HCPCS code L5974 — Foot single axis ankle/foot. Status: Active. Effective Jan 1, 1996. Source: CMS HCPCS Level II.

L5974

Active

Foot single axis ankle/foot

All lower extremity prostheses, foot, single axis ankle/foot

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 L5974 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