Question 1

What is HCPCS code L5060?

Accepted Answer

HCPCS code L5060 is "Symes met fr leath socket ar". Ankle, symes, metal frame, molded leather socket, articulated ankle/foot

Question 2

What category is L5060 in?

Accepted Answer

L5060 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L5060?

Accepted Answer

Use L5060 when billing for symes met fr leath socket ar. 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 L5060 covered by Medicare?

Accepted Answer

Coverage for L5060 (Symes met fr leath socket ar) 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 L5060?

Accepted Answer

Documentation for L5060 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).