Question 1

What is HCPCS code L6580?

Accepted Answer

HCPCS code L6580 is "Wrist/elbow bowden cable mol". Preparatory, wrist disarticulation or below elbow, single wall plastic socket, friction wrist, flexible elbow hinges, figure of eight harness, humeral cuff, bowden cable control, usmc or equal pylon, no cover, molded to patient model

Question 2

What category is L6580 in?

Accepted Answer

L6580 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L6580?

Accepted Answer

Use L6580 when billing for wrist/elbow bowden cable mol. 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 L6580 covered by Medicare?

Accepted Answer

Coverage for L6580 (Wrist/elbow bowden cable mol) 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 L6580?

Accepted Answer

Documentation for L6580 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).