HCPCS Level II · Orthotic and prosthetic procedures and devices
L5704Custom shaped protective cover, below knee
✓ Active
Source: CMS HCPCS quarterly update, October 2026. Page updated September 29, 2026.
About L5704
L5704 is an HCPCS Level II code in the L series (orthotic and prosthetic procedures and devices), describing custom shaped protective cover, below knee.
It was added to HCPCS effective 01/01/1994, and its current record took effect 01/01/2002.
Its Medicare coverage code is "C", meaning coverage is left to the Medicare contractor's judgment.
Details
- Short description
- Custom shape cover bk
- Date added
- 01/01/1994
- Action effective
- 01/01/2002
- BETOS
- D1F
Related L57xx codes
- L5700Replacement, socket, below knee, molded to patient model
- L5701Replacement, socket, above knee/knee disarticulation, including attachment plate, molded to patient model
- L5702Replacement, socket, hip disarticulation, including hip joint, molded to patient model
- L5703Ankle, symes, molded to patient model, socket without solid ankle cushion heel (sach) foot, replacement only
- L5705Custom shaped protective cover, above knee
- L5706Custom shaped protective cover, knee disarticulation
- L5707Custom shaped protective cover, hip disarticulation
- L5710Addition, exoskeletal knee-shin system, single axis, manual lock
- L5711Additions exoskeletal knee-shin system, single axis, manual lock, ultra-light material
- L5712Addition, exoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee)
- L5714Addition, exoskeletal knee-shin system, single axis, variable friction swing phase control
- L5716Addition, exoskeletal knee-shin system, polycentric, mechanical stance phase lock
Common questions about L5704
Is HCPCS L5704 still valid?
- Yes. L5704 is active in the CMS October 2026 HCPCS file.
Does Medicare cover L5704?
- Its coverage code is "C": coverage is left to the Medicare contractor's judgment. Check the local coverage determination for your region.