L5694 Ak pelvic control belt pad/l

Full Description

Addition to lower extremity, above knee, pelvic control belt, padded and lined

Code
L5694
Short Description
Ak pelvic control belt pad/l
Section
L — Orthotic and Prosthetic Procedures
Pricing Indicator
38
Source: CMS HCPCS October 2026 quarterly release.

Last reviewed: September 2026