HCPCS code L5991 — Low pros ext osseo connector. Status: Active. Effective Oct 1, 2023. Source: CMS HCPCS Level II.

L5991

Active

Low pros ext osseo connector

Addition to lower extremity prostheses, osseointegrated external prosthetic connector

Category: Orthotics & Prosthetics
Section: L-codes: Orthotic and Prosthetic Procedures
Effective: Oct 1, 2023
Code type: alphanumeric
OPPS Status: A — Paid under a separate fee schedule (not OPPS)

MUE — Medically Unlikely Edits

Maximum units of L5991 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

Source: CMS Medicare NCCI Medically Unlikely Edits

Change History

Quarterly changes published by CMS. Revisions may affect the code description, coverage, or rate — review each quarter's changes before submitting claims.

  • New Code 2023-Q4
    Low pros ext osseo connector