HCPCS Level II code L5020 describes a partial foot prosthetic socket that is molded to accommodate the tibial tubercle height and includes a toe filler; this is a prosthetic device service used to fabricate a customized partial foot socket for patients with transmetatarsal or similar partial foot amputation, typically provided by a prosthetics/durable medical equipment supplier in an outpatient clinic or prosthetics lab setting.

For related coverage guidance, see recent payer policy updates: Clinical Review Criteria — Lymphedema Therapy and Training (Complete Decongestive Therapy; LVA), Therapy Services — Electric Stimulation for Pain, Swelling and Function in a Clinic Setting, Site of Care: Outpatient Hospital Setting for Physical and Occupational Therapy.