Question 1

What is HCPCS code L5270?

Accepted Answer

HCPCS code L5270 is "Tilt table locking hip sing". Hip disarticulation, tilt table type; molded socket, locking hip joint, single axis constant friction knee, shin, sach foot

Question 2

What category is L5270 in?

Accepted Answer

L5270 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L5270?

Accepted Answer

Use L5270 when billing for tilt table locking hip sing. 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 L5270 covered by Medicare?

Accepted Answer

Coverage for L5270 (Tilt table locking hip sing) 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 L5270?

Accepted Answer

Documentation for L5270 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).