2025 HCPCS Code L5781
Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system
TAGS: moisture lower vacuum addition system residual management evacuation volume| Short Description | Lower limb pros vacuum pump |
| HCPCS Action Code | N - No maintenance for this code |
| HCPCS Coverage Code | C - Carrier judgment |
| HCPCS Code Added Date | January 01, 2003 |
| HCPCS Action Effective Date | January 01, 2003 |
| HCPCS Pricing Indicator Code | 38 - Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings) |
| 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 |
Check Similar HCPCS Codes
- L3390 - Shoe outflare wedge
- L3400 - Shoe metatarsal bar wedge ro
- L3410 - Shoe metatarsal bar between
- L3420 - Full sole/heel wedge btween
- L3430 - Sho heel count plast reinfor
- L3440 - Heel leather reinforced
- L3450 - Shoe heel sach cushion type
- L3455 - Shoe heel new leather standa
- L3460 - Shoe heel new rubber standar
- L3465 - Shoe heel thomas with wedge
- L3470 - Shoe heel thomas extend to b
- L3480 - Shoe heel pad & depress for
- L3485 - Shoe heel pad removable for
- L3500 - Ortho shoe add leather insol
- L3510 - Orthopedic shoe add rub insl
- L3520 - O shoe add felt w leath insl
- L3530 - Ortho shoe add half sole
- L3540 - Ortho shoe add full sole
- L3550 - O shoe add standard toe tap
- L3560 - O shoe add horseshoe toe tap