Browse HCPCS Level II 2020 Edition

HCPCS Level II Table of Contents

L8400 - L8499  Prosthetic Procedures - Prosthetic Socks

L8400
Prosthetic sheath, below knee, each
shortSheath below knee
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalCMS Policy
OPH12.03 Date of Service Edit: ClinicalClinical: Data
DME12.03 Date of Service Edit: ClinicalClinical: Data
L8410
Prosthetic sheath, above knee, each
shortSheath above knee
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalCMS Policy
OPH12.03 Date of Service Edit: ClinicalClinical: CMS Workgroup
DME12.03 Date of Service Edit: ClinicalClinical: Data
L8415
Prosthetic sheath, upper limb, each
shortSheath upper limb
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalCMS Policy
OPH6.03 Date of Service Edit: ClinicalClinical: CMS Workgroup
DME6.03 Date of Service Edit: ClinicalClinical: Data
L8417
Prosthetic sheath/sock, including a gel cushion layer, below knee or above knee, each
shortPros sheath/sock w gel cushn
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalCMS Policy
OPH12.03 Date of Service Edit: ClinicalClinical: Data
DME12.03 Date of Service Edit: ClinicalClinical: Data
L8420
Prosthetic sock, multiple ply, below knee, each
shortProsthetic sock multi ply bk
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalCMS Policy
OPH14.03 Date of Service Edit: ClinicalClinical: Data
DME24.03 Date of Service Edit: ClinicalClinical: Data
L8430
Prosthetic sock, multiple ply, above knee, each
shortProsthetic sock multi ply ak
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalCMS Policy
OPH12.03 Date of Service Edit: ClinicalClinical: Data
DME24.03 Date of Service Edit: ClinicalClinical: Data
L8435
Prosthetic sock, multiple ply, upper limb, each
shortPros sock multi ply upper lm
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalCMS Policy
OPH12.03 Date of Service Edit: ClinicalClinical: CMS Workgroup
DME12.03 Date of Service Edit: ClinicalClinical: Data
L8440
Prosthetic shrinker, below knee, each
shortShrinker below knee
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalCMS Policy
OPH4.03 Date of Service Edit: ClinicalClinical: Data
DME4.03 Date of Service Edit: ClinicalClinical: Data
L8460
Prosthetic shrinker, above knee, each
shortShrinker above knee
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalCMS Policy
OPH4.03 Date of Service Edit: ClinicalClinical: Data
DME4.03 Date of Service Edit: ClinicalClinical: Data
L8465
Prosthetic shrinker, upper limb, each
shortShrinker upper limb
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalCMS Policy
OPH4.03 Date of Service Edit: ClinicalClinical: Data
DME4.03 Date of Service Edit: ClinicalClinical: Data
L8470
Prosthetic sock, single ply, fitting, below knee, each
shortPros sock single ply bk
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalCMS Policy
OPH14.03 Date of Service Edit: ClinicalClinical: Data
DME24.03 Date of Service Edit: ClinicalClinical: Data
L8480
Prosthetic sock, single ply, fitting, above knee, each
shortPros sock single ply ak
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalCMS Policy
OPH12.03 Date of Service Edit: ClinicalClinical: Data
DME24.03 Date of Service Edit: ClinicalClinical: Data
L8485
Prosthetic sock, single ply, fitting, upper limb, each
shortPros sock single ply upper l
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalCMS Policy
OPH12.03 Date of Service Edit: ClinicalClinical: CMS Workgroup
DME12.03 Date of Service Edit: ClinicalClinical: Data
L8499
Unlisted procedure for miscellaneous prosthetic services
shortUnlisted misc prosthetic ser
MUE
LocationValueAjudication IndicatorRationale
PRA1.03 Date of Service Edit: ClinicalClinical: CMS Workgroup
OPH1.03 Date of Service Edit: ClinicalClinical: CMS Workgroup