Question 1

What is HCPCS code L6610?

Accepted Answer

HCPCS code L6610 is "Flexible metal hinge pair". Upper extremity additions, flexible metal hinge, pair

Question 2

What category is L6610 in?

Accepted Answer

L6610 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L6610?

Accepted Answer

Use L6610 when billing for flexible metal hinge pair. 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 L6610 covered by Medicare?

Accepted Answer

Coverage for L6610 (Flexible metal hinge pair) 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 L6610?

Accepted Answer

Documentation for L6610 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).