HCPCS code L2397 — Suspension sleeve lower ext. Status: Active. Effective Jan 1, 1996. Source: CMS HCPCS Level II.

L2397

Active

Suspension sleeve lower ext

Addition to lower extremity orthosis, suspension sleeve

Category: Orthotics & Prosthetics
Section: L-codes: Orthotic and Prosthetic Procedures
Effective: Jan 1, 1996
Code type: alphanumeric
OPPS Status: A — Paid under a separate fee schedule (not OPPS)

MUE — Medically Unlikely Edits

Maximum units of L2397 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.

Service Type Max Units / Day
DME Supplier 4
Outpatient Hospital 4
Practitioner Services 0

Source: CMS Medicare NCCI Medically Unlikely Edits