Below-knee prosthesis with its foot (endoskeletal)

EMDN Y062409 · HCPCS L5301 · LPP 2734031

Socket, shin and basic foot of an endoskeletal transtibial prosthesis.

EMDN code Y062409: TRANSTIBIAL PROSTHESES (FOR AMPUTATION UNDER KNEE) [1].

Summary by system, in euros at the ECB rate of 9 October 2026 [2]
SystemComparabilityTotalIn euros
France Close match €1,675.01 €1,675.01
United States Close match US$3,299.01 €2,943.97
AustraliaNo code

France

Close match. PI06ZSC33 is a base endoskeletal prosthesis for leg amputation with a suspension socket in laminated resin and an articulated foot. Source [3].

  1. 2734031 1 × €1,675.01 Reimbursement tariff, also the maximum price

    PI06ZSC33

    Full LPP designation, in French

    PI06ZSC33 Avec emboîture en résines stratifiées.

    LPP tariff (tarif de responsabilité), which is also the maximum sale price

United States

Close match. L5301 includes a SACH (solid ankle, cushion heel) foot. Source [4][5].

  1. L5301 1 × US$3,299.01 Reimbursement tariff

    Below knee, molded socket, shin, sach foot, endoskeletal system

    Median of 53 states, US$2,810.90 to US$4,330.82

    Medicare fee schedule amount; Medicare pays 80% of the lower of the actual charge and this amount

Show the amount in each state (L5301)
StateNon-ruralRural
AKUS$3,983.69
ALUS$3,367.55
ARUS$3,376.36
AZUS$3,731.84
CAUS$3,731.84
COUS$2,834.07
CTUS$3,003.12
DCUS$2,810.90
DEUS$2,810.90
FLUS$3,367.55
GAUS$3,367.55
HIUS$4,314.60
IAUS$3,185.00
IDUS$3,429.81
ILUS$3,299.01
INUS$3,299.01
KSUS$3,185.00
KYUS$3,367.55
LAUS$3,376.36
MAUS$3,003.12
MDUS$2,810.90
MEUS$3,003.12
MIUS$3,299.01
MNUS$3,299.01
MOUS$3,185.00
MSUS$3,367.55
MTUS$2,834.07
NCUS$3,367.55
NDUS$2,834.07
NEUS$3,185.00
NHUS$3,003.12
NJUS$2,810.90
NMUS$3,376.36
NVUS$3,731.84
NYUS$2,810.90
OHUS$3,299.01
OKUS$3,376.36
ORUS$3,429.81
PAUS$2,810.90
PRUS$4,330.82
RIUS$3,003.12
SCUS$3,367.55
SDUS$2,834.07
TNUS$3,367.55
TXUS$3,376.36
UTUS$2,834.07
VAUS$2,810.90
VIUS$2,810.90
VTUS$3,003.12
WAUS$3,429.81
WIUS$3,299.01
WVUS$2,810.90
WYUS$2,834.07

Australia

The Prescribed List covers devices used or implanted as part of hospital treatment. The Department of Health states that external devices, like prosthetic limbs, are not eligible to be listed. [6]

References

  1. European Commission. European Medical Device Nomenclature (EMDN), version 2026 [Internet]. Brussels: European Commission; 2026 [cited 2026 Oct 9]. Available from: https://webgate.ec.europa.eu/dyna2/emdn/
  2. European Central Bank. Euro foreign exchange reference rates, 9 October 2026 [Internet]. Frankfurt am Main: ECB; 2026 [cited 2026 Oct 9]. Available from: https://www.ecb.europa.eu/stats/policy_and_exchange_rates/euro_reference_exchange_rates/html/index.en.html
  3. Assurance Maladie. Liste des produits et prestations (LPP), version 905 [Internet]. Paris: Caisse nationale de l'assurance maladie; 2026 [updated 2026 Oct 8; cited 2026 Oct 9]. Available from: http://www.codage.ext.cnamts.fr/codif/tips/index.php?p_site=AMELI
  4. Centers for Medicare & Medicaid Services. DMEPOS fee schedule, October 2026 (DME26-D) [Internet]. Baltimore (MD): CMS; 2026 [cited 2026 Oct 9]. Available from: https://www.cms.gov/medicare/payment/fee-schedules/dmepos/dmepos-fee-schedule/dme26-d
  5. Centers for Medicare & Medicaid Services. October 2026 alpha-numeric HCPCS file [Internet]. Baltimore (MD): CMS; 2026 [cited 2026 Oct 9]. Available from: https://www.cms.gov/medicare/coding-billing/healthcare-common-procedure-system/quarterly-update
  6. Department of Health, Disability and Ageing. Medical devices and human tissue products covered under private health insurance [Internet]. Canberra: Australian Government; [updated 2025 Mar 13; cited 2026 Oct 9]. Available from: https://www.health.gov.au/topics/private-health-insurance/what-private-health-insurance-covers/medical-devices-and-human-tissue-products-covered-under-private-health-insurance