Question 1

What is HCPCS code L5973?

Accepted Answer

HCPCS code L5973 is "Ank-foot sys dors-plant flex". Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source

Question 2

What category is L5973 in?

Accepted Answer

L5973 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L5973?

Accepted Answer

Use L5973 when billing for ank-foot sys dors-plant flex. 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 L5973 covered by Medicare?

Accepted Answer

Coverage for L5973 (Ank-foot sys dors-plant flex) 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 L5973?

Accepted Answer

Documentation for L5973 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).