Question 1

What is HCPCS code L5600?

Accepted Answer

HCPCS code L5600 is "Hip disart sach laminat mold". Preparatory, hip disarticulation-hemipelvectomy, pylon, no cover, sach foot, laminated socket, molded to patient model

Question 2

What category is L5600 in?

Accepted Answer

L5600 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L5600?

Accepted Answer

Use L5600 when billing for hip disart sach laminat mold. 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 L5600 covered by Medicare?

Accepted Answer

Coverage for L5600 (Hip disart sach laminat mold) 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 L5600?

Accepted Answer

Documentation for L5600 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).