| L5692 | Addition to lower extremity, above knee, pelvic control belt, light |
| L5631 | Addition to lower extremity, above knee or knee disarticulation, acrylic socket |
| L5629 | Addition to lower extremity, below knee, acrylic socket |
| L2850 | Addition to lower extremity orthosis, femoral length sock, fracture or equal, each |
| L2340 | Addition to lower extremity, pre-tibial shell, molded to patient model |
| L2540 | Addition to lower extremity, thigh/weight bearing, lacer, molded to patient model |
| L2510 | Addition to lower extremity, thigh/weight bearing, quadri- lateral brim, molded to patient model |
| L2192 | Addition to lower extremity fracture orthosis, hip joint, pelvic band, thigh flange, and pelvic belt |
| L5632 | Addition to lower extremity, symes type, 'ptb' brim design socket |
| L2360 | Addition to lower extremity, extended steel shank |
| L5610 | Addition to lower extremity, endoskeletal system, above knee, hydracadence system |
| L5783 | Addition to lower extremity, user adjustable, mechanical, residual limb volume management system |
| L2840 | Addition to lower extremity orthosis, tibial length sock, fracture or equal, each |
| G2180 | Clinician documented that patient was not an eligible candidate for evaluation of footwear as patient is bilateral lower extremity amputee |
| C8912 | Magnetic resonance angiography with contrast, lower extremity |
| C8913 | Magnetic resonance angiography without contrast, lower extremity |
| C9764 | Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when performed |
| C9766 | Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel(s), when performed |
| C9765 | Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty within the same vessel(s), when performed |
| C9767 | Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the same vessel(s), when performed |
| L2180 | Addition to lower extremity fracture orthosis, plastic shoe insert with ankle joints |
| L5682 | Addition to lower extremity, below knee, thigh lacer, gluteal/ischial, molded |
| L5680 | Addition to lower extremity, below knee, thigh lacer, nonmolded |
| L5617 | Addition to lower extremity, quick change self-aligning unit, above knee or below knee, each |
| L5647 | Addition to lower extremity, below knee suction socket |
| L5638 | Addition to lower extremity, below knee, leather socket |
| L5655 | Addition to lower extremity, socket insert, below knee (kemblo, pelite, aliplast, plastazote or equal) |
| L5976 | All lower extremity prostheses, energy storing foot (seattle carbon copy ii or equal) |
| G8406 | Clinician documented that patient was not an eligible candidate for lower extremity neurological exam measure |
| L5614 | Addition to lower extremity, exoskeletal system, above knee-knee disarticulation, 4 bar linkage, with pneumatic swing phase control |
| L5611 | Addition to lower extremity, endoskeletal system, above knee - knee disarticulation, 4 bar linkage, with friction swing phase control |
| L5648 | Addition to lower extremity, above knee, air, fluid, gel or equal, cushion socket |
| L5668 | Addition to lower extremity, below knee, molded distal cushion |
| L5646 | Addition to lower extremity, below knee, air, fluid, gel or equal, cushion socket |
| L2755 | Addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthosis only |
| L2800 | Addition to lower extremity orthosis, knee control, knee cap, medial or lateral pull, for use with custom fabricated orthosis only |
| L2330 | Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only |
| G2178 | Clinician documented that patient was not an eligible candidate for lower extremity neurological exam measure, for example patient bilateral amputee; patient has condition that would not allow them to accurately respond to a neurological exam (dementia, alzheimer's, etc.); patient has previously documented diabetic peripheral neuropathy with loss of protective sensation |
| L5982 | All exoskeletal lower extremity prostheses, axial rotation unit |
| G9998 | Documentation of medical reason(s) for an interval of less than 3 years since the last colonoscopy (e.g., last colonoscopy incomplete, last colonoscopy had inadequate prep, piecemeal removal of adenomas, or sessile serrated polyps >= 20 mm in size, last colonoscopy found greater than 10 adenomas, lower gastrointestinal bleeding, or patient at high risk for colon cancer due to underlying medical history ([i.e. crohn's disease, ulcerative colitis, personal or family history of colon cancer, hereditary colorectal cancer syndromes]) |
