Question 1

What is HCPCS code L5657?

Accepted Answer

HCPCS code L5657 is "Add low ext man aut vol any". Addition to lower extremity prosthesis, manual/automated adjustable air, fluid, gel or equal socket insert for limb volume management, any materials

Question 2

What category is L5657 in?

Accepted Answer

L5657 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L5657?

Accepted Answer

Use L5657 when billing for add low ext man aut vol any. 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 L5657 covered by Medicare?

Accepted Answer

Coverage for L5657 (Add low ext man aut vol any) 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 L5657?

Accepted Answer

Documentation for L5657 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).