HCPCS code L5703 — Symes ankle w/o (sach) foot. Status: Active. Effective Jan 1, 2006. Source: CMS HCPCS Level II.

L5703

Active

Symes ankle w/o (sach) foot

Ankle, symes, molded to patient model, socket without solid ankle cushion heel (sach) foot, replacement only

Category: Orthotics & Prosthetics
Section: L-codes: Orthotic and Prosthetic Procedures
Effective: Jan 1, 2006
Code type: alphanumeric
OPPS Status: A — Paid under a separate fee schedule (not OPPS)

MUE — Medically Unlikely Edits

Maximum units of L5703 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