Question 1

What is HCPCS code L6590?

Accepted Answer

HCPCS code L6590 is "Shdr fair lead cable direct". Preparatory, shoulder disarticulation or interscapular thoracic, single wall socket, shoulder joint, locking elbow, friction wrist, chest strap, fair lead cable control, usmc or equal pylon, no cover, direct formed

Question 2

What category is L6590 in?

Accepted Answer

L6590 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L6590?

Accepted Answer

Use L6590 when billing for shdr fair lead cable direct. 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 L6590 covered by Medicare?

Accepted Answer

Coverage for L6590 (Shdr fair lead cable direct) 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 L6590?

Accepted Answer

Documentation for L6590 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).