HCPCS Range Test Socket Prosthetic Additions, Lower Extremities

• 1 Addition to lower extremity, test socket, Symes ( L5618 )

• 2 Addition to lower extremity, test socket, below knee ( L5620 )

• 3 Addition to lower extremity, test socket, knee disarticulation ( L5622 )

• 4 Addition to lower extremity, test socket, above knee ( L5624 )

• 5 Addition to lower extremity, test socket, hip disarticulation ( L5626 )

• 6 Addition to lower extremity, test socket, hemipelvectomy ( L5628 )