Question 1

What is HCPCS code L6038?

Accepted Answer

HCPCS code L6038 is "Multiax rotation attachment". Addition to single prosthetic digit or thumb, mechanical, attachment, multiaxial and/or internal/external rotation/abduction/adduction mechanism, with or without locking feature, any material

Question 2

What category is L6038 in?

Accepted Answer

L6038 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L6038?

Accepted Answer

Use L6038 when billing for multiax rotation attachment. 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 L6038 covered by Medicare?

Accepted Answer

Coverage for L6038 (Multiax rotation attachment) 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 L6038?

Accepted Answer

Documentation for L6038 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).