Question 1

What is HCPCS code L6648?

Accepted Answer

HCPCS code L6648 is "Ext pwrd shlder lock/unlock". Upper extremity addition, shoulder lock mechanism, external powered actuator

Question 2

What category is L6648 in?

Accepted Answer

L6648 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L6648?

Accepted Answer

Use L6648 when billing for ext pwrd shlder lock/unlock. 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 L6648 covered by Medicare?

Accepted Answer

Coverage for L6648 (Ext pwrd shlder lock/unlock) 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 L6648?

Accepted Answer

Documentation for L6648 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).