Above knee

Congenital absence, surgical revision or traumatic amputation of lower extremity or hip

Ankle

Below knee

Hemipelvectomy

Hip disarticulation

Immediate postsurgical

Partial foot or foot

Preparatory/temporary prosthesis

Above elbow

Congenital absence, surgical revision, or traumatic amputation of upper extremity or shoulder

Below elbow

Elbow disarticulation

Immediate postsurgical

Preparatory or temporary prosthesis

Partial hand

Shoulder disarticulation

Wrist disarticulation

Myoelectric prostheses (benefit only with physician justification)

Bilateral shoulder disarticulation