Question 1

What is HCPCS code L6665?

Accepted Answer

HCPCS code L6665 is "Teflon or equal cable lining". Upper extremity addition, teflon, or equal, cable lining

Question 2

What category is L6665 in?

Accepted Answer

L6665 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L6665?

Accepted Answer

Use L6665 when billing for teflon or equal cable lining. 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 L6665 covered by Medicare?

Accepted Answer

Coverage for L6665 (Teflon or equal cable lining) 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 L6665?

Accepted Answer

Documentation for L6665 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).