| Q4001 | Casting supplies, body cast adult, with or without head, plaster |
| Q4035 | Cast supplies, long leg cylinder cast, pediatric (0-10 years), plaster |
| Q4015 | Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), plaster |
| Q4013 | Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), plaster |
| L5505 | Initial, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, plaster socket, direct formed |
| L5560 | Preparatory, above knee- knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, plaster socket, molded to model |
| L5510 | Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, plaster socket, molded to model |
| Q4007 | Cast supplies, long arm cast, pediatric (0-10 years), plaster |
| Q4019 | Cast supplies, long arm splint, pediatric (0-10 years), plaster |
| Q4031 | Cast supplies, long leg cast, pediatric (0-10 years), plaster |
| Q4043 | Cast supplies, long leg splint, pediatric (0-10 years), plaster |
| Q4011 | Cast supplies, short arm cast, pediatric (0-10 years), plaster |
| Q4023 | Cast supplies, short arm splint, pediatric (0-10 years), plaster |
| Q4039 | Cast supplies, short leg cast, pediatric (0-10 years), plaster |
| Q4047 | Cast supplies, short leg splint, pediatric (0-10 years), plaster |
