Question 1

What is HCPCS code L5712?

Accepted Answer

HCPCS code L5712 is "Knee-shin exo frict swg & st". Addition, exoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee)

Question 2

What category is L5712 in?

Accepted Answer

L5712 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L5712?

Accepted Answer

Use L5712 when billing for knee-shin exo frict swg & st. 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 L5712 covered by Medicare?

Accepted Answer

Coverage for L5712 (Knee-shin exo frict swg & st) 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 L5712?

Accepted Answer

Documentation for L5712 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).