HCPCS Level II
HCPCS Code L5681
Addition to lower extremity, below knee/above knee, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code l5673 or l5679)
Source: CMS 2026 Physician Fee ScheduleEffective Reviewed by the D3rx Clinical Billing Team
2026 Medicare pricing
HCPCS L5681 is not priced under the Medicare Physician Fee Schedule. Drugs and biologicals are typically reimbursed under Average Sales Price (ASP) methodology rather than RVU-based PFS pricing.
Related HCPCS Level II codes
Medical billing disclaimer
Rates shown are 2026 Physician Fee Schedule amounts and are for educational reference. Commercial payers, locality, and plan rules vary. Always verify current rates and coverage with the payer before billing. D3rx is not responsible for claim outcomes.