Question 1

What is HCPCS code L2006?

Accepted Answer

HCPCS code L2006 is "Kaf sng/dbl swg/stn mcpr cus". Knee ankle foot device, any material, single or double upright, swing and stance phase microprocessor control with adjustability, includes all components (e.g., sensors, batteries, charger), any type activation, with or without ankle joint(s), custom fabricated

Question 2

What category is L2006 in?

Accepted Answer

L2006 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L2006?

Accepted Answer

Use L2006 when billing for kaf sng/dbl swg/stn mcpr cus. HCPCS Level II codes like this are used for items and services not covered by CPT codes, including medical supplies, equipment, drugs administered in clinical settings, and certain healthcare services.

Question 4

Is L2006 covered by Medicare?

Accepted Answer

Coverage for L2006 (Kaf sng/dbl swg/stn mcpr cus) depends on medical necessity and specific Medicare guidelines. Check the applicable Local Coverage Determination (LCD) or National Coverage Determination (NCD) for detailed coverage criteria. Private insurers may have different coverage policies.

Question 5

What documentation is required for L2006?

Accepted Answer

Documentation for L2006 should include: the medical necessity for the item or service, supporting diagnosis codes (ICD-10), prescription or order from the treating physician, and proof that the item meets quality standards. Some items may require additional documentation like a Certificate of Medical Necessity (CMN).