HCPCS Level II 1988 code changes

Added effective January 1, 1988 (163)

• B4178 — Parenteral nutrition solution: amino acid, greater than 8.5% (500 ml = 1 unit) - home mix
• B4189 — Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix
• B4193 — Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix
• B4197 — Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix
• B4199 — Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, over 100 grams of protein - premix
• B5000 — Parenteral nutrition solution compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, renal-aminosyn-rf, nephramine, renamine-premix
• B5100 — Parenteral nutrition solution compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, hepatic, hepatamine-premix
• B5200 — Parenteral nutrition solution compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, stress-branch chain amino acids-freamine-hbc-premix
• B9000 — Enteral nutrition infusion pump - without alarm
• B9002 — Enteral nutrition infusion pump, any type
• B9004 — Parenteral nutrition infusion pump, portable
• B9006 — Parenteral nutrition infusion pump, stationary
• E0601 — Continuous positive airway pressure (cpap) device
• E0651 — Pneumatic compressor, segmental home model without calibrated gradient pressure
• E0652 — Pneumatic compressor, segmental home model with calibrated gradient pressure
• E0667 — Segmental pneumatic appliance for use with pneumatic compressor, full leg
• E0668 — Segmental pneumatic appliance for use with pneumatic compressor, full arm
• E1405 — Oxygen and water vapor enriching system with heated delivery
• E1406 — Oxygen and water vapor enriching system without heated delivery
• J7500 — Azathioprine, oral, 50 mg
• J7501 — Azathioprine, parenteral, 100 mg
• J7504 — Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg
• J7505 — Muromonab-cd3, parenteral, 5 mg
• J9165 — Injection, diethylstilbestrol diphosphate, 250 mg
• L0172 — Cervical, collar, semi-rigid thermoplastic foam, two-piece, prefabricated, off-the-shelf
• L0174 — Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf
• L1025 — Addition to ctlso or scoliosis orthosis, kyphosis pad, floating
• L1085 — Addition to ctlso or scoliosis orthosis, outrigger, bilateral with vertical extensions
• L1240 — Addition to tlso, (low profile), lumbar derotation pad
• L1250 — Addition to tlso, (low profile), anterior asis pad
• L1260 — Addition to tlso, (low profile), anterior thoracic derotation pad
• L1270 — Addition to tlso, (low profile), abdominal pad
• L1280 — Addition to tlso, (low profile), rib gusset (elastic), each
• L1290 — Addition to tlso, (low profile), lateral trochanteric pad
• L1685 — Hip orthosis, abduction control of hip joint, postoperative hip abduction type, custom fabricated
• L1755 — Legg perthes orthosis, (patten bottom type), custom fabricated
• L1845 — Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
• L1846 — Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, custom fabricated
• L1902 — Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf
• L1904 — Ankle orthosis, ankle gauntlet or similar, with or without joints, custom fabricated
• L1906 — Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf
• L2036 — Knee ankle foot orthosis, full plastic, double upright, with or without free motion knee, with or without free motion ankle, custom fabricated
• L2106 — Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, thermoplastic type casting material, custom fabricated
• L2108 — Ankle foot orthosis, fracture orthosis, tibial fracture cast orthosis, custom fabricated
• L2112 — Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, soft, prefabricated, includes fitting and adjustment
• L2114 — Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, semi-rigid, prefabricated, includes fitting and adjustment
• L2116 — Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, rigid, prefabricated, includes fitting and adjustment
• L2126 — Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, thermoplastic type casting material, custom fabricated
• L2128 — Knee ankle foot orthosis, fracture orthosis, femoral fracture cast orthosis, custom fabricated
• L2132 — Kafo, fracture orthosis, femoral fracture cast orthosis, soft, prefabricated, includes fitting and adjustment
• L2134 — Kafo, fracture orthosis, femoral fracture cast orthosis, semi-rigid, prefabricated, includes fitting and adjustment
• L2136 — Kafo, fracture orthosis, femoral fracture cast orthosis, rigid, prefabricated, includes fitting and adjustment
• L2180 — Addition to lower extremity fracture orthosis, plastic shoe insert with ankle joints
• L2182 — Addition to lower extremity fracture orthosis, drop lock knee joint
• L2184 — Addition to lower extremity fracture orthosis, limited motion knee joint
• L2186 — Addition to lower extremity fracture orthosis, adjustable motion knee joint, lerman type
• L2188 — Addition to lower extremity fracture orthosis, quadrilateral brim
• L2190 — Addition to lower extremity fracture orthosis, waist belt
• L2192 — Addition to lower extremity fracture orthosis, hip joint, pelvic band, thigh flange, and pelvic belt
• L2335 — Addition to lower extremity, anterior swing band
• L2370 — Addition to lower extremity, patten bottom
• L2375 — Addition to lower extremity, torsion control, ankle joint and half solid stirrup
• L2380 — Addition to lower extremity, torsion control, straight knee joint, each joint
• L2385 — Addition to lower extremity, straight knee joint, heavy duty, each joint
• L2390 — Addition to lower extremity, offset knee joint, each joint
• L2395 — Addition to lower extremity, offset knee joint, heavy duty, each joint
• L2405 — Addition to knee joint, drop lock, each
• L2415 — Addition to knee lock with integrated release mechanism (bail, cable, or equal), any material, each joint
• L2425 — Addition to knee joint, disc or dial lock for adjustable knee flexion, each joint
• L2492 — Addition to knee joint, lift loop for drop lock ring
• L2622 — Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each
• L2624 — Addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction control, each
• L2785 — Addition to lower extremity orthosis, drop lock retainer, each
• L2795 — Addition to lower extremity orthosis, knee control, full kneecap
• L2800 — Addition to lower extremity orthosis, knee control, knee cap, medial or lateral pull, for use with custom fabricated orthosis only
• L2810 — Addition to lower extremity orthosis, knee control, condylar pad
• L2820 — Addition to lower extremity orthosis, soft interface for molded plastic, below knee section
• L2830 — Addition to lower extremity orthosis, soft interface for molded plastic, above knee section
• L3257 — Orthopedic footwear, additional charge for split size
• L4045 — Replace non-molded thigh lacer, for custom fabricated orthosis only
• L4055 — Replace non-molded calf lacer, for custom fabricated orthosis only
• L5585 — Preparatory, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, prefabricated adjustable open end socket
• L5643 — Addition to lower extremity, hip disarticulation, flexible inner socket, external frame
• L5645 — Addition to lower extremity, below knee, flexible inner socket, external frame
• L5647 — Addition to lower extremity, below knee suction socket
• L5649 — Addition to lower extremity, ischial containment/narrow m-l socket
• L5651 — Addition to lower extremity, above knee, flexible inner socket, external frame
• L5661 — Addition to lower extremity, socket insert, multi-durometer symes
• L5665 — Addition to lower extremity, socket insert, multi-durometer, below knee
• L5677 — Additions to lower extremity, below knee, knee joints, polycentric, pair
• L5711 — Additions exoskeletal knee-shin system, single axis, manual lock, ultra-light material
• L5785 — Addition, exoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal)
• L5790 — Addition, exoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal)
• L5795 — Addition, exoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal)
• L5810 — Addition, endoskeletal knee-shin system, single axis, manual lock
• L5811 — Addition, endoskeletal knee-shin system, single axis, manual lock, ultra-light material
• L5812 — Addition, endoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee)
• L5816 — Addition, endoskeletal knee-shin system, polycentric, mechanical stance phase lock
• L5818 — Addition, endoskeletal knee-shin system, polycentric, friction swing, and stance phase control
• L5822 — Addition, endoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control
• L5824 — Addition, endoskeletal knee-shin system, single axis, fluid swing phase control
• L5828 — Addition, endoskeletal knee-shin system, single axis, fluid swing and stance phase control
• L5830 — Addition, endoskeletal knee-shin system, single axis, pneumatic/ swing phase control
• L5850 — Addition, endoskeletal system, above knee or hip disarticulation, knee extension assist
• L5910 — Addition, endoskeletal system, below knee, alignable system
• L5920 — Addition, endoskeletal system, above knee or hip disarticulation, alignable system
• L5940 — Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal)
• L5950 — Addition, endoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal)
• L5960 — Addition, endoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal)
• L6055 — Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad
• L6205 — Elbow disarticulation, molded socket with expandable interface, outside locking hinges, forearm
• L6380 — Immediate post surgical or early fitting, application of initial rigid dressing, including fitting alignment and suspension of components, and one cast change, wrist disarticulation or below elbow
• L6382 — Immediate post surgical or early fitting, application of initial rigid dressing including fitting alignment and suspension of components, and one cast change, elbow disarticulation or above elbow
• L6384 — Immediate post surgical or early fitting, application of initial rigid dressing including fitting alignment and suspension of components, and one cast change, shoulder disarticulation or interscapular thoracic
• L6386 — Immediate post surgical or early fitting, each additional cast change and realignment
• L6388 — Immediate post surgical or early fitting, application of rigid dressing only
• L6580 — Preparatory, wrist disarticulation or below elbow, single wall plastic socket, friction wrist, flexible elbow hinges, figure of eight harness, humeral cuff, bowden cable control, usmc or equal pylon, no cover, molded to patient model
• L6582 — Preparatory, wrist disarticulation or below elbow, single wall socket, friction wrist, flexible elbow hinges, figure of eight harness, humeral cuff, bowden cable control, usmc or equal pylon, no cover, direct formed
• L6584 — Preparatory, elbow disarticulation or above elbow, single wall plastic socket, friction wrist, locking elbow, figure of eight harness, fair lead cable control, usmc or equal pylon, no cover, molded to patient model
• L6586 — Preparatory, elbow disarticulation or above elbow, single wall socket, friction wrist, locking elbow, figure of eight harness, fair lead cable control, usmc or equal pylon, no cover, direct formed
• L6588 — Preparatory, shoulder disarticulation or interscapular thoracic, single wall plastic socket, shoulder joint, locking elbow, friction wrist, chest strap, fair lead cable control, usmc or equal pylon, no cover, molded to patient model
• L6590 — Preparatory, shoulder disarticulation or interscapular thoracic, single wall socket, shoulder joint, locking elbow, friction wrist, chest strap, fair lead cable control, usmc or equal pylon, no cover, direct formed
• L6623 — Upper extremity addition, spring assisted rotational wrist unit with latch release
• L6628 — Upper extremity addition, quick disconnect hook adapter, otto bock or equal
• L6629 — Upper extremity addition, quick disconnect lamination collar with coupling piece, otto bock or equal
• L6632 — Upper extremity addition, latex suspension sleeve, each
• L6637 — Upper extremity addition, nudge control elbow lock
• L6641 — Upper extremity addition, excursion amplifier, pulley type
• L6642 — Upper extremity addition, excursion amplifier, lever type
• L6686 — Upper extremity addition, suction socket
• L6687 — Upper extremity addition, frame type socket, below elbow or wrist disarticulation
• L6688 — Upper extremity addition, frame type socket, above elbow or elbow disarticulation
• L6689 — Upper extremity addition, frame type socket, shoulder disarticulation
• L6690 — Upper extremity addition, frame type socket, interscapular-thoracic
• L6691 — Upper extremity addition, removable insert, each
• L6810 — Addition to terminal device, precision pinch device
• L6920 — Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, otto bock or equal, switch, cables, two batteries and one charger, switch control of terminal device
• L6925 — Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device
• L6930 — Below elbow, external power, self-suspended inner socket, removable forearm shell, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device
• L6935 — Below elbow, external power, self-suspended inner socket, removable forearm shell, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device
• L6940 — Elbow disarticulation, external power, molded inner socket, removable humeral shell, outside locking hinges, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device
• L6945 — Elbow disarticulation, external power, molded inner socket, removable humeral shell, outside locking hinges, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device
• L6950 — Above elbow, external power, molded inner socket, removable humeral shell, internal locking elbow, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device
• L6955 — Above elbow, external power, molded inner socket, removable humeral shell, internal locking elbow, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device
• L6960 — Shoulder disarticulation, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device
• L6965 — Shoulder disarticulation, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device
• L6970 — Interscapular-thoracic, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device
• L6975 — Interscapular-thoracic, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device
• L7040 — Prehensile actuator, switch controlled
• L7045 — Electric hook, switch or myoelectric controlled, pediatric
• L7170 — Electronic elbow, hosmer or equal, switch controlled
• L7180 — Electronic elbow, microprocessor sequential control of elbow and terminal device
• L7185 — Electronic elbow, adolescent, variety village or equal, switch controlled
• L7190 — Electronic elbow, adolescent, variety village or equal, myoelectronically controlled
• L7260 — Electronic wrist rotator, otto bock or equal
• L7261 — Electronic wrist rotator, for utah arm
• L7360 — Six volt battery, each
• L7362 — Battery charger, six volt, each
• L7364 — Twelve volt battery, each
• L7366 — Battery charger, twelve volt, each
• L8415 — Prosthetic sheath, upper limb, each
• L8435 — Prosthetic sock, multiple ply, upper limb, each
• L8465 — Prosthetic shrinker, upper limb, each