HCPCS Level II A5114: Leg Strap, Foam or Fabric, Replacement Only, Per Set

HCPCS Level II code A5114 describes a replacement leg strap made of foam or fabric, billed per set for use with prosthetic or supportive devices; the service type is replacement accessory and the typical site of service is outpatient clinic, prosthetics/orthotics provider, or durable medical equipment supplier.

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HCPCS Level II A5114: Leg Strap, Foam or Fabric, Replacement Only, Per Set

Customize your policy alerts

Sign up for hcpcs A5114 policy alerts

Get alerted when payer policies referencing A5114 are released or updated.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

Clinical & Coding Specifications

Clinical Context

A typical patient is an adult or pediatric patient using a medical device that secures the lower limb to a prosthetic, orthotic, or therapeutic device who requires replacement A5114 leg straps due to wear, contamination, loss, or damage. The clinical workflow begins when a clinician (prosthetist, orthopedic technician, physical therapist, or durable medical equipment supplier) evaluates the fit and integrity of the existing straps during a routine prosthesis/orthosis check, wound care visit, or device maintenance appointment. The clinician documents device model, reason for replacement (for example: fraying, compromised foam padding, odor, or loss), and confirms that replacement consists of foam or fabric leg straps sold as a set. A supplier prepares the replacement A5114 set, verifies payer coverage and any applicable prior authorization, and dispenses the straps with documentation of item, quantity, and patient instruction on application and inspection. Typical sites of service include outpatient prosthetics/orthotics clinics, orthopedic or rehabilitation clinics, home health visits, or durable medical equipment supplier locations.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`97760`	Orthotic(s) management and training, initial encounter	Used when straps are replaced and the patient receives training in application and gait/functional use
`97763`	Prosthetic training, upper and/or lower extremity, initial encounter	Performed when prosthetic strap replacement is part of prosthetic training or functional re-check
`99070`	Supplies and materials (except spectacles), noncovered items; used to bill miscellaneous supplies	May be used by some payers to report supplies when specific HCPCS supply codes are not accepted alongside `A5114`
`99080`	Additional supplies or services (non-specific administrative code)	Occasionally used for documentation-related charges associated with supply dispensing
`99213`	Office or other outpatient visit for the evaluation and management of an established patient	Common visit level when a clinician documents need and dispenses replacement leg straps

Related Modifiers

5 rows

Modifier	Description	When to Use
22	Modifier –22 (Increased Procedural Services) is used when a reported procedure is substantially more extensive than normally required. The CPT Manual and CMS state it may be appended only when the…	- When to use: Append modifier -22 to a procedural CPT code when the service performed is substantially more extensive than the usual service described by that code — i.e., the procedure required…
52	Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…	- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
53	Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…	- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…
80	CPT® Modifier 80 (Assistant Surgeon) is appended to a surgical CPT code when a physician (MD or DO) provides full, continuous assistance throughout the operative procedure. It is intended only for…	- Use CPT Modifier -80 when a physician (MD or DO) serves as an assistant surgeon and provides full, continuous assistance throughout the entire operative procedure; append -80 to the surgical CPT…
62	Modifier 62 indicates that two surgeons function as co‑surgeons, each performing distinct parts of the same primary surgical procedure. It is appended to the primary procedure code (and any…	- Use modifier -62 when two surgeons act as co‑surgeons (both primary surgeons) on a single definitive primary procedure, each performing distinct parts of the same surgical procedure (append -62 to…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
213E00000X	Podiatrist	A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that l…
207R00000X	Internal Medicine Physician	A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults…
363L00000X	Nurse Practitioner	(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision mak…
225XP0200X	Pediatric Occupational Therapist	Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occup…
237600000X	Audiologist-Hearing Aid Fitter	An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of …
163WX0003X	Inpatient Obstetric Registered Nurse	Nursing Service Providers · Registered Nurse
332G00000X	Eye Bank	An eye bank procures and distributes eyes for transplant, education and research. To promote patient safety, donated eyes and donor medial histories a…
207YS0123X	Facial Plastic Surgery Physician	An otolaryngologist who specializes in facial plastic surgery.

Related ICD-10-CM Codes

27 rows

ICD-10-CM Code	Description
E11.621	Type 2 diabetes mellitus with foot ulcer
E11.9	Type 2 diabetes mellitus without complications
G57.71	Causalgia of right lower limb
G60.9	Hereditary and idiopathic neuropathy, unspecified
I70.211	Atherosclerosis of native arteries of extremities with intermittent claudication, right leg
I73.9	Peripheral vascular disease, unspecified
I83.90	Asymptomatic varicose veins of unspecified lower extremity
L97.909	Non-pressure chronic ulcer of unspecified part of unspecified lower leg with unspecified severity
M17.0	Bilateral primary osteoarthritis of knee
M17.11	Unilateral primary osteoarthritis, right knee

Showing 1–10 of 27

Related Codes

HCPCS-A4206-STERILE-SYRINGE-1CC-NEEDLE

HCPCS A4206: Syringe with Needle, 1 cc or Less, Sterile

HCPCS-A4207-STERILE-2CC-SYRINGE-WITH-NEEDLE

HCPCS Level II A4207: Syringe with Needle, Sterile 2 cc

HCPCS-A4208-STERILE-3CC-SYRINGE-WITH-NEEDLE

HCPCS Level II A4208: Syringe with Needle, Sterile 3 cc

HCPCS-A4209-STERILE-SYRINGE-WITH-NEEDLE-5CC-OR-GREATER

HCPCS Level II A4209: Syringe with Needle, Sterile 5 cc or Greater

HCPCS-A4210-NEEDLE-FREE-INJECTION-DEVICE

HCPCS Level II A4210: Needle-free Injection Device, Each

HCPCS-A4211-SUPPLIES-SELF-ADMINISTERED-INJECTIONS

HCPCS Level II A4211: Supplies for Self-Administered Injections

HCPCS-A4212-NON-CORING-NEEDLE-STYLET-CATHETER-ACCESS-SUPPLY

HCPCS Level II A4212: Non-coring Needle or Stylet with/without Catheter

HCPCS-A4213-STERILE-SYRINGE-20CC-OR-GREATER

HCPCS Level II A4213: Syringe, Sterile, 20 cc or Greater, Each

HCPCS-A4215-STERILE-NEEDLE-SINGLE-EACH

HCPCS Level II A4215: Needle, Sterile, Any Size

HCPCS-A4216-STERILE-DILUENT-FLUSH-10ML

HCPCS Level II A4216: Sterile Diluent/Flush, 10 ml

Showing 1–10 of 633

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

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Clinical & Coding Specifications

Clinical Context

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`97760`	Orthotic(s) management and training, initial encounter	Used when straps are replaced and the patient receives training in application and gait/functional use
`97763`	Prosthetic training, upper and/or lower extremity, initial encounter	Performed when prosthetic strap replacement is part of prosthetic training or functional re-check
`99070`	Supplies and materials (except spectacles), noncovered items; used to bill miscellaneous supplies	May be used by some payers to report supplies when specific HCPCS supply codes are not accepted alongside `A5114`
`99080`	Additional supplies or services (non-specific administrative code)	Occasionally used for documentation-related charges associated with supply dispensing
`99213`	Office or other outpatient visit for the evaluation and management of an established patient	Common visit level when a clinician documents need and dispenses replacement leg straps

Related Modifiers

5 rows

Modifier	Description	When to Use
22	Modifier –22 (Increased Procedural Services) is used when a reported procedure is substantially more extensive than normally required. The CPT Manual and CMS state it may be appended only when the…	- When to use: Append modifier -22 to a procedural CPT code when the service performed is substantially more extensive than the usual service described by that code — i.e., the procedure required…
52	Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…	- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
53	Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…	- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…
80	CPT® Modifier 80 (Assistant Surgeon) is appended to a surgical CPT code when a physician (MD or DO) provides full, continuous assistance throughout the operative procedure. It is intended only for…	- Use CPT Modifier -80 when a physician (MD or DO) serves as an assistant surgeon and provides full, continuous assistance throughout the entire operative procedure; append -80 to the surgical CPT…
62	Modifier 62 indicates that two surgeons function as co‑surgeons, each performing distinct parts of the same primary surgical procedure. It is appended to the primary procedure code (and any…	- Use modifier -62 when two surgeons act as co‑surgeons (both primary surgeons) on a single definitive primary procedure, each performing distinct parts of the same surgical procedure (append -62 to…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
213E00000X	Podiatrist	A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that l…
207R00000X	Internal Medicine Physician	A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults…
363L00000X	Nurse Practitioner	(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision mak…
225XP0200X	Pediatric Occupational Therapist	Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occup…
237600000X	Audiologist-Hearing Aid Fitter	An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of …
163WX0003X	Inpatient Obstetric Registered Nurse	Nursing Service Providers · Registered Nurse
332G00000X	Eye Bank	An eye bank procures and distributes eyes for transplant, education and research. To promote patient safety, donated eyes and donor medial histories a…
207YS0123X	Facial Plastic Surgery Physician	An otolaryngologist who specializes in facial plastic surgery.

Related ICD-10-CM Codes

27 rows

ICD-10-CM Code	Description
E11.621	Type 2 diabetes mellitus with foot ulcer
E11.9	Type 2 diabetes mellitus without complications
G57.71	Causalgia of right lower limb
G60.9	Hereditary and idiopathic neuropathy, unspecified
I70.211	Atherosclerosis of native arteries of extremities with intermittent claudication, right leg
I73.9	Peripheral vascular disease, unspecified
I83.90	Asymptomatic varicose veins of unspecified lower extremity
L97.909	Non-pressure chronic ulcer of unspecified part of unspecified lower leg with unspecified severity
M17.0	Bilateral primary osteoarthritis of knee
M17.11	Unilateral primary osteoarthritis, right knee

Showing 1–10 of 27

Related Codes

HCPCS-A4206-STERILE-SYRINGE-1CC-NEEDLE

HCPCS A4206: Syringe with Needle, 1 cc or Less, Sterile

HCPCS-A4207-STERILE-2CC-SYRINGE-WITH-NEEDLE

HCPCS Level II A4207: Syringe with Needle, Sterile 2 cc

HCPCS-A4208-STERILE-3CC-SYRINGE-WITH-NEEDLE

HCPCS Level II A4208: Syringe with Needle, Sterile 3 cc

HCPCS-A4209-STERILE-SYRINGE-WITH-NEEDLE-5CC-OR-GREATER

HCPCS Level II A4209: Syringe with Needle, Sterile 5 cc or Greater

HCPCS-A4210-NEEDLE-FREE-INJECTION-DEVICE

HCPCS Level II A4210: Needle-free Injection Device, Each

HCPCS-A4211-SUPPLIES-SELF-ADMINISTERED-INJECTIONS

HCPCS Level II A4211: Supplies for Self-Administered Injections

HCPCS-A4212-NON-CORING-NEEDLE-STYLET-CATHETER-ACCESS-SUPPLY

HCPCS Level II A4212: Non-coring Needle or Stylet with/without Catheter

HCPCS-A4213-STERILE-SYRINGE-20CC-OR-GREATER

HCPCS Level II A4213: Syringe, Sterile, 20 cc or Greater, Each

HCPCS-A4215-STERILE-NEEDLE-SINGLE-EACH

HCPCS Level II A4215: Needle, Sterile, Any Size

HCPCS-A4216-STERILE-DILUENT-FLUSH-10ML

HCPCS Level II A4216: Sterile Diluent/Flush, 10 ml

Showing 1–10 of 633

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

HCPCS Level II A5114: Leg Strap, Foam or Fabric, Replacement Only, Per Set

Sign up for hcpcs A5114 policy alerts

HCPCS Level II A5114: Leg Strap, Foam or Fabric, Replacement Only, Per Set

Sign up for hcpcs A5114 policy alerts

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related ICD-10-CM Codes

Related Codes

What does HCPCS code A5114 represent and where is it typically provided?

Who documents the need for A5114 replacement leg straps and what is the typical clinical workflow?

Which CPT or other codes are commonly billed alongside A5114?

What diagnoses are associated with the use of A5114 leg straps?

Which payers are noted as covering A5114 and what payer steps are recommended before dispensing?

References

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related ICD-10-CM Codes

Related Codes

What does HCPCS code A5114 represent and where is it typically provided?

Who documents the need for A5114 replacement leg straps and what is the typical clinical workflow?

Which CPT or other codes are commonly billed alongside A5114?

What diagnoses are associated with the use of A5114 leg straps?

Which payers are noted as covering A5114 and what payer steps are recommended before dispensing?

References