Browse HCPCS Level II 2020 Edition

L2500 - L2550  Additions: Thigh/Weight Bearing - Gluteal/Ischial Weight Bearing

L2500 Addition to lower extremity, thigh/weight bearing, gluteal/ ischial weight bearing, ring short Thi/glut/ischia wgt bearing MUE Location Value Ajudication Indicator Rationale PRA 0.0 3 Date of Service Edit: Clinical CMS Policy OPH 2.0 2 Date of Service Edit: Policy Anatomic Consideration DME 2.0 2 Date of Service Edit: Policy Anatomic Consideration

L2510 Addition to lower extremity, thigh/weight bearing, quadri- lateral brim, molded to patient model short Th/wght bear quad-lat brim m MUE Location Value Ajudication Indicator Rationale PRA 0.0 3 Date of Service Edit: Clinical CMS Policy OPH 2.0 2 Date of Service Edit: Policy Anatomic Consideration DME 2.0 2 Date of Service Edit: Policy Anatomic Consideration

L2520 Addition to lower extremity, thigh/weight bearing, quadri- lateral brim, custom fitted short Th/wght bear quad-lat brim c MUE Location Value Ajudication Indicator Rationale PRA 0.0 3 Date of Service Edit: Clinical CMS Policy OPH 2.0 2 Date of Service Edit: Policy Anatomic Consideration DME 2.0 2 Date of Service Edit: Policy Anatomic Consideration

L2525 Addition to lower extremity, thigh/weight bearing, ischial containment/narrow m-l brim molded to patient model short Th/wght bear nar m-l brim mo MUE Location Value Ajudication Indicator Rationale PRA 0.0 3 Date of Service Edit: Clinical CMS Policy OPH 2.0 2 Date of Service Edit: Policy Anatomic Consideration DME 2.0 2 Date of Service Edit: Policy Anatomic Consideration

L2526 Addition to lower extremity, thigh/weight bearing, ischial containment/narrow m-l brim, custom fitted short Th/wght bear nar m-l brim cu MUE Location Value Ajudication Indicator Rationale PRA 0.0 3 Date of Service Edit: Clinical CMS Policy OPH 2.0 2 Date of Service Edit: Policy Anatomic Consideration DME 2.0 2 Date of Service Edit: Policy Anatomic Consideration

L2530 Addition to lower extremity, thigh-weight bearing, lacer, non-molded short Thigh/wght bear lacer non-mo MUE Location Value Ajudication Indicator Rationale PRA 0.0 3 Date of Service Edit: Clinical CMS Policy OPH 2.0 2 Date of Service Edit: Policy Anatomic Consideration DME 2.0 2 Date of Service Edit: Policy Anatomic Consideration

L2540 Addition to lower extremity, thigh/weight bearing, lacer, molded to patient model short Thigh/wght bear lacer molded MUE Location Value Ajudication Indicator Rationale PRA 0.0 3 Date of Service Edit: Clinical CMS Policy OPH 2.0 2 Date of Service Edit: Policy Anatomic Consideration DME 2.0 2 Date of Service Edit: Policy Anatomic Consideration

L2550 Addition to lower extremity, thigh/weight bearing, high roll cuff short Thigh/wght bear high roll cu MUE Location Value Ajudication Indicator Rationale PRA 0.0 3 Date of Service Edit: Clinical CMS Policy OPH 2.0 2 Date of Service Edit: Policy Anatomic Consideration DME 2.0 2 Date of Service Edit: Policy Anatomic Consideration