2025 HCPCS Code L5679

Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric, or equal, with or without perforations, with or without breathable material, not for use with locking mechanism

TAGS: custom lower existing breathable fabricated below mechanism socket addition silicone locking

Short Description	Socket insert w/o lock mech
HCPCS Action Code	C - Change in long description of procedure or modifier code
HCPCS Coverage Code	C - Carrier judgment
HCPCS Code Added Date	January 01, 2004
HCPCS Action Effective Date	October 01, 2025
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