Question 1

What is HCPCS code L5676?

Accepted Answer

HCPCS code L5676 is "Bk knee joints single axis p". Additions to lower extremity, below knee, knee joints, single axis, pair

Question 2

What category is L5676 in?

Accepted Answer

L5676 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L5676?

Accepted Answer

Use L5676 when billing for bk knee joints single axis p. 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 L5676 covered by Medicare?

Accepted Answer

Coverage for L5676 (Bk knee joints single axis p) 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 L5676?

Accepted Answer

Documentation for L5676 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).