Question 1

What is HCPCS code L5611?

Accepted Answer

HCPCS code L5611 is "Ak 4 bar link w/fric swing". Addition to lower extremity, endoskeletal system, above knee - knee disarticulation, 4 bar linkage, with friction swing phase control

Question 2

What category is L5611 in?

Accepted Answer

L5611 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L5611?

Accepted Answer

Use L5611 when billing for ak 4 bar link w/fric swing. 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 L5611 covered by Medicare?

Accepted Answer

Coverage for L5611 (Ak 4 bar link w/fric swing) 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 L5611?

Accepted Answer

Documentation for L5611 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).