HCPCS code L5210 — No knee/ankle joints w/ ft b. Status: Active. Effective Jan 1, 1996. Source: CMS HCPCS Level II.

L5210

Active

No knee/ankle joints w/ ft b

Above knee, short prosthesis, no knee joint ('stubbies'), with foot blocks, no ankle joints, each

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 L5210 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 2
Outpatient Hospital 2
Practitioner Services 0

Source: CMS Medicare NCCI Medically Unlikely Edits