| L3485 | Heel, pad, removable for spur |
| L6026 | Transcarpal/metacarpal or partial hand disarticulation prosthesis, external power, self-suspended, inner socket with removable forearm section, electrodes and cables, two batteries, charger, myoelectric control of terminal device, excludes terminal device(s) |
| L3250 | Orthopedic footwear, custom molded shoe, removable inner mold, prosthetic shoe, each |
| L5672 | Addition to lower extremity, below knee, removable medial brim suspension |
| E1028 | Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory |
| K0672 | Addition to lower extremity orthosis, removable soft interface, all components, replacement only, each |
