Addition to lower extremity, below knee/above knee, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code L5673 or L5679)
Addition to lower extremity, below knee, fork strap
Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or without valve, any material, each
Addition to lower extremity, below knee, back check (extension control)
Addition to lower extremity, below knee, waist belt, webbing
Addition to lower extremity, below knee, waist belt, padded and lined
Addition to lower extremity, above knee, pelvic control belt, light
Addition to lower extremity, above knee, pelvic control belt, padded and lined
Addition to lower extremity, above knee, pelvic control, sleeve suspension, neoprene or equal, each
Addition to lower extremity, above knee or knee disarticulation, pelvic joint
Showing
21 to
30 of
33 results
< 1 2 3 4 >