Question 1

What is HCPCS code L6586?

Accepted Answer

HCPCS code L6586 is "Elbow fair lead cable dir fo". Preparatory, elbow disarticulation or above elbow, single wall socket, friction wrist, locking elbow, figure of eight harness, fair lead cable control, usmc or equal pylon, no cover, direct formed

Question 2

What category is L6586 in?

Accepted Answer

L6586 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L6586?

Accepted Answer

Use L6586 when billing for elbow fair lead cable dir fo. 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 L6586 covered by Medicare?

Accepted Answer

Coverage for L6586 (Elbow fair lead cable dir fo) 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 L6586?

Accepted Answer

Documentation for L6586 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).