2025 HCPCS Modifiers K4

Lower extremity prosthesis functional level 4 - has the ability or potential for prosthetic ambulation that exceeds the basic ambulation skills, exhibiting high impact, stress, or energy levels, typical of the prosthetic demands of the child, active adult, or athlete.

TAGS: prosthesis ability active potential prosthetic level exhibiting energy demands extremity basic ambulation lower functional typical exceeds
Short DescriptionLwr ext prost functnl lvl 4
HCPCS Action Code N - No maintenance for this code
HCPCS Coverage Code C - Carrier judgment
HCPCS Code Added Date January 01, 1993
HCPCS Action Effective Date January 01, 1997

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