| Label | Id | |
|---|---|---|
| Truss add to std pad scrotal | DEVI:HCPCS | |
| Prosthetic sheath, below knee, each | DEVI:HCPCS | |
| Sheath below knee | DEVI:HCPCS | |
| Prosthetic sheath, above knee, each | DEVI:HCPCS | |
| Sheath above knee | DEVI:HCPCS | |
| Prosthetic sheath, upper limb, each | DEVI:HCPCS | |
| Sheath upper limb | DEVI:HCPCS | |
| Prosthetic sheath/sock, including a gel cushion layer, below knee or above knee, each | DEVI:HCPCS | |
| Pros sheath/sock w gel cushn | DEVI:HCPCS | |
| Prosthetic shrinker, below knee, each | DEVI:HCPCS | |
| Shrinker below knee | DEVI:HCPCS | |
| Prosthetic shrinker, above knee, each | DEVI:HCPCS | |
| Shrinker above knee | DEVI:HCPCS | |
| Prosthetic shrinker, upper limb, each | DEVI:HCPCS | |
| Shrinker upper limb | DEVI:HCPCS |