Question 1

What is HCPCS code L5590?

Accepted Answer

HCPCS code L5590 is "Prep ak ischial laminated". Preparatory, above knee - knee disarticulation ischial level socket, non-alignable system, pylon no cover, sach foot, laminated socket, molded to model

Question 2

What category is L5590 in?

Accepted Answer

L5590 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L5590?

Accepted Answer

Use L5590 when billing for prep ak ischial laminated. 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 L5590 covered by Medicare?

Accepted Answer

Coverage for L5590 (Prep ak ischial laminated) 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 L5590?

Accepted Answer

Documentation for L5590 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).