Question 1

What is HCPCS code L5341?

Accepted Answer

HCPCS code L5341 is "Hemipelvectomy canadian sach". Hemipelvectomy, canadian type, molded socket, endoskeletal system, hip joint, single axis knee, sach foot

Question 2

What category is L5341 in?

Accepted Answer

L5341 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L5341?

Accepted Answer

Use L5341 when billing for hemipelvectomy canadian sach. 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 L5341 covered by Medicare?

Accepted Answer

Coverage for L5341 (Hemipelvectomy canadian sach) 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 L5341?

Accepted Answer

Documentation for L5341 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).