L5697 Ak/knee disartic pelvic band

Full Description

Addition to lower extremity, above knee or knee disarticulation, pelvic band

Code
L5697
Short Description
Ak/knee disartic pelvic band
Section
L — Orthotic and Prosthetic Procedures
Pricing Indicator
38
Source: CMS HCPCS October 2026 quarterly release.

Last reviewed: September 2026