HCPCS code L5647 — Below knee suction socket. Status: Active. Effective Jan 1, 1988. Source: CMS HCPCS Level II.

L5647

Active

Below knee suction socket

Addition to lower extremity, below knee suction socket

Category: Orthotics & Prosthetics
Section: L-codes: Orthotic and Prosthetic Procedures
Effective: Jan 1, 1988
Code type: alphanumeric
OPPS Status: A — Paid under a separate fee schedule (not OPPS)

MUE — Medically Unlikely Edits

Maximum units of L5647 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