Question 1

What is HCPCS code L5614?

Accepted Answer

HCPCS code L5614 is "4-bar link above knee w/swng". Addition to lower extremity, exoskeletal system, above knee-knee disarticulation, 4 bar linkage, with pneumatic swing phase control

Question 2

What category is L5614 in?

Accepted Answer

L5614 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L5614?

Accepted Answer

Use L5614 when billing for 4-bar link above knee w/swng. 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 L5614 covered by Medicare?

Accepted Answer

Coverage for L5614 (4-bar link above knee w/swng) 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 L5614?

Accepted Answer

Documentation for L5614 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).