Question 1

What is HCPCS code L5783?

Accepted Answer

HCPCS code L5783 is "Add low ext mec limb vol lam". Addition to lower extremity, user adjustable, mechanical, residual limb volume management system (with or without lamination kit)

Question 2

What category is L5783 in?

Accepted Answer

L5783 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L5783?

Accepted Answer

Use L5783 when billing for add low ext mec limb vol lam. 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 L5783 covered by Medicare?

Accepted Answer

Coverage for L5783 (Add low ext mec limb vol lam) 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 L5783?

Accepted Answer

Documentation for L5783 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).