Question 1

What is HCPCS code L5848?

Accepted Answer

HCPCS code L5848 is "Knee-shin sys hydraul stance". Addition to endoskeletal knee-shin system, fluid stance extension, dampening feature, with or without adjustability

Question 2

What category is L5848 in?

Accepted Answer

L5848 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L5848?

Accepted Answer

Use L5848 when billing for knee-shin sys hydraul stance. 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 L5848 covered by Medicare?

Accepted Answer

Coverage for L5848 (Knee-shin sys hydraul stance) 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 L5848?

Accepted Answer

Documentation for L5848 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).