HCPCS Range Prosthetic Sheaths, Socks, and Shrinkers

• 1 Prosthetic sheath, below knee, each ( L8400 )

• 2 Prosthetic sheath, above knee, each ( L8410 )

• 3 Prosthetic sheath, upper limb, each ( L8415 )

• 4 Prosthetic sheath/sock, including a gel cushion layer, below knee or above knee, each ( L8417 )

• 5 Prosthetic sock, multiple ply, below knee, each ( L8420 )

• 6 Prosthetic sock, multiple ply, above knee, each ( L8430 )

• 7 Prosthetic sock, multiple ply, upper limb, each ( L8435 )

• 8 Prosthetic shrinker, below knee, each ( L8440 )

• 9 Prosthetic shrinker, above knee, each ( L8460 )

• 10 Prosthetic shrinker, upper limb, each ( L8465 )

• 11 Prosthetic sock, single ply, fitting, below knee, each ( L8470 )

• 12 Prosthetic sock, single ply, fitting, above knee, each ( L8480 )

• 13 Prosthetic sock, single ply, fitting, upper limb, each ( L8485 )