HCPCS L5992: Lower Extremity Prosthesis Foot Shell (SACH) Replacement
HCPCS Level II code L5992 describes an all lower extremity prosthesis foot shell used specifically for replacement of a modular foot/non-solid ankle cushion heel (SACH) component; the service is the provision of a prosthetic foot shell component typically supplied as durable medical equipment for use with a lower-limb prosthesis, with the typical site of service being outpatient prosthetics clinics, orthotics and prosthetics (O&P) shops, or other ambulatory care settings where prosthetic devices are fitted and dispensed.
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.
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