Question 1

What is HCPCS code L5984?

Accepted Answer

HCPCS code L5984 is "Endoskeletal axial rotation". All endoskeletal lower extremity prosthesis, axial rotation unit, with or without adjustability

Question 2

What category is L5984 in?

Accepted Answer

L5984 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L5984?

Accepted Answer

Use L5984 when billing for endoskeletal axial rotation. 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 L5984 covered by Medicare?

Accepted Answer

Coverage for L5984 (Endoskeletal axial rotation) 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 L5984?

Accepted Answer

Documentation for L5984 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).