2783Lens, >= 1.66 p/>=1.80 g
- V2784Lens polycarb or equal
- V2786Occupational multifocal lens
About this list
The pricing indicator comes from the CMS HCPCS release and describes the method Part B uses to price the code. It is not a price, and it says nothing about what another payer will allow. The largest group here is the L series (Orthotic Procedures and services; Prosthetic Procedures).