Item

Code

K Level

Description

AK

ABOVE KNEE PROSTHESIS

AK060

A21560

1, 2

AK prosthesis - endoskeletal CAT 1&2

ea

81256.56

AK080

A21580

3, 4

AK prosthesis endoskeletal CAT 3

ea

88444.58

AK153

A21753

1, 2

Refit AK endoskeletal CAT 1&2

ea

56086.01

AK155

A21755

3, 4

Refit AK endoskeletal CAT 3

ea

69748.49

ADDITIONS TO ABOVE KNEE PROSTHESIS

AK120

A21620

AK test socket - diagnostic

ea

5422.72

TK076

A21076

AK/TK foam cover

ea

9032.59

AK720

A21720

AK/TK - cosmetic stocking

ea

504.80

AK724

A21724

0

AK/TK - flexible inner socket (not Pelite)

ea

9953.90

AK725

A21725

0

AK - laminate shin CRA

ea

5933.51

AK732

A21732

0

AK - laminate thigh CRA

ea

7110.32