L5926 — Addition to lower extremity prosthesis, endoskeletal, knee disarticulation, above knee, hip disarticulation, positional rotation unit, any type
L5926 is a HCPCS Level II code for addition to lower extremity prosthesis, endoskeletal, knee disarticulation, above knee, hip disarticulation, positional rotation unit, any type. It belongs to the Orthotic and Prosthetic Procedures and Devices section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Carrier judgment
Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
The CMS record for L5926
- Long descriptor
- Addition to lower extremity prosthesis, endoskeletal, knee disarticulation, above knee, hip disarticulation, positional rotation unit, any type
- Short descriptor
- Endoskel posit rotat unit
- Added
- January 1, 2024
- BETOS
- D1F
- Pricing indicator
- 38 — DMEPOS
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Orthotics, prosthetics, prosthetic devices and vision services. Price subject to floors and ceilings.
Codes adjacent to L5926
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If L5926 is not quite right, the correct code is very often within a few positions of it.
- L5855Addition, endoskeletal system, hip disarticulation, mechanical hip extension assist
- L5856Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type
- L5857Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing phase only, includes electronic sensor(s), any type
- L5858Addition to lower extremity prosthesis, endoskeletal knee shin system, microprocessor control feature, stance phase only, includes electronic sensor(s), any type
- L5859Addition to lower extremity prosthesis, endoskeletal knee-shin system, powered and programmable flexion/extension assist control, includes any type motor(s)
- L5910Addition, endoskeletal system, below knee, alignable system
- L5920Addition, endoskeletal system, above knee or hip disarticulation, alignable system
- L5925Addition, endoskeletal system, above knee, knee disarticulation or hip disarticulation, manual lock
- L5930Addition, endoskeletal system, high activity knee control frame
- L5940Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal)
- L5950Addition, endoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal)
- L5960Addition, endoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal)
- L5961Addition, endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control
- L5962Addition, endoskeletal system, below knee, flexible protective outer surface covering system
- L5964Addition, endoskeletal system, above knee, flexible protective outer surface covering system
- L5966Addition, endoskeletal system, hip disarticulation, flexible protective outer surface covering system
Questions about L5926
What is HCPCS code L5926?
L5926 is a HCPCS Level II code for addition to lower extremity prosthesis, endoskeletal, knee disarticulation, above knee, hip disarticulation, positional rotation unit, any type. It sits in the Orthotic and Prosthetic Procedures and Devices section.
Does Medicare cover L5926?
The CMS HCPCS file marks L5926 as "Carrier judgment". Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.