2025 HCPCS Code L5657
Addition to lower extremity prosthesis, manual/automated adjustable air, fluid, gel or equal socket insert for limb volume management, any materials
TAGS: volume adjustable lower socket equal insert addition materials extremity| Short Description | Add low ext man aut vol any |
| HCPCS Action Code | A - Add procedure or modifier code |
| HCPCS Coverage Code | C - Carrier judgment |
| HCPCS Code Added Date | October 01, 2025 |
| HCPCS Action Effective Date | October 01, 2025 |
| HCPCS Pricing Indicator Code | 46 - Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts) |
| HCPCS Type Of Service Code | P - Lump sum purchase of DME, prosthetics, orthotics |
| HCPCS Multiple Pricing Indicator Code | A - Not applicable as HCPCS priced under one methodology |
| HCPCS Anesthesia Base Unit Quantity | 0 |
| HCPCS Coverage Issues Manual Reference Section Number |
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